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EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE

A Journal on Physical Medicine and Rehabilitation after Pathological Events


Official Journal of the Italian Society of Physical and Rehabilitation Medicine (SIMFER), European Society of Physical and Rehabilitation Medicine (ESPRM), European Union of Medical Specialists - Physical and Rehabilitation Medicine Section (UEMS-PRM), Mediterranean Forum of Physical and Rehabilitation Medicine (MFPRM), Hellenic Society of Physical and Rehabilitation Medicine (EEFIAP)
In association with International Society of Physical and Rehabilitation Medicine (ISPRM)
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European Journal of Physical and Rehabilitation Medicine 2017 Jul 24

DOI: 10.23736/S1973-9087.17.04603-2

Copyright © 2017 EDIZIONI MINERVA MEDICA

language: English

Prism adaptation improves ego-centric but not allocentric unilateral neglect: a case study

Mauro MANCUSO 1 , Alessio DAMORA 1, Laura ABBRUZZESE 1, 2, Pierluigi ZOCCOLOTTI 2, 3

1 Rehabilitation Center Terranuova Bracciolini, La Gruccia Hospital, Montevarchi, Arezzo, Italy; 2 Department of Psychology, Sapienza University of Rome, Rome, Italy; 3 Neuropsychology Centre, IRCCS Santa Lucia Foundation, Rome, Italy


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BACKGROUND: Rehabilitation of unilateral neglect has focused on the ego-centric form of the disturbance. However, allocentric neglect is known to predict failure in the activities of daily life even more than egocentric neglect.
CASE REPORT: We submitted a patient (CMC) with severe egocentric and allocentric left-sided neglect to an extensive prism adaptation training. After treatment, CMC’s commission errors on the left side of targets (allocentric neglect) persisted and actually increased in parallel with her increased exploration of left space (egocentric neglect). Despite the improvement in a number of cognitive and motor areas, CMC showed limited improvement in ADL.
CLINICAL REHABILITATION IMPACT: These observations confirm the dissociation between egocentric and allocentric neglect and the selective efficacy of the prism adaptation method on the former form. There is a need to develop new rehabilitation methods for allocentric neglect as this limits the complete recovery of patients particularly in terms of ADL.


KEY WORDS: Prism adaptation - Allocentric neglect - Egocentric neglect

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Publication History

Article first published online: July 24, 2017
Manuscript accepted: July 24, 2017
Manuscript revised: June 20, 2017
Manuscript received: December 10, 2016

Cite this article as

Mancuso M, Damora A, Abbruzzese L, Zoccolotti P. Prism adaptation improves ego-centric but not allocentric unilateral neglect: a case study. Eur J Phys Rehabil Med 2017 Jul 24. DOI: 10.23736/S1973-9087.17.04603-2

Corresponding author e-mail

m.mancuso62@gmail.com