Deficits of position sense, unilateral neglect and optokinetic stimulation.

Abstract:

:The effects of optokinetic stimulation on position sense disorders were investigated in a series of 30 patients with unilateral vascular lesions (10 right brain-damaged patients with visuospatial hemineglect, 10 right brain-damaged patients without visuo-spatial hemineglect, 10 left brain-damaged patients), and 10 control subjects. The position sense deficit was more severe in right brain-damaged patients with neglect, where both the contralateral and the ipsilateral arm were involved. Optokinetic stimulation was effective only in right brain-damaged patients with neglect: stimulation with a leftward movement (contralateral to the side of the hemispheric lesion) improved the position sense deficit, while stimulation with a rightward (ipsilateral) movement produced a worsening of the performance level. These findings suggest that in right brain-damaged patients with neglect the position sense deficit has a nonsensory component, related to neglect, which may be affected by optokinetic stimulation. The role of the derangement of sensory and perceptual-egocentric representations of the body and of extrapersonal space in producing position sense disorders is discussed.

journal_name

Neuropsychologia

journal_title

Neuropsychologia

authors

Vallar G,Antonucci G,Guariglia C,Pizzamiglio L

doi

10.1016/0028-3932(93)90067-a

subject

Has Abstract

pub_date

1993-11-01 00:00:00

pages

1191-200

issue

11

eissn

0028-3932

issn

1873-3514

journal_volume

31

pub_type

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