Use of prism adaptation in children with unilateral brain lesion: Is it feasible?

Abstract:

INTRODUCTION:Unilateral visuospatial deficits have been observed in children with brain damage. While the effectiveness of prism adaptation for treating unilateral neglect in adult stroke patients has been demonstrated previously, the usefulness of prism adaptation in a pediatric population is still unknown. The present study aims at evaluating the feasibility of prism adaptation in children with unilateral brain lesion and comparing the validity of a game procedure designed for child-friendly paediatric intervention, with the ecological task used for prism adaptation in adult patients. METHODS:Twenty-one children with unilateral brain lesion randomly were assigned to a prism group wearing prismatic glasses, or a control group wearing neutral glasses during a bimanual task intervention. All children performed two different bimanual tasks on randomly assigned consecutive days: ecological tasks or game tasks. The efficacy of prism adaptation was measured by assessing its after-effects with visual open loop pointing (visuoproprioceptive test) and subjective straight-ahead pointing (proprioceptive test). RESULTS:Game tasks and ecological tasks produced similar after-effects. Prismatic glasses elicited a significant shift of visuospatial coordinates which was not observed in the control group. CONCLUSION:Prism adaptation performed with game tasks seems an effective procedure to obtain after-effects in children with unilateral brain lesion. The usefulness of repetitive prism adaptation sessions as a therapeutic intervention in children with visuospatial deficits and/or neglect, should be investigated in future studies.

journal_name

Res Dev Disabil

authors

Riquelme I,Henne C,Flament B,Legrain V,Bleyenheuft Y,Hatem SM

doi

10.1016/j.ridd.2015.06.009

subject

Has Abstract

pub_date

2015-08-01 00:00:00

pages

61-71

eissn

0891-4222

issn

1873-3379

pii

S0891-4222(15)00059-1

journal_volume

43-44

pub_type

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