Is judgement of line orientation selectively impaired in right brain damaged patients?

Abstract:

:The judgement of line orientation test (JLOT) is widely used to assess visuo-spatial processing. Most neuropsychological studies have shown that on this task right hemisphere damaged (RHD) patients are significantly more impaired than left hemisphere damaged (LHD) patients, suggesting a dominant role of the right hemisphere in discriminating line orientation. To investigate whether other factors can affect performance on JLOT, a modified version of the test, consisting of the 30 original test items and their mirror images, was employed. In Experiment 1 normal participants were more accurate in discriminating the left lines of the original items, and the right lines of the mirror-reversed items, thus indicating that in original JLOT the stimulus arrays comprise lines on the left side that are easier to judge than lines on the right. In Experiment 2, RHD patients with visual neglect were significantly more impaired than patients without neglect, who performed similarly independently from the side of the lesion. Among patients without neglect, however, LHD patients were more accurate than RHD patients without neglect with the original items, but produced more errors than RHD patients without neglect when faced with the mirror-reversed items. Overall, the results of the present study suggest that the greater impairment on standard JLOT shown by RHD patients has to be interpreted as the by-product of the presence of visual neglect, which is more frequent following right hemisphere damage, and of the uneven distribution of the stimulus lines, which are easier to discriminate in the left space. The clinical and theoretical implications of the results are discussed.

journal_name

Neuropsychologia

journal_title

Neuropsychologia

authors

Treccani B,Torri T,Cubelli R

doi

10.1016/j.neuropsychologia.2004.07.008

subject

Has Abstract

pub_date

2005-01-01 00:00:00

pages

598-608

issue

4

eissn

0028-3932

issn

1873-3514

pii

S0028-3932(04)00183-6

journal_volume

43

pub_type

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