1
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Swainson A, Woodward KM, Boca M, Rolinski M, Collard P, Cerminara NL, Apps R, Whone AL, Gilchrist ID. Slower rates of prism adaptation but intact aftereffects in patients with early to mid-stage Parkinson's disease. Neuropsychologia 2023; 189:108681. [PMID: 37709193 DOI: 10.1016/j.neuropsychologia.2023.108681] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2023] [Revised: 09/08/2023] [Accepted: 09/11/2023] [Indexed: 09/16/2023]
Abstract
There is currently mixed evidence on the effect of Parkinson's disease on motor adaptation. Some studies report that patients display adaptation comparable to age-matched controls, while others report a complete inability to adapt to novel sensory perturbations. Here, early to mid-stage Parkinson's patients were recruited to perform a prism adaptation task. When compared to controls, patients showed slower rates of initial adaptation but intact aftereffects. These results support the suggestion that patients with early to mid-stage Parkinson's disease display intact adaptation driven by sensory prediction errors, as shown by the intact aftereffect. But impaired facilitation of performance through cognitive strategies informed by task error, as shown by the impaired initial adaptation. These results support recent studies that suggest that patients with Parkinson's disease retain the ability to perform visuomotor adaptation, but display altered use of cognitive strategies to aid performance and generalises these previous findings to the classical prism adaptation task.
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Affiliation(s)
- Alex Swainson
- University of Bristol, School of Physiology, Pharmacology and Neuroscience, Bristol, BS8 1TD, United Kingdom.
| | - Kathryn M Woodward
- Bristol Medical School, University of Bristol, Bristol, BS8 1UD, United Kingdom
| | - Mihaela Boca
- Bristol Brain Centre, Southmead Hospital, Bristol, BS10 5FN, United Kingdom
| | - Michal Rolinski
- Bristol Brain Centre, Southmead Hospital, Bristol, BS10 5FN, United Kingdom
| | - Philip Collard
- University of Bristol, School of Psychological Science, Bristol, BS8 1TU, United Kingdom
| | - Nadia L Cerminara
- University of Bristol, School of Physiology, Pharmacology and Neuroscience, Bristol, BS8 1TD, United Kingdom
| | - Richard Apps
- University of Bristol, School of Physiology, Pharmacology and Neuroscience, Bristol, BS8 1TD, United Kingdom
| | - Alan L Whone
- Bristol Brain Centre, Southmead Hospital, Bristol, BS10 5FN, United Kingdom
| | - Iain D Gilchrist
- University of Bristol, School of Psychological Science, Bristol, BS8 1TU, United Kingdom
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2
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Kitatani R, Honda K, Inukai Y, Otsuru N, Onishi H. Prism adaptation during balance standing enhances the transfer after-effect on standing postural displacement. Neurosci Lett 2023; 814:137470. [PMID: 37660979 DOI: 10.1016/j.neulet.2023.137470] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2023] [Revised: 08/28/2023] [Accepted: 08/31/2023] [Indexed: 09/05/2023]
Abstract
Prism adaptation (PA) is a sensorimotor adaptation paradigm that induces after-effects of adapted tasks and transfer after-effects of non-adapted tasks. Previous studies showed inconsistent results of transfer after-effects of adaptation to a leftward prismatic shift on the center-of-pressure (COP) displacement during eyes-closed standing. Challenging balance during PA increases the generalization of the internal model to untrained movements, resulting in increased transfer after-effects. The present study aimed to investigate the transfer after-effects of PA with challenging balance on standing postural displacement. Thirty healthy young adults were grouped into floor standing and balance-disc standing groups during leftward PA and pointed to targets while adapting to a leftward visual shift (30 diopters) for 20 min. After leftward PA, both groups had a significant rightward displacement of straight-ahead pointing with eyes closed. However, the COP position during eyes-closed standing with feet-closed was significantly displaced rightward only in the balance-disc standing group after leftward PA. These results show that challenging balance might increase the somatosensory and proprioceptive information for standing postural control, resulting in increased transfer after-effects of leftward PA on rightward standing postural displacement.
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Affiliation(s)
- Ryosuke Kitatani
- Department of Physical Therapy, Niigata University of Health and Welfare, Niigata, Japan; Institute for Human Movement and Medical Sciences, Niigata University of Health and Welfare, Niigata, Japan; Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
| | - Kaiwa Honda
- Department of Physical Therapy, Niigata University of Health and Welfare, Niigata, Japan
| | - Yasuto Inukai
- Department of Physical Therapy, Niigata University of Health and Welfare, Niigata, Japan; Institute for Human Movement and Medical Sciences, Niigata University of Health and Welfare, Niigata, Japan
| | - Naofumi Otsuru
- Department of Physical Therapy, Niigata University of Health and Welfare, Niigata, Japan; Institute for Human Movement and Medical Sciences, Niigata University of Health and Welfare, Niigata, Japan
| | - Hideaki Onishi
- Department of Physical Therapy, Niigata University of Health and Welfare, Niigata, Japan; Institute for Human Movement and Medical Sciences, Niigata University of Health and Welfare, Niigata, Japan
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3
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Bonavita A, Bellagamba M, Verde P, Boccia M, Guariglia C. The Effect of Cognitive Style on Individual Differences in Prismatic Adaptation: A Pilot Study. Brain Sci 2023; 13:brainsci13040641. [PMID: 37190606 DOI: 10.3390/brainsci13040641] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2023] [Revised: 04/05/2023] [Accepted: 04/06/2023] [Indexed: 05/17/2023] Open
Abstract
Prism adaptation (PA) is a well-known and widely used technique for rehabilitating unilateral spatial neglect and studying sensory-motor plasticity. However, there is conflicting evidence in the literature regarding its effectiveness which may arise from differences in the type of prisms used, clinical characteristics of the patients, and the procedure used in training. Individual differences may play a role in PA effectiveness in rehabilitating neglect, affecting both its development and its effects. Field-dependent/independent cognitive style is a pervasive characteristic of individual functioning, affecting how environmental information is processed. Here, we tested the hypothesis that cognitive style plays a role in PA efficacy by submitting to a protocol of prism adaptation to 38 health participants, who were classified as field-dependent (FD, N = 19) or field-independent (FI, N = 19), by using the Embedded Figure Test. Results show that during the exposure phase, FI individuals needed a lesser number of pointing movements to reduce the deviation error than FD individuals. However, there are no differences in the extinction of sensory-motor and cognitive after-effects. These results suggest that prismatic adaptation is affected by individuals' cognitive style since FI individuals will need fewer trials to reach adaptation and this could explain why using this rehabilitation technique with a unique, standard protocol is not always effective.
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Affiliation(s)
- Alessia Bonavita
- Department of Psychology, "Sapienza" University of Rome, Via dei Marsi, 78, 00185 Rome, Italy
- Cognitive and Motor Rehabilitation and Neuroimaging Unit, IRCCS Santa Lucia, Via Ardeatina 306/354, 00142 Rome, Italy
- Ph.D. Program in Behavioral Neuroscience, "Sapienza" University of Rome, 00185 Rome, Italy
| | - Martina Bellagamba
- Cognitive and Motor Rehabilitation and Neuroimaging Unit, IRCCS Santa Lucia, Via Ardeatina 306/354, 00142 Rome, Italy
| | - Paola Verde
- Aerospace Medicine Department, Aerospace Test Division, Pratica di Mare, AFB, 00071 Pomezia, Italy
| | - Maddalena Boccia
- Department of Psychology, "Sapienza" University of Rome, Via dei Marsi, 78, 00185 Rome, Italy
- Cognitive and Motor Rehabilitation and Neuroimaging Unit, IRCCS Santa Lucia, Via Ardeatina 306/354, 00142 Rome, Italy
| | - Cecilia Guariglia
- Department of Psychology, "Sapienza" University of Rome, Via dei Marsi, 78, 00185 Rome, Italy
- Cognitive and Motor Rehabilitation and Neuroimaging Unit, IRCCS Santa Lucia, Via Ardeatina 306/354, 00142 Rome, Italy
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4
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Lazar-Kurz Z, Aziz J, McKearney KJ, Hamon-Hill C, MacDonald A, Newman A, Eskes G. Age-related changes to electroencephalographic markers of visuomotor error processing and learning in prism adaptation. Neuropsychologia 2023; 184:108546. [PMID: 36965703 DOI: 10.1016/j.neuropsychologia.2023.108546] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2022] [Revised: 02/20/2023] [Accepted: 03/17/2023] [Indexed: 03/27/2023]
Abstract
Aging is associated with changes in cognitive function, including declines in learning, memory, and executive function. Prism adaptation (PA) is a useful paradigm to measure changes in explicit and implicit mechanisms of visuo-motor learning with age, but the neural correlates are not well understood. In the present study, we used PA to investigate visuo-motor learning and error processing in older adults. Twenty older adults (56-85 yrs) and 20 younger adults (18-33 yrs) underwent a goal-oriented reaching task while wearing prism goggles as continuous EEG was recorded to examine neural correlates of error detection. We examined behavioural measures of PA, as well as ERP components previously found associated with the early and late phases of adaptation to visual distortion caused by the prism goggles. Our results indicate important age-related behavioural and neurophysiological differences. Older adults reached more slowly than younger adults but showed the same accuracy throughout the prism exposure. Older adults also displayed larger aftereffects, indicating preserved visuomotor adaptation. EEG results indicated similar initial error processing in older and younger adults, as measured by the feedback error related negativity (FRN). As seen previously in young adults, the P3a and P3b declined over the prism exposure phase in both groups. Older adults displayed reduced P3a amplitude compared to the younger group in the early phase of adaptation, however, suggesting reduced attentional orienting. Finally, the older group exhibited a greater P3b amplitude compared to the younger group in the later phases of adaptation, potentially a marker of enhanced context updating underlying spatial realignment, leading to their larger aftereffect. Implications for age-related learning differences and clinical applications are discussed.
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Affiliation(s)
- Zoë Lazar-Kurz
- Cognitive Health and Recovery Research Lab, Departments of Psychiatry, Psychology and Neuroscience, Brain Repair Centre, Dalhousie University, 1348 Summer St, Halifax, NS, B3H 4R2, Canada; Neurocognitive Imaging Lab, Psychology and Neuroscience, Dalhousie University, 1355 Oxford Street, Halifax, NS, B3H 4J1, Canada.
| | - Jasmine Aziz
- Cognitive Health and Recovery Research Lab, Departments of Psychiatry, Psychology and Neuroscience, Brain Repair Centre, Dalhousie University, 1348 Summer St, Halifax, NS, B3H 4R2, Canada.
| | - Katelyn J McKearney
- Cognitive Health and Recovery Research Lab, Departments of Psychiatry, Psychology and Neuroscience, Brain Repair Centre, Dalhousie University, 1348 Summer St, Halifax, NS, B3H 4R2, Canada.
| | - Cindy Hamon-Hill
- Cognitive Health and Recovery Research Lab, Departments of Psychiatry, Psychology and Neuroscience, Brain Repair Centre, Dalhousie University, 1348 Summer St, Halifax, NS, B3H 4R2, Canada; Neurocognitive Imaging Lab, Psychology and Neuroscience, Dalhousie University, 1355 Oxford Street, Halifax, NS, B3H 4J1, Canada.
| | - Arthur MacDonald
- Cognitive Health and Recovery Research Lab, Departments of Psychiatry, Psychology and Neuroscience, Brain Repair Centre, Dalhousie University, 1348 Summer St, Halifax, NS, B3H 4R2, Canada.
| | - Aaron Newman
- Neurocognitive Imaging Lab, Psychology and Neuroscience, Dalhousie University, 1355 Oxford Street, Halifax, NS, B3H 4J1, Canada.
| | - Gail Eskes
- Cognitive Health and Recovery Research Lab, Departments of Psychiatry, Psychology and Neuroscience, Brain Repair Centre, Dalhousie University, 1348 Summer St, Halifax, NS, B3H 4R2, Canada.
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5
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Fleury L, Dreyer L, El Makkaoui R, Leroy E, Rossetti Y, Collet C. Inter-Task Transfer of Prism Adaptation through Motor Imagery. Brain Sci 2023; 13:brainsci13010114. [PMID: 36672095 PMCID: PMC9857236 DOI: 10.3390/brainsci13010114] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2022] [Revised: 12/30/2022] [Accepted: 01/04/2023] [Indexed: 01/10/2023] Open
Abstract
Prism adaptation (PA) is a useful method to investigate short-term sensorimotor plasticity. Following active exposure to prisms, individuals show consistent after-effects, probing that they have adapted to the perturbation. Whether after-effects are transferable to another task or remain specific to the task performed under exposure, represents a crucial interest to understand the adaptive processes at work. Motor imagery (MI, i.e., the mental representation of an action without any concomitant execution) offers an original opportunity to investigate the role of cognitive aspects of motor command preparation disregarding actual sensory and motor information related to its execution. The aim of the study was to test whether prism adaptation through MI led to transferable after-effects. Forty-four healthy volunteers were exposed to a rightward prismatic deviation while performing actual (Active group) versus imagined (MI group) pointing movements, or while being inactive (inactive group). Upon prisms removal, in the MI group, only participants with the highest MI abilities (MI+ group) showed consistent after-effects on pointing and, crucially, a significant transfer to throwing. This was not observed in participants with lower MI abilities and in the inactive group. However, a direct comparison of pointing after-effects and transfer to throwing between MI+ and the control inactive group did not show any significant difference. Although this interpretation requires caution, these findings suggest that exposure to intersensory conflict might be responsible for sensory realignment during prism adaptation which could be transferred to another task. This study paves the way for further investigations into MI's potential to develop robust sensorimotor adaptation.
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Affiliation(s)
- Lisa Fleury
- INSERM UMR-S U1028, CNRS UMS 5292, Trajectoires Lyon Neuroscience Research Center (CRNL), 69500 Bron, France. Claude Bernard University of Lyon 1, 69100 Villeurbanne, France
- Inter-University Laboratory of Human Movement Biology (EA 7424), Claude Bernard University of Lyon 1, 69100 Villeurbanne, France
- Defitech Chair of Clinical Neuroengineering, Neuro-X Institute (INX) and Brain Mind Institute (BMI), École Polytechnique Fédérale de Lausanne (EPFL) Valais, 1950 Sion, Switzerland
- Correspondence:
| | - Léa Dreyer
- Department of Psychology, University of Lyon 2, 69007 Lyon, France
| | - Rola El Makkaoui
- Department of Psychology, University of Lyon 2, 69007 Lyon, France
| | - Elise Leroy
- Department of Psychology, University of Lyon 2, 69007 Lyon, France
| | - Yves Rossetti
- INSERM UMR-S U1028, CNRS UMS 5292, Trajectoires Lyon Neuroscience Research Center (CRNL), 69500 Bron, France. Claude Bernard University of Lyon 1, 69100 Villeurbanne, France
- “Mouvement et Handicap” Platform, Neurological Hospital, Hospices Civils de Lyon, 69500 Bron, France
| | - Christian Collet
- Inter-University Laboratory of Human Movement Biology (EA 7424), Claude Bernard University of Lyon 1, 69100 Villeurbanne, France
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6
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Smeets JBJ, Pennekamp I, van Amsterdam B, Schot WD. How prism adaptation reveals the distinct use of size and positions in grasping. Exp Brain Res 2023; 241:105-111. [PMID: 36370156 PMCID: PMC9870818 DOI: 10.1007/s00221-022-06506-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2022] [Accepted: 11/07/2022] [Indexed: 11/13/2022]
Abstract
The size of an object equals the distance between the positions of its opposite edges. However, human sensory processing for perceiving positions differs from that for perceiving size. Which of these two information sources is used to control grip aperture? In this paper, we answer this question by prism adaptation of single-digit movements of the index finger and thumb. We previously showed that it is possible to adapt the index finger and thumb in opposite directions and that this adaptation induces an aftereffect in grip aperture in grasping. This finding suggests that grasping is based on the perceived positions of the contact points. However, it might be compatible with grasping being controlled based on size provided that the opposing prism adaptation leads to changes in visually perceived size or proprioception of hand opening. In that case, one would predict a similar aftereffect in manually indicating the perceived size. In contrast, if grasping is controlled based on information about the positions of the edges, the aftereffect in grasping is due to altered position information, so one would predict no aftereffect in manually indicating the perceived size. Our present experiment shows that there was no aftereffect in manually indicating perceived size. We conclude that grip aperture during grasping is based on perceived positions rather than on perceived size.
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Affiliation(s)
- Jeroen B. J. Smeets
- Department of Human Movement Sciences, Vrije Universiteit Amsterdam, Van der Boechorststraat 9, NL-1081 BT Amsterdam, The Netherlands
| | - Ian Pennekamp
- Department of Human Movement Sciences, Vrije Universiteit Amsterdam, Van der Boechorststraat 9, NL-1081 BT Amsterdam, The Netherlands
| | - Bente van Amsterdam
- Department of Human Movement Sciences, Vrije Universiteit Amsterdam, Van der Boechorststraat 9, NL-1081 BT Amsterdam, The Netherlands
| | - Willemijn D. Schot
- Educational Development and Training, Utrecht University, Utrecht, The Netherlands
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7
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Panico F, Schintu S, Trojano L. Editorial: Uncovering the neural correlates of prism adaptation: Evidence from the brain network approach. Front Psychol 2022; 13:1076307. [PMID: 36457912 PMCID: PMC9706180 DOI: 10.3389/fpsyg.2022.1076307] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2022] [Accepted: 10/25/2022] [Indexed: 08/01/2023] Open
Affiliation(s)
- Francesco Panico
- Department of Psychology, University of Campania ‘Luigi Vanvitelli', Caserta, Italy
| | - Selene Schintu
- CIMeC—Center for Mind/Brain Sciences, University of Trento, Trento, Italy
- Behavioral Neurology Unit, National Institute of Neurological Disorders and Stroke, Bethesda, MD, United States
- Department of Psychological and Brain Sciences, The George Washington University, Washington, DC, United States
| | - Luigi Trojano
- Department of Psychology, University of Campania ‘Luigi Vanvitelli', Caserta, Italy
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8
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Wilf M, Dupuis C, Nardo D, Huber D, Sander S, Al-Kaar J, Haroud M, Perrin H, Fornari E, Crottaz-Herbette S, Serino A. Virtual reality-based sensorimotor adaptation shapes subsequent spontaneous and naturalistic stimulus-driven brain activity. Cereb Cortex 2022; 33:5163-5180. [PMID: 36288926 PMCID: PMC10152055 DOI: 10.1093/cercor/bhac407] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2022] [Revised: 09/15/2022] [Accepted: 09/16/2022] [Indexed: 11/12/2022] Open
Abstract
Our everyday life summons numerous novel sensorimotor experiences, to which our brain needs to adapt in order to function properly. However, tracking plasticity of naturalistic behavior and associated brain modulations is challenging. Here, we tackled this question implementing a prism adaptation-like training in virtual reality (VRPA) in combination with functional neuroimaging. Three groups of healthy participants (N = 45) underwent VRPA (with a shift either to the left/right side, or with no shift), and performed functional magnetic resonance imaging (fMRI) sessions before and after training. To capture modulations in free-flowing, task-free brain activity, the fMRI sessions included resting-state and free-viewing of naturalistic videos. We found significant decreases in spontaneous functional connectivity between attentional and default mode (DMN)/fronto-parietal networks, only for the adaptation groups, more pronouncedly in the hemisphere contralateral to the induced shift. In addition, VRPA was found to bias visual responses to naturalistic videos: Following rightward adaptation, we found upregulation of visual response in an area in the parieto-occipital sulcus (POS) only in the right hemisphere. Notably, the extent of POS upregulation correlated with the size of the VRPA-induced after-effect measured in behavioral tests. This study demonstrates that a brief VRPA exposure can change large-scale cortical connectivity and correspondingly bias visual responses to naturalistic sensory inputs.
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Affiliation(s)
- Meytal Wilf
- MySpace Lab, Department of Clinical Neurosciences, Lausanne University Hospital (CHUV) and University of Lausanne, Avenue Pierre Decker 5, 1011 Lausanne, Switzerland.,Center of Advanced Technologies in Rehabilitation (CATR), Sheba Medical Center, Tel Hashomer 52621, Israel
| | - Celine Dupuis
- MindMaze SA, Chemin de Roseneck 5, 1006 Lausanne, Switzerland
| | - Davide Nardo
- MRC Cognition and Brain Sciences Unit, University of Cambridge, 15 Chaucer Rd, Cambridge CB2 7EF, United Kingdom.,Department of Education, University of Roma Tre, Rome, Italy
| | - Diana Huber
- MySpace Lab, Department of Clinical Neurosciences, Lausanne University Hospital (CHUV) and University of Lausanne, Avenue Pierre Decker 5, 1011 Lausanne, Switzerland
| | - Sibilla Sander
- MySpace Lab, Department of Clinical Neurosciences, Lausanne University Hospital (CHUV) and University of Lausanne, Avenue Pierre Decker 5, 1011 Lausanne, Switzerland
| | - Joud Al-Kaar
- Neuropsychology and Neurorehabilitation Service, Lausanne University Hospital (CHUV) and University of Lausanne, Avenue Pierre Decker 5, 1011 Lausanne, Switzerland
| | - Meriem Haroud
- MySpace Lab, Department of Clinical Neurosciences, Lausanne University Hospital (CHUV) and University of Lausanne, Avenue Pierre Decker 5, 1011 Lausanne, Switzerland.,Neuropsychology and Neurorehabilitation Service, Lausanne University Hospital (CHUV) and University of Lausanne, Avenue Pierre Decker 5, 1011 Lausanne, Switzerland
| | - Henri Perrin
- MySpace Lab, Department of Clinical Neurosciences, Lausanne University Hospital (CHUV) and University of Lausanne, Avenue Pierre Decker 5, 1011 Lausanne, Switzerland
| | - Eleonora Fornari
- Biomedical Imaging Center (CIBM), Department of Radiology, Lausanne University Hospital (CHUV) and University of Lausanne, Rue du Bugnon 46, 1011 Lausanne, Switzerland
| | - Sonia Crottaz-Herbette
- MindMaze SA, Chemin de Roseneck 5, 1006 Lausanne, Switzerland.,Neuropsychology and Neurorehabilitation Service, Lausanne University Hospital (CHUV) and University of Lausanne, Avenue Pierre Decker 5, 1011 Lausanne, Switzerland
| | - Andrea Serino
- MySpace Lab, Department of Clinical Neurosciences, Lausanne University Hospital (CHUV) and University of Lausanne, Avenue Pierre Decker 5, 1011 Lausanne, Switzerland.,MindMaze SA, Chemin de Roseneck 5, 1006 Lausanne, Switzerland
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9
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Chen P, Hreha K, Gonzalez-Snyder C, Rich TJ, Gillen RW, Parrott D, Barrett AM. Impacts of Prism Adaptation Treatment on Spatial Neglect and Rehabilitation Outcome: Dosage Matters. Neurorehabil Neural Repair 2022; 36:500-513. [PMID: 35673990 DOI: 10.1177/15459683221107891] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
We examined whether number of prism adaptation treatment (PAT) sessions in regular clinical practice would predict spatial neglect (SN) improvement and rehabilitation outcomes. We reviewed clinical records from 16 U.S. rehabilitation hospitals where neurological patients were assessed for SN using the Catherine Bergego Scale (CBS) and if SN was detected, and may have received PAT. Multiple linear regression was used to predict CBS Change (indicating SN improvement) in 520 patients who received PAT while considering age, sex, diagnosis, time post diagnosis, CBS at baseline, neglected side of space, and length of stay. Another set of regression models including the same variables and adding Function Independent Measure (FIM®) at admission was used to predict FIM Gains (indicating rehabilitation outcomes) in 1720 patients receiving PAT or not. We found that greater number of PAT sessions predicted greater CBS Change, especially in patients with moderate-to-severe neglect. Number of PAT sessions also positively correlated with Total FIM, Motor FIM, and Cognitive FIM Gains regardless of SN severity classification at baseline. Furthermore, number of PAT sessions predicted CBS Change and FIM Gains among patients completing ≤8 PAT sessions but not among patients with ≥8 sessions, who however, showed greater CBS Change with increased PAT frequency (i.e., fewer days between two consecutive sessions). Receiving more once-daily PAT sessions predicted greater improvement in SN and rehabilitation outcomes. Receiving PAT at a higher frequency for 8 or more sessions predicted better SN improvement. Thus, dosage matters. The study provides practice-based evidence that PAT is appropriate for inpatient rehabilitation.
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Affiliation(s)
- Peii Chen
- Center for Stroke Rehabilitation Research, 158368Kessler Foundation, West Orange, NJ, USA
- Department of Physical Medicine and Rehabilitation, New Jersey Medical School, Rutgers University, Newark, NJ, USA
| | - Kimberly Hreha
- Division of Occupational Therapy Doctorate, Department of Orthopaedic Surgery, School of Medicine, 12277Duke University, Durham, NC, USA
| | | | - Timothy J Rich
- Center for Stroke Rehabilitation Research, 158368Kessler Foundation, West Orange, NJ, USA
- Department of Physical Medicine and Rehabilitation, New Jersey Medical School, Rutgers University, Newark, NJ, USA
| | - Robert W Gillen
- Neuropsychology Department, 21489Sunnyview Rehabilitation Hospital, Schenectady, NY, USA
| | - Devan Parrott
- Research, Training, and Outcome Center for Brain Injury, 24119Rehabilitation Hospital of Indiana, Indianapolis, IN, USA
| | - A M Barrett
- Department of Neurology, 1371Emory University School of Medicine, Atlanta, GA, USA
- Center for Visual and Neurocognitive Rehabilitation, Atlanta VA Health Care System, U.S. Department of Veterans Affairs, Decatur, GA, USA
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10
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Meidian AC, Wahyuddin, Amimoto K. Rehabilitation interventions of unilateral spatial neglect based on the functional outcome measure: A systematic review and meta-analysis. Neuropsychol Rehabil 2022; 32:764-793. [PMID: 33106080 DOI: 10.1080/09602011.2020.1831554] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2020] [Accepted: 09/28/2020] [Indexed: 10/23/2022]
Abstract
ABSTRACTThis review aimed to examine the bottom-up and top-down rehabilitation intervention effectiveness based on the functional outcome measure as immediate effect and long-term effect for unilateral spatial neglect conditions. The RCT studies were collected by searching in three databases J-Stage, PubMed, and PEDro from 2008 through 2018. The studies which used the following instruments: BI, CBS, FMA, and FIM, as the functional outcome with the PEDro score of six and above, were eligible for inclusion. A total of 492 participants in 13 studies included from 291 studies initially identified. The meta-analysis for overall ES revealed that BI and CBS had a significant mean of SMD = 0.65 (95% CI, 0.23-1.07; p = 0.003; I2 = 65%), and SMD = -0.23 (95% CI, -0.45 to -0.01; p = 0.04; I2 = 35%) respectively, while FMA and FIM had an insignificant mean of SMD = 0.14 (95% CI, -0.08-0.37; p = 0.22; I2 = 0%), and SMD = -0.22 (95% CI, -0.69-0.25; p = 0.37; I2 = 0%) respectively. Based on the results, although indicated the heterogeneity representation across studies, it showed that the top-down intervention approach of high-frequency rTMS was more effective in enhancing the functional abilities and ADL of unilateral spatial neglect patients on the immediate effects but not necessarily in the long-term effects.
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Affiliation(s)
- Abdul Chalik Meidian
- Department of Physical Therapy, Graduate School of Human Health Sciences, Tokyo Metropolitan University, Tokyo, Japan
- Faculty of Physiotherapy, Esa Unggul University, Jakarta, Indonesia
| | - Wahyuddin
- Faculty of Physiotherapy, Esa Unggul University, Jakarta, Indonesia
| | - Kazu Amimoto
- Department of Physical Therapy, Graduate School of Human Health Sciences, Tokyo Metropolitan University, Tokyo, Japan
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11
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Scheffels JF, Lipinsky C, Korabova S, Eling P, Kastrup A, Hildebrandt H. The influence of clinical characteristics on prism adaptation training in visuospatial neglect: A post-hoc analysis of a randomized controlled trial. APPLIED NEUROPSYCHOLOGY. ADULT 2022:1-11. [PMID: 35416101 DOI: 10.1080/23279095.2022.2061353] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
Previous studies indicate that the effect of prism adaptation training (PAT) on unilateral neglect may depend on clinical characteristics. In this explorative work, we re-analyzed data from a previously conducted randomized controlled trial (N = 23) to investigate whether age, etiology, severity of motor impairments, and visual field deficits affect the efficacy of PAT. Additionally, we reviewed PAT studies that reported lesion maps and distinguished responders from non-responders. We transferred these maps into a common standard brain and added data from 12 patients from our study. We found patients suffering from subarachnoid bleeding appeared to show stronger functional recovery than those with intracranial hemorrhage or cortical infarction. Furthermore, patients with visual field deficits and those with more severe contralateral motor impairments had larger after-effect sizes but did not differ in treatment effects. In addition, patients with parietal lesions showed reduced recovery, whereas patients with lesions in the basal ganglia recovered better. We conclude that PAT (in its current form) is effective when fronto-subcortical areas are involved but it may not be the best choice when parietal regions are affected. Overall, the present work adds to the understanding on the effects of clinical characteristics on PAT.
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Affiliation(s)
- J F Scheffels
- Department of Neurology, Klinikum Bremen-Ost, Bremen, Germany
- Department of Psychology, University of Oldenburg, Oldenburg, Germany
| | - C Lipinsky
- Faculty of Behavioural and Social Sciences, University of Groningen, Groningen, The Netherlands
| | - S Korabova
- Department of Neurology, Klinikum Bremen-Ost, Bremen, Germany
- Department of Psychology, University of Oldenburg, Oldenburg, Germany
| | - P Eling
- Donders Institute for Brain, Cognition and Behavior, Radboud University, Nijmegen, The Netherlands
| | - A Kastrup
- Department of Neurology, Klinikum Bremen-Mitte, Bremen, Germany
| | - H Hildebrandt
- Department of Neurology, Klinikum Bremen-Ost, Bremen, Germany
- Department of Psychology, University of Oldenburg, Oldenburg, Germany
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12
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Feasibility study of immersive virtual prism adaptation therapy with depth-sensing camera using functional near-infrared spectroscopy in healthy adults. Sci Rep 2022; 12:767. [PMID: 35031675 PMCID: PMC8760318 DOI: 10.1038/s41598-022-04771-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2021] [Accepted: 12/22/2021] [Indexed: 11/08/2022] Open
Abstract
Prism Adaptation (PA) is used to alleviate spatial neglect. We combined immersive virtual reality with a depth-sensing camera to develop virtual prism adaptation therapy (VPAT), which block external visual cues and easily quantify and monitor errors than conventional PA. We conducted a feasibility study to investigate whether VPAT can induce behavioral adaptations by measuring after-effect and identifying which cortical areas were most significantly activated during VPAT using functional near-infrared spectroscopy (fNIRS). Fourteen healthy subjects participated in this study. The experiment consisted of four sequential phases (pre-VPAT, VPAT-10°, VPAT-20°, and post-VPAT). To compare the most significantly activated cortical areas during pointing in different phases against pointing during the pre-VPAT phase, we analyzed changes in oxyhemoglobin concentration using fNIRS during pointing. The pointing errors of the virtual hand deviated to the right-side during early pointing blocks in the VPAT-10° and VPAT-20° phases. There was a left-side deviation of the real hand to the target in the post-VPAT phase, demonstrating after-effect. The most significantly activated channels during pointing tasks were located in the right hemisphere, and possible corresponding cortical areas included the dorsolateral prefrontal cortex and frontal eye field. In conclusion, VPAT may induce behavioral adaptation with modulation of the dorsal attentional network.
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13
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Fleury L, Panico F, Foncelle A, Revol P, Delporte L, Jacquin-Courtois S, Collet C, Rossetti Y. Does anodal cerebellar tDCS boost transfer of after-effects from throwing to pointing during prism adaptation? Front Psychol 2022; 13:909565. [PMID: 36237677 PMCID: PMC9552335 DOI: 10.3389/fpsyg.2022.909565] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2022] [Accepted: 09/05/2022] [Indexed: 11/13/2022] Open
Abstract
Prism Adaptation (PA) is a useful method to study the mechanisms of sensorimotor adaptation. After-effects following adaptation to the prismatic deviation constitute the probe that adaptive mechanisms occurred, and current evidence suggests an involvement of the cerebellum at this level. Whether after-effects are transferable to another task is of great interest both for understanding the nature of sensorimotor transformations and for clinical purposes. However, the processes of transfer and their underlying neural substrates remain poorly understood. Transfer from throwing to pointing is known to occur only in individuals who had previously reached a good level of expertise in throwing (e.g., dart players), not in novices. The aim of this study was to ascertain whether anodal stimulation of the cerebellum could boost after-effects transfer from throwing to pointing in novice participants. Healthy participants received anodal or sham transcranial direction current stimulation (tDCS) of the right cerebellum during a PA procedure involving a throwing task and were tested for transfer on a pointing task. Terminal errors and kinematic parameters were in the dependent variables for statistical analyses. Results showed that active stimulation had no significant beneficial effects on error reduction or throwing after-effects. Moreover, the overall magnitude of transfer to pointing did not change. Interestingly, we found a significant effect of the stimulation on the longitudinal evolution of pointing errors and on pointing kinematic parameters during transfer assessment. These results provide new insights on the implication of the cerebellum in transfer and on the possibility to use anodal tDCS to enhance cerebellar contribution during PA in further investigations. From a network approach, we suggest that cerebellum is part of a more complex circuitry responsible for the development of transfer which is likely embracing the primary motor cortex due to its role in motor memories consolidation. This paves the way for further work entailing multiple-sites stimulation to explore the role of M1-cerebellum dynamic interplay in transfer.
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Affiliation(s)
- Lisa Fleury
- INSERM UMR-S, CNRS UMS, Trajectoires Lyon Neuroscience Research Center (CRNL), Bron, France
- Defitech Chair for Clinical Neuroengineering, Center for Neuroprosthetics (CNP) and Brain Mind Institute (BMI), École polytechnique fédérale de Lausanne (EPFL) Valais, Sion, Switzerland
- *Correspondence: Lisa Fleury,
| | - Francesco Panico
- Department of Psychology, University of Campania “Luigi Vanvitelli”, Caserta, Italy
| | - Alexandre Foncelle
- INSERM UMR-S, CNRS UMS, Trajectoires Lyon Neuroscience Research Center (CRNL), Bron, France
- “Mouvement et Handicap” Platform, Neurological Hospital, Hospices Civils de Lyon, Bron, France
| | - Patrice Revol
- INSERM UMR-S, CNRS UMS, Trajectoires Lyon Neuroscience Research Center (CRNL), Bron, France
- “Mouvement et Handicap” Platform, Neurological Hospital, Hospices Civils de Lyon, Bron, France
| | - Ludovic Delporte
- INSERM UMR-S, CNRS UMS, Trajectoires Lyon Neuroscience Research Center (CRNL), Bron, France
- “Mouvement et Handicap” Platform, Neurological Hospital, Hospices Civils de Lyon, Bron, France
| | - Sophie Jacquin-Courtois
- INSERM UMR-S, CNRS UMS, Trajectoires Lyon Neuroscience Research Center (CRNL), Bron, France
- “Mouvement et Handicap” Platform, Neurological Hospital, Hospices Civils de Lyon, Bron, France
| | - Christian Collet
- Inter-University Laboratory of Human Movement Biology, Villeurbanne, France
| | - Yves Rossetti
- INSERM UMR-S, CNRS UMS, Trajectoires Lyon Neuroscience Research Center (CRNL), Bron, France
- “Mouvement et Handicap” Platform, Neurological Hospital, Hospices Civils de Lyon, Bron, France
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14
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Hugues A, Guinet-Lacoste A, Bin S, Villeneuve L, Lunven M, Pérennou D, Giraux P, Foncelle A, Rossetti Y, Jacquin-Courtois S, Luauté J, Rode G. Effects of prismatic adaptation on balance and postural disorders in patients with chronic right stroke: protocol for a multicentre double-blind randomised sham-controlled trial. BMJ Open 2021; 11:e052086. [PMID: 34819284 PMCID: PMC8614142 DOI: 10.1136/bmjopen-2021-052086] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/10/2021] [Accepted: 10/21/2021] [Indexed: 11/16/2022] Open
Abstract
INTRODUCTION Patients with right stroke lesion have postural and balance disorders, including weight-bearing asymmetry, more pronounced than patients with left stroke lesion. Spatial cognition disorders post-stroke, such as misperceptions of subjective straight-ahead and subjective longitudinal body axis, are suspected to be involved in these postural and balance disorders. Prismatic adaptation has showed beneficial effects to reduce visuomotor disorders but also an expansion of effects on cognitive functions, including spatial cognition. Preliminary studies with a low level of evidence have suggested positive effects of prismatic adaptation on weight-bearing asymmetry and balance after stroke. The objective is to investigate the effects of this intervention on balance but also on postural disorders, subjective straight-ahead, longitudinal body axis and autonomy in patients with chronic right stroke lesion. METHODS AND ANALYSIS In this multicentre randomised double-blind sham-controlled trial, we will include 28 patients aged from 18 to 80 years, with a first right supratentorial stroke lesion at chronic stage (≥12 months) and having a bearing ≥60% of body weight on the right lower limb. Participants will be randomly assigned to the experimental group (performing pointing tasks while wearing glasses shifting optical axis of 10 degrees towards the right side) or to the control group (performing the same procedure while wearing neutral glasses without optical deviation). All participants will receive a 20 min daily session for 2 weeks in addition to conventional rehabilitation. The primary outcome will be the balance measured using the Berg Balance Scale. Secondary outcomes will include weight-bearing asymmetry and parameters of body sway during static posturographic assessments, as well as lateropulsion (measured using the Scale for Contraversive Pushing), subjective straight-ahead, longitudinal body axis and autonomy (measured using the Barthel Index). ETHICS AND DISSEMINATION The study has been approved by the ethical review board in France. Findings will be submitted to peer-reviewed journals relative to rehabilitation or stroke. TRIAL REGISTRATION NUMBER NCT03154138.
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Affiliation(s)
- Aurélien Hugues
- Service de médecine physique et réadaptation, hôpital Henry Gabrielle, Hospices Civils de Lyon, Saint-Genis Laval, France
- Equipe 'Trajectoires', Centre de Recherche en Neurosciences de Lyon, Inserm UMR-S 1028, CNRS UMR 5292, Université de Lyon, Université Lyon 1, Bron, France
- Plate-forme 'Mouvement et Handicap', hôpital Henry Gabrielle, Hospices Civils de Lyon, Saint-Genis-Laval, France
| | - Amandine Guinet-Lacoste
- Service de médecine physique et réadaptation, hôpital Henry Gabrielle, Hospices Civils de Lyon, Saint-Genis Laval, France
- Equipe 'Trajectoires', Centre de Recherche en Neurosciences de Lyon, Inserm UMR-S 1028, CNRS UMR 5292, Université de Lyon, Université Lyon 1, Bron, France
- Plate-forme 'Mouvement et Handicap', hôpital Henry Gabrielle, Hospices Civils de Lyon, Saint-Genis-Laval, France
| | - Sylvie Bin
- Service de Recherche Clinique et Epidémiologique, Pôle de Santé Publique, Hospices Civils de Lyon, Lyon, France
| | - Laurent Villeneuve
- Service de Recherche Clinique et Epidémiologique, Pôle de Santé Publique, Hospices Civils de Lyon, Lyon, France
- EMR 3738, Université Lyon 1, Villeurbanne, France
| | - Marine Lunven
- Département d'Etudes Cognitives, École normale supérieure, PSL University, Paris, France
- Hôpital Henri Mondor-Albert Chenevier, Centre de référence Maladie de Huntington, Service de Neurologie, AP-HP, Créteil, France
- INSERM U955, Institut Mondor de Recherche Biomédicale, Equipe NeuroPsychologie Interventionnelle, Université Paris Est Créteil, Créteil, France
| | - Dominic Pérennou
- Département de médecine physique et de réadaptation, Institut de rééducation, Hôpital sud, Centre Hospitalier Universitaire Grenoble-Alpes, Grenoble, France
- Laboratoire Neurosciences Cognitives, CNRS UMR5105, Université Grenoble Alpes, Grenoble, France
| | - Pascal Giraux
- Service de médecine physique et réadaptation, Hôpital Bellevue, Centre Hospitalier Universitaire de Saint-Etienne, Saint-Etienne, France
- Laboratoire Inter-universitaire de Biologie de la Motricité (LIBM, EA 7424), Université Jean Monnet Saint-Etienne, Université de Lyon, Saint-Etienne, France
| | - Alexandre Foncelle
- Equipe 'Trajectoires', Centre de Recherche en Neurosciences de Lyon, Inserm UMR-S 1028, CNRS UMR 5292, Université de Lyon, Université Lyon 1, Bron, France
| | - Yves Rossetti
- Service de médecine physique et réadaptation, hôpital Henry Gabrielle, Hospices Civils de Lyon, Saint-Genis Laval, France
- Equipe 'Trajectoires', Centre de Recherche en Neurosciences de Lyon, Inserm UMR-S 1028, CNRS UMR 5292, Université de Lyon, Université Lyon 1, Bron, France
- Plate-forme 'Mouvement et Handicap', hôpital Henry Gabrielle, Hospices Civils de Lyon, Saint-Genis-Laval, France
| | - Sophie Jacquin-Courtois
- Service de médecine physique et réadaptation, hôpital Henry Gabrielle, Hospices Civils de Lyon, Saint-Genis Laval, France
- Equipe 'Trajectoires', Centre de Recherche en Neurosciences de Lyon, Inserm UMR-S 1028, CNRS UMR 5292, Université de Lyon, Université Lyon 1, Bron, France
- Plate-forme 'Mouvement et Handicap', hôpital Henry Gabrielle, Hospices Civils de Lyon, Saint-Genis-Laval, France
| | - Jacques Luauté
- Service de médecine physique et réadaptation, hôpital Henry Gabrielle, Hospices Civils de Lyon, Saint-Genis Laval, France
- Equipe 'Trajectoires', Centre de Recherche en Neurosciences de Lyon, Inserm UMR-S 1028, CNRS UMR 5292, Université de Lyon, Université Lyon 1, Bron, France
- Plate-forme 'Mouvement et Handicap', hôpital Henry Gabrielle, Hospices Civils de Lyon, Saint-Genis-Laval, France
| | - Gilles Rode
- Service de médecine physique et réadaptation, hôpital Henry Gabrielle, Hospices Civils de Lyon, Saint-Genis Laval, France
- Equipe 'Trajectoires', Centre de Recherche en Neurosciences de Lyon, Inserm UMR-S 1028, CNRS UMR 5292, Université de Lyon, Université Lyon 1, Bron, France
- Plate-forme 'Mouvement et Handicap', hôpital Henry Gabrielle, Hospices Civils de Lyon, Saint-Genis-Laval, France
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15
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Scheffels JF, Korabova S, Eling P, Kastrup A, Hildebrandt H. The Effects of Continuous vs. Intermittent Prism Adaptation Protocols for Treating Visuospatial Neglect: A Randomized Controlled Trial. Front Neurol 2021; 12:742727. [PMID: 34867725 PMCID: PMC8639507 DOI: 10.3389/fneur.2021.742727] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2021] [Accepted: 10/29/2021] [Indexed: 11/13/2022] Open
Abstract
Visuospatial neglect may interfere with activities of daily living (ADL). Prism adaptation (PA) is one treatment option and may involve two components: recalibration (more strategic) and realignment (more implicit). We examined whether recalibration or realignment is the driving force in neglect rehabilitation using PA. In a randomized controlled trial with two recruitment series and a cross-over design, 24 neglect patients were allocated to a continuous (PA-c) or intermittent (PA-i) PA procedure. During the PA-c condition, goggles were worn without doffing. In the PA-i condition, patients donned goggles twice (first series of patients) or three times (second series) during training to induce more recalibrations. Primary outcome parameters were performance (omissions) on the Apples Cancellation Test and ADL scores. To assess the efficacy of the PA treatment, we compared effect sizes of the current study with those from three groups from previous studies at the same rehabilitation unit: (1) a passive treatment with a similar intensity, (2) a placebo treatment with a similar intensity, and (3) a PA treatment with fewer therapy sessions. Treatment conditions did not significantly predict scores on primary and most secondary outcome parameters. However, the spontaneous ipsilesional body orientation improved only in patients receiving the PA-i condition and this improvement also appeared in patients showing a strong after-effect (irrespective of condition). Effect sizes for the Apples Cancellation Test and the Functional Independence Measure were larger for both PA treatment protocols than the historical control groups. We conclude that more recalibrations during an intermittent PA treatment may have a beneficial effect on spontaneous body orientation but not on other aspects of neglect or on ADL performance. Clinical Trial Registration: German Clinical Trials Register, identifier: DRKS00018813, DRKS00021539.
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Affiliation(s)
- Jannik Florian Scheffels
- Department of Neurology, Klinikum Bremen-Ost, Bremen, Germany
- Department of Psychology, University of Oldenburg, Oldenburg, Germany
| | - Sona Korabova
- Department of Neurology, Klinikum Bremen-Ost, Bremen, Germany
- Department of Psychology, University of Oldenburg, Oldenburg, Germany
| | - Paul Eling
- Donders Institute for Brain, Cognition and Behavior, Radboud University, Nijmegen, Netherlands
| | - Andreas Kastrup
- Department of Neurology, Klinikum Bremen-Ost, Bremen, Germany
| | - Helmut Hildebrandt
- Department of Neurology, Klinikum Bremen-Ost, Bremen, Germany
- Department of Psychology, University of Oldenburg, Oldenburg, Germany
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16
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Boukrina O, Chen P. Neural Mechanisms of Prism Adaptation in Healthy Adults and Individuals with Spatial Neglect after Unilateral Stroke: A Review of fMRI Studies. Brain Sci 2021; 11:1468. [PMID: 34827467 PMCID: PMC8615640 DOI: 10.3390/brainsci11111468] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2021] [Revised: 10/28/2021] [Accepted: 11/03/2021] [Indexed: 12/24/2022] Open
Abstract
Functional disability due to spatial neglect hinders recovery in up to 30% of stroke survivors. Prism adaptation treatment (PAT) may alleviate the disabling consequences of spatial neglect, but we do not yet know why some individuals show much better outcomes following PAT than others. The goal of this scoping review and meta-analysis was to investigate the neural mechanisms underlying prism adaptation (PA). We conducted both quantitative and qualitative analyses across fMRI studies investigating brain activity before, during, and after PA, in healthy individuals and patients with right or left brain damage (RBD or LBD) due to stroke. In healthy adults, PA was linked with activity in posterior parietal and cerebellar clusters, reduced bilateral parieto-frontal connectivity, and increased fronto-limbic and sensorimotor network connectivity. In contrast, RBD individuals with spatial neglect relied on different circuits, including an activity cluster in the intact left occipital cortex. This finding is consistent with a shift in hemispheric dominance in spatial processing to the left hemisphere. However, more studies are needed to clarify the contribution of lesion location and load on the circuits involved in PA after unilateral brain damage. Future studies are also needed to clarify the relationship of decreasing resting state functional connectivity (rsFC) to visuomotor function.
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Affiliation(s)
- Olga Boukrina
- Center for Stroke Rehabilitation Research, Kessler Foundation, West Orange, NJ 07052, USA;
- Department of Physical Medicine and Rehabilitation, New Jersey Medical School, Rutgers University, Newark, NJ 07103, USA
| | - Peii Chen
- Center for Stroke Rehabilitation Research, Kessler Foundation, West Orange, NJ 07052, USA;
- Department of Physical Medicine and Rehabilitation, New Jersey Medical School, Rutgers University, Newark, NJ 07103, USA
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17
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Engagement of a parieto-cerebellar network in prism adaptation. A double-blind high-definition transcranial direct current stimulation study on healthy individuals. Cortex 2021; 146:39-49. [PMID: 34818617 DOI: 10.1016/j.cortex.2021.10.005] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2021] [Revised: 09/12/2021] [Accepted: 10/12/2021] [Indexed: 11/22/2022]
Abstract
Prism Adaptation (PA) is a non-invasive method to investigate visuomotor control. Recent neurostimulation studies have proposed an interpretation of the mechanisms underlying PA based on functioning of brain networks, instead of focusing on single brain areas. To test the functioning of the network during a classical PA procedure, here we used for the first time High-Definition transcranial Direct Current Stimulation (HD-tDCS) to simultaneously inhibit or facilitate brain activity in two main nodes of the network, namely the parietal cortex and the cerebellum, in healthy individuals. The main results showed that simultaneous anodal HD-tDCS over the two regions reduced terminal errors during exposure to prism glasses as compared to cathodal and sham stimulation. Conversely, cathodal HD-tDCS reduced after-effect as compared to anodal and sham stimulation following prism removal. Overall, these results provide new insights on the network related to the deployment of PA mechanisms and demonstrate the feasibility of using non-invasive HD-tDCS to modulate the adaptive mechanisms of PA.
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18
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Panico F, Arini A, Cantone P, Crisci C, Trojano L. Integrating visual search, eye movement training and reversing prism exposure in the treatment of Balint-Holmes syndrome: a single case report. Top Stroke Rehabil 2021; 29:280-285. [PMID: 33960916 DOI: 10.1080/10749357.2021.1923319] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
Objective: For the first time, we administered reversing prism exposure to treat optic ataxia in a single patient with Balint-Holmes Syndrome (BHS), who also underwent specific trainings for simultanagnosia and ocular apraxia.Method and Results: By an introduction and withdrawal experimental design, we observed that the active treatment periods improved patient's visuospatial defects and functional autonomy.Conclusions: We thus provided a proof of principle supporting the use of reversing prism exposure in optic ataxia within an integrated and personalized rehabilitative approach for BHS.
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Affiliation(s)
- Francesco Panico
- Department of Psychology, University of Campania "Luigi Vanvitelli", Caserta, Italy
| | - Angela Arini
- Neurorehabilitation Unit, Clinic Center Rehabilitation Institute, Napoli, Italy
| | - Pierluigi Cantone
- Neurorehabilitation Unit, Clinic Center Rehabilitation Institute, Napoli, Italy
| | - Claudio Crisci
- Neurorehabilitation Unit, Clinic Center Rehabilitation Institute, Napoli, Italy
| | - Luigi Trojano
- Department of Psychology, University of Campania "Luigi Vanvitelli", Caserta, Italy
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19
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Abstract
During prism adaptation (PA), active exposure to an optical shift results in sustained modifications of the sensorimotor system, which have been shown to expand to the cognitive level and serve as a rehabilitation technique for spatial cognition disorders. Several models based on evidence from clinical and neuroimaging studies offered a description of the cognitive and the neural correlates of PA. However, recent findings using noninvasive neurostimulation call for a reexamination of the role of the primary motor cortex (M1) in PA. Specifically, recent studies demonstrated that M1 stimulation reactivates previously vanished sensorimotor changes 1 day after PA, induces after-effect strengthening, and boosts therapeutic effects up to the point of reversing treatment-resistant unilateral neglect. Here, we articulate findings from clinical, neuroimaging, and noninvasive brain stimulation studies to show that M1 contributes to acquiring and storing PA, by means of persisting latent changes after the behavioral training is terminated, consistent with studies on other sensorimotor adaptation procedures. Moreover, we describe the hierarchical organization as well as the timing of PA mechanisms and their anatomical correlates, and identify M1 as an anatomo-functional interface between low- and high-order PA-related mechanisms.
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Affiliation(s)
| | - Lisa Fleury
- Hospices Civils de Lyon, France.,Trajectoires, Centre de Recherche en Neurosciences de Lyon, Bron, France
| | - Luigi Trojano
- University of Campania "Luigi Vanvitelli," Caserta, Italy
| | - Yves Rossetti
- Hospices Civils de Lyon, France.,Trajectoires, Centre de Recherche en Neurosciences de Lyon, Bron, France
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20
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Combined virtual reality and haptic robotics induce space and movement invariant sensorimotor adaptation. Neuropsychologia 2020; 150:107692. [PMID: 33232695 DOI: 10.1016/j.neuropsychologia.2020.107692] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2020] [Revised: 10/12/2020] [Accepted: 11/13/2020] [Indexed: 11/22/2022]
Abstract
Prism adaptation is a method for studying visuomotor plasticity in healthy individuals, as well as for rehabilitating patients suffering spatial neglect. We developed a new set-up based on virtual-reality (VR) and haptic-robotics allowing us to induce sensorimotor adaptation and to reproduce the effect of prism adaptation in a more ecologically valid, yet experimentally controlled context. Participants were exposed to an immersive VR environment while controlling a virtual hand via a robotic-haptic device to reach virtual objects. During training, a rotational shift was induced between the position of the participant's real hand and that of the virtual hand in order to trigger sensorimotor recalibration. The use of VR and haptic-robotics allowed us to simulate and test multiple components of sensorimotor adaptation: training either peripersonal or extrapersonal space and testing generalization for the non-trained sector of space, and using active versus robot-guided reaching movements. Results from 60 neurologically intact participants show that participants exposed to the virtual shift were able to quickly adapt their reaching movements to aim correctly at the target objects. When the shift was removed, participants showed a systematic deviation of their movements during open-loop tasks in the direction opposite to that of the shift, which generalized to un-trained portions of space and occurred also when their movements were robotically-guided during the adaptation. Interestingly, follow-up questionnaires revealed that when the adaptation training was robotically-guided, participants were largely unaware of the mismatch between their hand and the virtual hand's position. The stability of the aftereffects, despite the changing experimental parameters, suggests that the induced sensory-motor adaptation does not rely on low-level processing of sensory stimuli during the training, but taps into high-level representations of space. Importantly, the flexibility of the trained space and the option of robotically-guided movements open novel possibilities of fine-tuning the training to patients' level of spatial and motor impairment, thus possibly resulting in a better outcome.
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21
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Fleury L, Pastor D, Revol P, Delporte L, Rossetti Y. Inter-task transfer of prism adaptation depends on exposed task mastery. Sci Rep 2020; 10:5687. [PMID: 32231235 PMCID: PMC7105469 DOI: 10.1038/s41598-020-62519-5] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2019] [Accepted: 03/05/2020] [Indexed: 11/17/2022] Open
Abstract
The sensorimotor system sets up plastic alterations to face new demands. Terms such as adaptation and learning are broadly used to describe a variety of processes underlying this aptitude. The mechanisms whereby transformations acquired to face a perturbation generalize to other situations or stay context-dependent remain weakly understood. Here, we compared the performance of hand pointing vs throwing to visual targets while facing an optical shift of the visual field (prismatic deviation). We found that the transfer of compensations was conditioned by the task performed during exposure to the perturbation: compensations transferred from pointing to throwing but not at all from throwing to pointing. Additionally, expertise on the task performed during exposure had a marked influence on the amount of transfer to the non-exposed task: throwing experts (dart players) remarkably transferred compensations to the pointing task. Our results reveal that different processes underlying these distinct transfer properties may be at work to face a given perturbation. Their solicitation depends on mastery for the exposed task, which is responsible for different patterns of inter-task transfer. An important implication is that transfer properties, and not only after-effects, should be included as a criterion for adaptation. At the theoretical level, we suggest that tasks may need to be mastered before they can be subjected to adaptation, which has new implications for the distinction between learning and adaptation.
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Affiliation(s)
- Lisa Fleury
- INSERM U1028 CNRS UMR 5292, ImpAct Team, Lyon Neuroscience Research Center (CRNL), 69500, Bron, France. .,"Mouvement et Handicap" platform, Neurological Hospital, Hospices Civils de Lyon, 69500, Bron, France. .,Claude Bernard University of Lyon 1, 69100, Villeurbanne, France.
| | - Damien Pastor
- INSERM U1028 CNRS UMR 5292, ImpAct Team, Lyon Neuroscience Research Center (CRNL), 69500, Bron, France
| | - Patrice Revol
- INSERM U1028 CNRS UMR 5292, ImpAct Team, Lyon Neuroscience Research Center (CRNL), 69500, Bron, France.,"Mouvement et Handicap" platform, Neurological Hospital, Hospices Civils de Lyon, 69500, Bron, France
| | - Ludovic Delporte
- INSERM U1028 CNRS UMR 5292, ImpAct Team, Lyon Neuroscience Research Center (CRNL), 69500, Bron, France.,"Mouvement et Handicap" platform, Neurological Hospital, Hospices Civils de Lyon, 69500, Bron, France
| | - Yves Rossetti
- INSERM U1028 CNRS UMR 5292, ImpAct Team, Lyon Neuroscience Research Center (CRNL), 69500, Bron, France.,"Mouvement et Handicap" platform, Neurological Hospital, Hospices Civils de Lyon, 69500, Bron, France.,Claude Bernard University of Lyon 1, 69100, Villeurbanne, France
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