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Head Position of Patients with Right Hemisphere Damage during a Visual Search Task in a Large Field

World Journal of Neuroscience 2018年第2期8卷 190-202页

作者： Ken Nakatani Shusuke Takahashi Daisuke Kimura Masako Notoya Nobuyuki Sunahara Takashi Fujita Minoru Toyama Shinya Fukunaga Naoe Mori kiyoe sakai Shinya Fuwa Department of Rehabilitation Sciences Kansai University of Welfare Sciences Osaka Japan Department of Living and Welfare Faculty of Home Economics Kyoto Women’s University Kyoto Japan Department of Speech and Hearing Sciences and Disorders Kyoto Gakuen University Kyoto Japan School of Health Sciences College of Medical Pharmaceutical and Health Sciences Kanazawa University Kanazawa Japan Division of Occupational Therapy Faculty of Care and Rehabilitation Seijoh University Tōkai Japan Department of Sensory Science Faculty of Health Science and Technology Kawasaki University of Medical Welfare Kurashiki Japan

Spatial neglect syndrome with cerebral lesions is characterized by the ina-bility to orient, report, or respond to relevant visual stimuli contralateral to the lesions. In this study, we investigated the pattern of horizontal visual search in a large space;this search was performed by patients with right hemisphere damage caused by cerebrovascular disease. The neck rotation angle and search time in each increment were continuously recorded during the task, and quantitative data of the measurements were collected. Head position during the visual search task in a large space (%) was then calculated. We set angular bands in increments of 5 degrees from the midline on the left and right sides, and calculated the total search time in each angular band. In patients with unilateral spatial neglect (USN), the search time in the angular band of 5 - 9 on the right side was significantly longer (with USN 16.7%, without USN 4.5%, t = 2.52, df = 16, p < 0.05). Furthermore, in patients with neglect in the leftmost end area in a large space, the search time was significantly shorter in the angular band of 1 - 4 degrees to the left (with neglect 13.1%, without neglect 23.7%, t = 2.13, df = 16, p < 0.05), and tended to be long in the angular band of 5 - 9 to the right. The neck rotation angle and pattern during the search task in a large field deviated slightly to the right, and the search time slightly to the left was short. We believe that these results support the rightward deviation of the search pattern and frame of USN patients.

关键词： Head Position Neck Rotation Angle Unilateral Spatial Neglect Visual Exploration

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