Brain Activity Stimulated by Prism Adaptation Tasks Utilized for the Treatment of Unilateral Spatial Neglect A Study with fNIRS英文文献资料.docVIP

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Brain Activity Stimulated by Prism Adaptation Tasks Utilized for the Treatment of Unilateral Spatial Neglect A Study with fNIRS英文文献资料.doc

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Brain Activity Stimulated by Prism Adaptation Tasks Utilized for the Treatment of Unilateral Spatial Neglect A Study with fNIRS英文文献资料

HindawiPublishingCorporation RehabilitationResearchandPractice Volume2012,ArticleID312781,6pages doi:10.1155/2012/312781 ClinicalStudy BrainActivityStimulatedbyPrismAdaptationTasksUtilizedfor theTreatmentofUnilateralSpatialNeglect:AStudywithfNIRS HiroshiTaniguchi, MakotoHiyamizu, TakanoriTominaga, andShuMorioka 1 1 2 1 1 DepartmentofNeurorehabilitation,GraduateSchoolofHealthScience,KioUniversity,4-2-2Umami-nakakoryo-cho, Kitakatsuragi-gun,Nara635-0832,Japan DepartmentofRehabilitation,MurataHospital,4-2-1Tashima-choIkuno-kuOsaka544-0011,Japan 2 CorrespondenceshouldbeaddressedtoHiroshiTaniguchi,manato719@yahoo.co.jp Received1December2011;Revised18January2012;Accepted1February2012 AcademicEditor:K.S.Sunnerhagen Copyright?2012HiroshiTaniguchietal. This is an open access article distributed under the Creative Commons Attribution License,whichpermitsunrestricteduse,distribution,andreproductioninanymedium,providedtheoriginalworkisproperly cited. Weinvestigatedtheneurologicalbasisfore?cacyofprismadaptationtherapy,whichisusedforthetreatmentofpoststroke unilateralspatialneglect(USN).Studysubjectswere6USN-positive(+),6USN-negativepatients,and6healthyvolunteercontrol subjects.USNwasidenti?edbytheBehaviouralInattentionTest(BIT).Duringthetasks,brainactivitywasassessedwithfNIRSvia changesinoxyHbconcentrationperunitlength.Therewasnosigni?cantdi?erenceinthenumberoferrorsinthetaskbetween the3groups.However,intheUSN(+)grouptherewasasigni?cantlygreaterreductioninoxyHblevelsintheright parietal associationcortexduringtheprismadaptationtaskthanintheother2groups(P0.05).Therewasanimmediateimprovement inUSNsymptomsaswellasasigni?cantincreaseinoxyHblevelsduringtheprismadaptationinthechannelscoveringtheright frontalandparietallobesin2patientsintheUSN(+)group(P0.05).Thisresultsuggestedthatdecreasedactivityintheright parietalassociationcortex,whichisrelatedtospatialperception,duringtheprismadaptationtaskandtask-inducedreor