The rehabilitation of object agnosia and prosopagnosia: A systematic review.

IF 1.9 4区 医学 Q4 NEUROSCIENCES
Silvia Gobbo, Raffaella Calati, Maria Caterina Silveri, Elisa Pini, Roberta Daini
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引用次数: 0

Abstract

Background: Agnosia for objects is often overlooked in neuropsychology, especially with respect to rehabilitation. Prosopagnosia has been studied more extensively, yet there have been few attempts at training it. The lack of training protocols may partially be accounted for by their relatively low incidence and specificity to sensory modality. However, finding effective rehabilitations for such deficits may help to reduce their impact on the social and psychological functioning of individuals.

Objective: Our aim in this study was to provide clinicians and researchers with useful information with which to conduct new studies on the rehabilitation of object agnosia and prosopagnosia. To accomplish this, we performed a systematic and comprehensive review of the effect of neuropsychological rehabilitation on visual object and prosopagnosia.

Methods: The Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines were followed. In addition, the Single-Case Experimental Design (SCED) and the Critical Appraisal Skills Programme (CASP) scales were used to assess the quality of reporting.

Results: Seven articles regarding object agnosia, eight articles describing treatments for prosopagnosia, and two articles describing treatments for both deficits were included.

Conclusions: In the light of the studies reviewed, treatments based on analysis of parts seem effective for object agnosia, while prosopagnosia appears to benefit most from treatments relying on holistic/configural processing. However, more attempts at rehabilitation of face and object agnosia are needed to clarify the mechanisms of these processes and possible rehabilitations. Moreover, a publication bias could mask a broader attempt to find effective treatments for visual agnosia and leaving out studies that are potentially more informative.

对象失认和面容失认的康复:一项系统综述。
背景:物体失神在神经心理学中经常被忽视,尤其是在康复方面。Prosopagnosia已经得到了更广泛的研究,但很少有人尝试训练它。训练方案的缺乏可能部分是因为它们对感觉模式的发病率和特异性相对较低。然而,为这种缺陷找到有效的康复方法可能有助于减少其对个人社会和心理功能的影响。目的:我们在本研究中的目的是为临床医生和研究人员提供有用的信息,以便对对象失认和前失认的康复进行新的研究。为此,我们对神经心理康复对视觉对象和失认症的影响进行了系统而全面的综述。方法:遵循系统评价的首选报告项目和荟萃分析指南。此外,还使用了单案例实验设计量表和关键评估技能计划量表来评估报告的质量。结果:包括7篇关于对象失认的文章,8篇描述失认症治疗的文章,以及2篇描述两种缺陷治疗的文章。结论:根据综述的研究,基于部分分析的治疗方法似乎对物体失认有效,而韵律失认症似乎从依赖整体/结构处理的治疗中受益最大。然而,需要对面部和物体失认的康复进行更多的尝试,以阐明这些过程的机制和可能的康复。此外,发表的偏见可能掩盖了寻找视觉失认有效治疗方法的更广泛尝试,并排除了可能更具信息性的研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
5.40
自引率
3.60%
发文量
22
审稿时长
>12 weeks
期刊介绍: This interdisciplinary journal publishes papers relating to the plasticity and response of the nervous system to accidental or experimental injuries and their interventions, transplantation, neurodegenerative disorders and experimental strategies to improve regeneration or functional recovery and rehabilitation. Experimental and clinical research papers adopting fresh conceptual approaches are encouraged. The overriding criteria for publication are novelty, significant experimental or clinical relevance and interest to a multidisciplinary audience. Experiments on un-anesthetized animals should conform with the standards for the use of laboratory animals as established by the Institute of Laboratory Animal Resources, US National Academy of Sciences. Experiments in which paralytic agents are used must be justified. Patient identity should be concealed. All manuscripts are sent out for blind peer review to editorial board members or outside reviewers. Restorative Neurology and Neuroscience is a member of Neuroscience Peer Review Consortium.
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