Maria S Kovyazina, Nataliya A Varako, Georgiy K Stepanov, Daria D Yurina, Victoria A Propustina, Svetlana A Vasilyeva, Vadim D Daminov, Yury P Zinchenko
{"title":"The Use of Specialized Neuropsychological Training for the Rehabilitation of Patients with Neglect Syndrome.","authors":"Maria S Kovyazina, Nataliya A Varako, Georgiy K Stepanov, Daria D Yurina, Victoria A Propustina, Svetlana A Vasilyeva, Vadim D Daminov, Yury P Zinchenko","doi":"10.11621/pir.2025.0201","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Currently, insufficient attention is being paid to methods of rehabilitation of patients with neglect syndrome. It is necessary to create an effective way to overcome this condition.</p><p><strong>Objective: </strong>After we developed and tested a specialized rehabilitation training program for patients with neglect syndrome, we sought to verify that the designed program would have a positive impact on the indicators of visuospatial search in these patients, in contrast to a control group. The patients underwent the specialized training, and improvements in the indicators of visuospatial search were observed, which minimized manifestations of left neglect.</p><p><strong>Design: </strong>The study consisted of two stages: 1) the development and approbation of the author's task aimed at diagnosing visuospatial neglect syndrome, and 2) the development and approbation of the specialized rehabilitation training and evaluation of its impact on the indicators of visuospatial search in patients with neglect syndrome. Eighty-three patients with lesions of the right hemisphere of the brain took part in the first stage of the study; 37 patients with left-sided visuospatial neglect syndrome took part in the second.</p><p><strong>Results: </strong>The results of the ANOVARM data analysis indicated statistically significant changes in the visuospatial search of the experimental group's patients. Specifically, there was an increase in the number of head turns to the left (F = 18.127, p<.05) and a decrease in the proportion of missed stimuli on the left (F = 18.367, p<.05). Additionally, the total time to complete the tasks presented by the author's methodology increased after participation in the specialized rehabilitation training. An increase in this indicator may suggest that patients in the experimental group were becoming more aware of the search process. There were no significant differences in the indicators of visuospatial search between patients in the two control groups.</p><p><strong>Conclusion: </strong>After completing a specialized rehabilitation program to overcome left-sided neglect, patients with neglect syndrome demonstrated improved visuospatial search indicators and increased overall visual activity. The training also had non-specific effects, such as increased motivation, more engagement in the rehabilitation process, and more willingness to participate in other individual and group classes.</p>","PeriodicalId":44621,"journal":{"name":"Psychology in Russia-State of the Art","volume":"18 2","pages":"3-18"},"PeriodicalIF":1.6000,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12398181/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Psychology in Russia-State of the Art","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.11621/pir.2025.0201","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"PSYCHOLOGY, MULTIDISCIPLINARY","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Currently, insufficient attention is being paid to methods of rehabilitation of patients with neglect syndrome. It is necessary to create an effective way to overcome this condition.
Objective: After we developed and tested a specialized rehabilitation training program for patients with neglect syndrome, we sought to verify that the designed program would have a positive impact on the indicators of visuospatial search in these patients, in contrast to a control group. The patients underwent the specialized training, and improvements in the indicators of visuospatial search were observed, which minimized manifestations of left neglect.
Design: The study consisted of two stages: 1) the development and approbation of the author's task aimed at diagnosing visuospatial neglect syndrome, and 2) the development and approbation of the specialized rehabilitation training and evaluation of its impact on the indicators of visuospatial search in patients with neglect syndrome. Eighty-three patients with lesions of the right hemisphere of the brain took part in the first stage of the study; 37 patients with left-sided visuospatial neglect syndrome took part in the second.
Results: The results of the ANOVARM data analysis indicated statistically significant changes in the visuospatial search of the experimental group's patients. Specifically, there was an increase in the number of head turns to the left (F = 18.127, p<.05) and a decrease in the proportion of missed stimuli on the left (F = 18.367, p<.05). Additionally, the total time to complete the tasks presented by the author's methodology increased after participation in the specialized rehabilitation training. An increase in this indicator may suggest that patients in the experimental group were becoming more aware of the search process. There were no significant differences in the indicators of visuospatial search between patients in the two control groups.
Conclusion: After completing a specialized rehabilitation program to overcome left-sided neglect, patients with neglect syndrome demonstrated improved visuospatial search indicators and increased overall visual activity. The training also had non-specific effects, such as increased motivation, more engagement in the rehabilitation process, and more willingness to participate in other individual and group classes.
期刊介绍:
Established in 2008, the Russian Psychological Society''s Journal «Psychology in Russia: State of the Art» publishes original research on all aspects of general psychology including cognitive, clinical, developmental, social, neuropsychology, psychophysiology, psychology of labor and ergonomics, and methodology of psychological science. Journal''s list of authors comprises prominent scientists, practitioners and experts from leading Russian universities, research institutions, state ministries and private practice. Addressing current challenges of psychology, it also reviews developments in novel areas such as security, sport, and art psychology, as well as psychology of negotiations, cyberspace and virtual reality. The journal builds upon theoretical foundations laid by the works of Vygotsky, Luria and other Russian scientists whose works contributed to shaping the psychological science worldwide, and welcomes international submissions which make major contributions across the range of psychology, especially appreciating the ones conducted in the paradigm of the Russian psychological tradition. It enjoys a wide international readership and features reports of empirical studies, book reviews and theoretical contributions, which aim to further our understanding of psychology.