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Individual Categorisation of Perceptual and Premotor Neglect Patients Across Different Tasks

 M. Harvey, T. Kramer and L. Dow
  
 

Abstract:
Abstract: It was investigated whether three techniques previously used, on different patient groups, to dissociate perceptual from premotor neglect would categorise individual neglect patients in the same way. This proved not the case. The majority of our 12 neglect patients tested were classified into the perceptual neglect group by the landmark task, often in direct contrast to the results of the overhead and the pulley device techniques which classified more patients as premotor. The landmark task required a simple pointing response only and thus proved less sensitive to premotor factors, in contrast to both the pulley and overhead techniques which required visuo-spatially paradox movements (a leftward movement had to be made to achieve a right bisection response). Those two techniques were thus far more likely to categorise even patients with only a mild abnormality as premotor. However, there was also a significant number of patients categorised differently in each combination of techniques indicating that the individual classification changed depending on the test used. It seems therefore also reasonable to assume that the majority of neglect patients actually have both perceptual and premotor tendencies and that these are picked up to varying degrees by the different tasks.

 
 


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