title: Line bisection with a head-mounted pointing device: an investigation of the role of right hand use and bilateral hemisphere activation in left neglect.
abstract: Left hand use in left hemispace has been shown to reduce left neglect. Right hand use can theoretically increase neglect by right spatial cueing and left hemisphere activation. The aim of the present study was to investigate the role of right hand use and right hemisphere activation in left neglect by dissociating hemisphere activation from the hemispace in which the motor response is made. Twelve neglect patients performed line bisection by two means: with their right hand and with a lamp mounted centrally on the forehead ('miner's lamp'). Lamp use induces left and right hemisphere activation without hemispace involvement. Bisection with the lamp and the hand were done with right, left and neutral cues. No difference was found in bisection performance between lamp and right hand use, and no interaction between lamp/hand use and cueing. This indicates that right hand use per se does not influence neglect in line bisection. It is suggested that the apparent lack of right hemisphere activation with lamp use is due to the widespread right-sided lesion of the typical neglect patient.
authors.affiliation: Division of Clinical Neuroscience, Karolinska Institute, Stockholm, Sweden. haukurh@neuro.ks.se
authors.forename: H
authors.initials: H
authors.lastname: Hjaltason
authors.forename: R
authors.initials: R
authors.lastname: Tegnér
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002561:Cerebrovascular Disorders / Q000150:complications; D006259:Craniocerebral Trauma / Q000150:complications; D005260:Female; D007839:Functional Laterality; D006423:Hemianopsia / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D014796:Visual Perception