Bimanual training for a patient with severe unilateral spatial neglect: A case report

Abstract

We report a case of an inpatient with severe unilateral spatial neglect (USN), hemiasomatognosia, and aphasia due to a right temporoparietal subcortical hemorrhage. The patient had better feedback using somatosensory than verbal instructions and visual stimulation. Therefore, we conducted an intervention which included bimanual training through the patient pulling a chain with both hands and ADL training using somatosensory sensations for three and a half months. This resulted in improvement of USN and hemiasomatognosia, and expansion of ADL and leisure activities. Thus, the approach using bimanual training from both hands could lead to improvements in USN and hemiasomatognosia.