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Restoring awareness: a review of rehabilitation in anosognosia for hemiplegia

Besharati, S; Crucianelli, L; Fotopoulou, A; (2014) Restoring awareness: a review of rehabilitation in anosognosia for hemiplegia. Chilean Journal of Neuropsychology , 9 (1E) pp. 31-37. Green open access

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Abstract

Disturbances in body awareness offer important insights into neurocognitive processes involved in the construction of the bodily self. This review will focus on a specific disorder of awareness, namely, anosognosia for hemiplegia (AHP), or the denial of motor deficits contralateral to a brain lesion. Recently some progress has been made towards the management and rehabilitation of AHP, however to date no evidence-based treatment exists. Firstly, recent research on AHP will be reviewed, with the aim of providing an overview of the etiology, clinical presentation and assessment of the syndrome, as well as the major neurological and neuropsychological explanations. This article will then focus on recent advances in the management and rehabilitation of AHP, using a case study example of intervention-based (i.e. video replay) motor awareness recovery (Fotopoulou, Rudd, Holmes & Kopelman, 2009). Finally, a dynamic theoretical model of the multifaceted nature of anosognosia, using a predictive coding framework, will be proposed and future directions for research will also be discussed.

Type: Article
Title: Restoring awareness: a review of rehabilitation in anosognosia for hemiplegia
Open access status: An open access version is available from UCL Discovery
Publisher version: https://www.redalyc.org/articulo.oa?id=17933220200...
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology
URI: https://discovery.ucl.ac.uk/id/eprint/10120671
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