Rehabilitación de la inatención espacial

In the present article, we review rehabilitation strategies for spatial neglect in relation to certain damaged psychobiological processes underlying this disorder. This review focuses on emerging therapeutic and rehabilitation methods to treat the following: a) alertness and level of attentional activation; b) spatial references and representations of space (sensorial manipulations) such as caloric vestibular stimulation, optokinetic stimulation, proprioceptive stimulation of the neck muscles, the Bon Saint Come method, prism adaptation, etc.; c) premotor area and premotor attention (spatiomotor cueing technique); d) direction of gaze and training of visual search of space, and e) inter-hemispheric balance, which uses lateralized activities to activate or inactivate the damaged or undamaged hemispheres, respectively. Although most of the rehabilitation methods show relatively positive effects, they do not produce complete reversal of the impairment. This review could serve as a guide in the design of studies and systematic rehabilitation programs.