Abstract：
Visual field loss and visuospatial neglect are frequent consequences of cerebral stroke. They often have a strong impact on independence in many daily activities. Rehabilitation aiming to decrease these disabilities is therefore important, and several techniques have been proposed to foster awareness, compensation, or restitution of the impaired visual field. We here describe a rehabilitation intervention using adapted boxing therapy that was part of a pluridisciplinary intervention tailored for a particular case. A 58-year-old man with left homonymous hemianopia (HH) and mild visuospatial hemineglect participated in 36 sessions of boxing therapy six months after a right temporo-occipital stroke. Repeated stimulation of his blind and neglected hemifield, and training to compensate for his deficits through improved use of his healthy hemifield were performed through boxing exercises. The patient showed a stable HH before the beginning of the training. After six months of boxing therapy, he reported improved awareness of his visual environment. Critically, his HH had evolved to a left superior quadrantanopia and spatial attention for left-sided stimuli had improved. Several cognitive functions and his mood also showed improvement. We conclude that boxing therapy has the potential to improve the compensation of visuospatial impairments in individual patients with visual field loss.
摘要：
视野丧失和视觉空间忽视是脑卒中的常见后果。它们通常在许多日常活动中对独立性产生重大影响。因此，旨在减少这些残疾的康复很重要，已经提出了几种技术来培养意识，补偿,或者恢复受损的视野。我们在这里描述了一种使用适应性拳击疗法的康复干预措施，该疗法是针对特定病例量身定制的多学科干预措施的一部分。一名58岁的左同义偏盲（HH）和轻度视觉空间偏瘫的男子在右颞枕骨中风六个月后参加了36次拳击治疗。反复刺激他的盲目和被忽视的偏场，通过拳击练习来进行训练，以通过改善使用他的健康偏场来弥补他的不足。患者在训练开始前表现出稳定的HH。经过六个月的拳击治疗，他报告说，他的视觉环境的意识得到了提高。严重的,他的HH已经进化为左上正交视，对左侧刺激的空间注意力有所改善。他的一些认知功能和情绪也显示出改善。我们得出的结论是，拳击疗法有可能改善视野丧失的个体患者的视觉空间损伤的补偿。
