The lost ability to distinguish between self and other voice following a brain lesion.

Mechanisms underlying the self/other distinction have been mainly investigated focusing on visual, tactile or proprioceptive cues, whereas very little is known about the contribution of acoustical information. Here the ability to distinguish between self and others' voice is investigated by using a neuropsychological approach. Right (RBD) and left brain damaged (LBD) patients and healthy controls were submitted to a voice discrimination and a voice recognition task.

Bimanual non-congruent actions in motor neglect syndrome: a combined behavioral/fMRI study.

In Motor Neglect (MN) syndrome, a specific impairment in non-congruent bimanual movements has been described. In the present case-control study, we investigated the neuro-functional correlates of this behavioral deficit. Two right-brain-damaged (RBD) patients, one with (MN+) and one without (MN-) MN, were evaluated by means of functional Magnetic Resonance Imaging (fMRI) in a bimanual Circles-Lines (CL) paradigm.

Italian standardization of the Apples Cancellation Test.

Hemispatial neglect due to right parieto-temporo-frontal lesions has a negative impact on the success of rehabilitation, resulting in poor functional gain. Recent research has shown that different types of neglect can impact in a different way on rehabilitation outcomes. The availability of a sensitive test, useful for distinguishing egocentric and allocentric forms of neglect, may be clinically important as all current clinical instruments fail to distinguish between these forms of disturbance, yet they differentially predict outcome.

Emotion recognition impairment in traumatic brain injury compared with schizophrenia spectrum: similar deficits with different origins.

The aim of our study was to identify the common and separate mechanisms that might underpin emotion recognition impairment in patients with traumatic brain injury (TBI) and schizophrenia (Sz) compared with healthy controls (HCs). We recruited 21 Sz outpatients, 24 severe TBI outpatients, and 38 HCs, and we used eye-tracking to compare facial emotion processing performance. Both Sz and TBI patients were significantly poorer at recognizing facial emotions compared with HC.

Targeted isometric force impulses in patients with traumatic brain injury reveal delayed motor programming and change of strategy.

The capability of quickly (as soon as possible) producing fast uncorrected and accurate isometric force impulses was examined to assess the motor efficiency of patients with moderate to severe traumatic brain injury (TBI) and good motor recovery at a clinical evaluation. Twenty male right-handed patients with moderate to severe TBI and 24 age-matched healthy male right-handed controls participated in the study. The experimental task required subjects to aim brief and uncorrected isometric force impulses to targets visually presented along with subjects' force displays.

Speeded manual responses to unseen visual stimuli in hemianopic patients: what kind of blindsight?

Blindsight, i.e., unconscious visually guided behaviour triggered by stimuli presented to a cortically blind hemifield, has been typically found either by using direct (forced choice) or indirect (interhemispheric) methods.

An investigation of prospective memory functions in people with traumatic brain injury using Virtual Week.

Prospective memory (PM) refers to memory for future intentions and is critically linked to independent living. Previous laboratory research has shown that people who have sustained a traumatic brain injury (TBI) have difficulties with PM, but few of these have used measures of PM that closely represent the types of PM activities that occur in everyday life. One measure that incorporates more ecologically valid tasks, and which also allows systematic investigation of different PM task parameters (regular, irregular, and event and time based), is Virtual Week.

Time discrimination in traumatic brain injury patients.

Time management skills are required for most daily activities. Traumatic brain injury (TBI) patients often present with cognitive dysfunction, but few studies have investigated temporal impairment. The aim of the present study was to assess temporal abilities in TBI patients using a time discrimination task.

Implicit olfactory abilities in traumatic brain injured patients.

To investigate implicit olfactory abilities in a group of anosmic traumatic brain injured (TBI) patients, an olfactomotor priming paradigm was administered. A group of matched normosmic/mildly microsmic TBI patients and a group of neurologically healthy participants served as controls. For all the groups, an interference effect was evident on the peak velocity of grip aperture when participants grasped a large target preceded by a "small" odor.

Narrative discourse in anomic aphasia.

Anomic aphasia is a disturbance affecting lexical retrieval. Nonetheless, persons with this disorder may also experience difficulties in the construction of coherent narratives. Whether this symptom is a sign of a macrolinguistic difficulty per se or reflects the lexical disorder is still an open debate.

Time-based prospective memory in severe traumatic brain injury patients: the involvement of executive functions and time perception.

Prospective memory (PM) is the ability to remember to perform a future action at a specified later time, which is investigated through the use of event-based and time-based tasks. Prior investigations have found that PM is impaired following traumatic brain injury (TBI). However, there is limited information regarding the cognitive functions that mediate TBI and PM performance.

'Moving' a paralysed hand: bimanual coupling effect in patients with anosognosia for hemiplegia.

Selective neurological impairments can shed light on different aspects of motor cognition. Brain-damaged patients with anosognosia for hemiplegia deny their motor deficit and believe they can still move the paralysed limb. Here we study, for the first time, if the anomalous subjective experience that their affected hand can still move, may have objective consequences that constrain movement execution with the opposite, intact hand.

The cognitive rehabilitation of limb apraxia in patients with stroke.

Apraxia is a higher level motor deficit that occurs when processing a goal-directed action. The apraxic deficit can manifest itself in absence of sensory input deficits or motor output deficits, neglect, frontal inertia or dementia. According to a clinical classification still largely in use, there are two main forms of limb apraxia: ideomotor (IMA) and ideational (IA), observed when a patient is required to imitate a gesture or use an object, respectively.

Clinical application of prismatic lenses in the rehabilitation of neglect patients. A randomized controlled trial.

Background: Many studies reveal that neglect is a major cause of disability in stroke patients, and two months from onset neglect is still present in approximately 50% of individuals with a right brain lesion. Among the various methods of neglect rehabilitation, we have turned our attention to the prism adaptation treatment, developed by Rossetti in 1998. This treatment uses prismatic lenses, which produce a deviation of the fixation point of the visual field of 10 degrees to the right, 5 degrees below the coordinates of reference resulting from neglect.

Selective and integrated rehabilitation programs for disturbances of visual/spatial attention and executive function after brain damage: a neuropsychological evidence-based review.

The present evidence-based review systematically examines the literature on the neuropsychological rehabilitation of attentional and executive dysfunctions in patients with acquired brain lesions. Four areas are considered: 1) neuropsychological rehabilitation of attentional disorders; 2) neuropsychological rehabilitation of neglect disorders; 3) neuropsychological rehabilitation of dysexecutive disorders and 4) rehabilitation trainings for patients with mild traumatic brain injury (TBI). In each area, search and selection of papers were performed on several databases and integrated by crosschecking references from relevant and recent reviews.

Inferential reasoning: comparison of patients with schizophrenia and patients with traumatic brain injury.

We investigated the cognitive processes underlying inferential reasoning, comparing performance of patients suffering from schizophrenia with that of patients with brain injury in an attempt to understand the nature of the social impairments in schizophrenia. Inferential reasoning on mental and physical states and second-order false belief attribution were assessed in healthy controls, in patients with schizophrenia and in brain trauma patients with predominantly ventromedial prefrontal cortex or dosolateral prefrontal cortex lesions. Our finding that ventromedial prefrontal areas are involved in general inferential reasoning casts further light on the neural structures implicated in socio-cognitive impairments in schizophrenia.

Improving language without words: first evidence from aphasia.

The pervasiveness of word-finding difficulties in aphasia has motivated several theories regarding management of the deficit and its effectiveness. Recently, the hypothesis was advanced that instead of simply accompanying speech gestures participate in language production by increasing the semantic activation of words grounded in sensory-motor features, hence facilitating retrieval of the word form. Based on this assumption, several studies have developed rehabilitation therapies in which the use of gestures reinforces word recovery.

Attentional distractor interference may be diminished by concurrent working memory load in normal participants and traumatic brain injury patients.

A reduction in congruency effects under working memory (WM) load has been previously described using different attentional paradigms (e.g., Kim, Kim, & Chun, 2005; Smilek, Enns, Eastwood, & Merikle, 2006).

Theory of Mind in patients with ventromedial or dorsolateral prefrontal lesions following traumatic brain injury.

Primary Objective: Previous studies on patients with traumatic brain injuries (TBI) and diffuse brain damages have reported selective deficits in mental states reasoning or 'Theory of Mind' (ToM). The goal of the current study is to investigate the fundamental role of the prefrontal cortex in two ToM components: inferential reasoning and social perception.

Research Design: Selective cognitive impairments following a TBI provide crucial evidence for assessing competing models of specific aspects of the cognitive system.

Neuropsychiatric disorders in persons with severe traumatic brain injury: prevalence, phenomenology, and relationship with demographic, clinical, and functional features.

Objective: To characterize neuropsychiatric symptoms in a large group of individuals with severe traumatic brain injury (TBI) and to correlate these symptoms with demographic, clinical, and functional features.

Methods: The Neuropsychiatric Inventory (NPI), a frequently used scale to assess behavioral, emotional, and motivational disorders in persons with neurological diseases, was administered to a sample of 120 persons with severe TBI. Controls were 77 healthy subjects.

Dual task performance and post traumatic brain injury.

Primary Objective: To determine if people with traumatic brain injury (TBI) display deficits in dual tasking ability.

Research Design: Observational and correlational research design used, to identify and describe the nature of dual task impairment in people with TBI.

Methods And Procedures: Eighty-six people with TBI were assessed using a new standardized paper-and-pencil assessment of dual tasking ability and a number of other neuropsychological tests assessing attention, executive functioning and memory.

Mirror neurons: action observation treatment as a tool in stroke rehabilitation.

Background: The observation of actions performed by others activate in an observer the same neural structures (including mirror neurons) as when he/she actually performs the same actions.

Aim: The aim of the present study was to assess whether action observation treatment may improve upper limb motor impairment in chronic stroke patients.

Design: This was an observational study.

Verbal commands help the execution of endogenous movements in anarchic hand.

Patients with anarchic hand (AH) syndrome exhibit involuntary but seemingly purposeful controlesional upper limb movements. Here we report on the case of a patient (AC) presenting with a right AH following a left medial frontal lesion. Previous literature indicated that endogenous movements, particularly in the presence of distractors, are impaired in AH, whereas exogenous movements are spared.