IMR Press / JIN / Volume 20 / Issue 2 / DOI: 10.31083/j.jin2002046
Open Access Case Report
Rehabilitation of somatoparaphrenia with misoplegia: insights from a single case-pilot study
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1 Department of Biomedical and Biotechnological Science, University of Catania, 95124 Catania, Italy
2 AOU Policlinico G. Martino, 98124 Messina, Italy
3 Studio di Psicoterapia e Riabilitazione Cognitiva, Viale Europa, 00144 Roma, Italy
4 Istituto di Ricerca e Cura a carattere Scientifico Centro Neurolesi “Bonino Pulejo”, 98158 Messina, Italy
J. Integr. Neurosci. 2021, 20(2), 439–447; https://doi.org/10.31083/j.jin2002046
Submitted: 21 February 2021 | Revised: 22 March 2021 | Accepted: 8 April 2021 | Published: 30 June 2021
Abstract

Somatoparaphrenia lacka ownership of a paralyzed limb, i.e., the illusion that one’s limbs belong to someone else. Somatoparaphrenia is one of the many forms of body misperceptions. We report a case of somatoparaphrenia with misoplegia, characterized by the absence of anosognosia for hemiplegia and personal neglect, following a surgical operation for left parietal meningioma. The patient received a novel multidisciplinary treatment, including motor rehabilitation training, traditional physiotherapy and robotic rehabilitation using the Hunova Movendo Technology and psychological counseling. At the end of the training, the patient improved in global cognitive functioning, mood, motor abilities, and the perception of herself and her body, reducing the sense of estrangement and repulsion in the lower right limb. Our result showed the importance of a specific neuropsychological assessment in patients with parietal brain lesions and the usefulness of an integrated psychological and motor approach in rehabilitating patients with somatoparaphrenia, primarily when associated with misoplegia.

Keywords
Body representation
Psychological counseling
Robotic device
Robotic rehabilitation
Anosognosia
Figures
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