Consortium PSYCHIATRICUMConsortium PSYCHIATRICUMConsortium PSYCHIATRICUM2712-76722713-2919Eco-Vector1566810.17816/CP15668REVIEWОБЗОРReview ArticleNeurorehabilitation of visual neglect: a narrative review of approaches from A.R. Luria to modern clinical protocolsНейрореабилитация пациентов со зрительным неглектом: нарративный обзор эволюции идей от А.Р. Лурии до современных клинических протоколовhttps://orcid.org/0009-0009-6950-13332225-0450StepanovGeorgiy K.СтепановГеоргий Константинович
Russian Federation

Postgraduate student, Faculty of Psychology, Researcher, Laboratory of Counselling Psychology and Psychotherapy

yurinadd@my.msu.ruhttps://orcid.org/0009-0002-9186-99931964-3310TerentiyDaria D.ТерентийДарья Дмитриевна
Russian Federation

Postgraduate student, Faculty of Psychology, Researcher, Laboratory of Counselling Psychology and Psychotherapy

yurinadd@my.msu.ruhttps://orcid.org/0009-0009-0133-31421896-6286PropustinaVictoria А.ПропустинаВиктория Александровна
Russian Federation

Graduate of the Faculty of Psychology, Researcher, Laboratory of Counselling Psychology and Psychotherapy

yurinadd@my.msu.ruhttps://orcid.org/0000-0002-0471-42176368-2850SkvortsovAnatoliy A.СкворцовАнатолий Анатольевич
Russian Federation

Cand. Sci (Psychology), Associate Professor, Department of Educational Psychology and Pedagogy, Faculty of Psychology, Researcher, Laboratory of Counseling Psychology and Psychotherapy

yurinadd@my.msu.ruhttps://orcid.org/0000-0002-1795-66451570-8446KovyazinaMaria S.КовязинаМария Станиславовна
Russian Federation

Dr. Sci (Psychology), Professor, Department of Neuro- and Pathopsychology, Faculty of Psychology, Senior Researcher, Head of the Laboratory of Counselling Psychology and Psychotherapy

yurinadd@my.msu.ruhttps://orcid.org/0000-0002-8310-81694073-2560VarakoNataliya A.ВаракоНаталия Александровна
Russian Federation

Cand. Sci (Psychology), Senior Researcher, Department of Methodology of Psychology, Faculty of Psychology, Senior Researcher, Senior Researcher, Laboratory of Counselling Psychology and Psychotherapy

yurinadd@my.msu.ruhttps://orcid.org/0000-0003-0422-47171979-4642BukinichAleksey M.БукиничАлексей Михайлович
Russian Federation

1st category psychologist, Department of Methodology of Psychology, Faculty of Psychology, Researcher, Laboratory of Counselling Psychology and Psychotherapy

yurinadd@my.msu.ruhttps://orcid.org/0009-0008-5472-91004573-4732VasyuraElizaveta V.ВасюраЕлизавета Вячеславовна
Russian Federation

Student, Department of Psychology

yurinadd@my.msu.ruLomonosov Moscow State UniversityМосковский государственный университет имени М.В. ЛомоносоваFederal Scientific Center of Psychological and Multidisciplinary ResearchФБГНУ «Федеральный научный центр психологических и междисциплинарных исследований»Russian Сenter of Neurology and NeurosciencesФБГНУ «Российский центр неврологии и нейронаук»23102025181220256471811204202523102025Copyright ©; 2025, Stepanov G.K., Terentiy D.D., Propustina V.А., Skvortsov A.A., Kovyazina M.S., Varako N.A., Bukinich A.M., Vasyura E.V.Copyright ©; 2025, Степанов Г.К., Терентий Д.Д., Пропустина В.А., Скворцов А.А., Ковязина М.С., Варако Н.А., Букинич А.М., Васюра Е.В.2025Stepanov G.K., Terentiy D.D., Propustina V.А., Skvortsov A.A., Kovyazina M.S., Varako N.A., Bukinich A.M., Vasyura E.V.Степанов Г.К., Терентий Д.Д., Пропустина В.А., Скворцов А.А., Ковязина М.С., Варако Н.А., Букинич А.М., Васюра Е.В.https://creativecommons.org/licenses/by-nc-nd/4.0https://consortium-psy.com/jour/article/view/15668

BACKGROUND: Various methods of rehabilitation for patients with neglect syndrome have been developed in cognitive neuropsychology. In contrast, this issue has not been a central focus in Luria’s neuropsychological rehabilitation.

AIM: The aim of this study is to provide a comparative analysis of A.R. Luria’s methods for restoring higher mental functions (HMF) and existing approaches within the cognitive paradigm for rehabilitating patients with left-sided spatial neglect. These approaches will be evaluated based on concepts of “bottom-up” and “top-down” attention processes.

METHODS: The search for studies was conducted in the electronic databases PubMed, Scopus, Web of Science, and eLIBRARY.RU for the period from 1984 to 2024. Sources were included in the review if they contained information on techniques for overcoming left-sided visual neglect and assessing their effectiveness. The review considered publications across all study designs.

RESULTS: Based on an analysis of 56 publications, this study presents the first comparison between modern rehabilitation methods for left-sided neglect and A.R. Luria’s methods for restoring HMF. This synthesis has enabled a refinement of the existing taxonomy of methods for restoring HMF, leading to the proposal of a novel methodology, which focuses on “expanding/correcting the capabilities of the leading afferentation of the functional system (directed correction)”.

CONCLUSION: It is evident that the extant methodologies for addressing left-sided visual neglect are deficient in terms of efficacy. The most efficacious methods are those aimed at restructuring the functional system and based on arbitrariness and mediation, which largely correlates with “top-down” attention processes.

ВВЕДЕНИЕ: В когнитивной нейропсихологии разработаны различные методы реабилитации пациентов с синдромом неглекта. Вместе с тем в луриевской нейропсихологической реабилитации этот вопрос не находился в центре внимания.

ЦЕЛЬ: Сопоставить пути восстановления высших психических функций, предложенные А.Р. Лурией, с современными подходами когнитивной реабилитации пациентов с левосторонним пространственным игнорированием, в основе которых лежат представления о восходящих (bottom-up) и нисходящих (top-down) процессах внимания.

МЕТОДЫ: Поиск работ проводили в электронных базах данных PubMed, Scopus, Web of Science, eLIBRARY.RU за период с 1984 по 2024 г. Источники включали в обзор, если в них присутствовали сведения о техниках преодоления левостороннего зрительного неглекта и оценке их эффективности. При отборе публикаций тип исследования не учитывали.

РЕЗУЛЬТАТЫ: На основе анализа 56 исследований, включенных в обзор, впервые сопоставили методы реабилитации левостороннего неглекта и путей восстановления высших психических функций в концепции Лурии. Результатом стала ревизия систематики восстановительных подходов с выделением нового направления, ориентированного на расширение/коррекцию возможностей ведущей афферентации функциональной системы (направленная коррекция).

ЗАКЛЮЧЕНИЕ: Ни один из существующих методов преодоления левостороннего зрительного неглекта не является лидирующим по своей эффективности. Наилучшие результаты показывают методы, направленные на перестройку функциональной системы и опирающиеся на произвольность и опосредованность, что во многом соотносится с нисходящими процессами внимания (top-down).

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