Teuni Ten Brink

Teuni Ten Brink
Utrecht University | UU · Division of Experimental Psychology

PhD

About

47
Publications
11,279
Reads
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373
Citations
Additional affiliations
September 2018 - March 2021
University of Bath
Position
  • Research Associate
August 2017 - July 2018
Utrecht University
Position
  • Lecturer
January 2014 - February 2018
Hoogstraat Rehabilitation
Position
  • PhD Student
Description
  • Supervisor: Prof J.M.A. Visser-Meily. Title thesis: Visuospatial neglect after stroke: Heterogeneity, diagnosis and treatment
Education
September 2012 - March 2014
Utrecht University
Field of study
  • Neuroscience and Cognition
September 2011 - August 2012
Utrecht University
Field of study
  • Neuropsychology
September 2007 - August 2011
Utrecht University
Field of study
  • Neuropsychology

Publications

Publications (47)
Article
Full-text available
Spatial attention is generally slightly biased leftward (“pseudoneglect”), a phenomenon typically assessed with paper-and-pencil tasks, limited by the requirement of explicit responses and the inability to assess on a sub-second timescale. Pseudoneglect is often stable within experiments, but differs vastly between investigations and is sometimes d...
Article
The Mobility Assessment Course (MAC) is a tool to measure visuospatial neglect in a dynamic fashion. Although the MAC has been shown to dissociate between patients with and without neglect, it remains unclear whether it is applicable in clinical settings. We evaluated the MAC regarding its (1) feasibility as a diagnostic tool as part of standard ca...
Article
Full-text available
Perceptual anomalies can provide insights into underlying pathologies even when they are not the main symptom of many clinical conditions. Complex regional pain syndrome (CRPS) and fibromyalgia are chronic pain conditions associated with changes in the central nervous system, possibly leading to enhanced visual sensitivity. It is unclear whether th...
Article
Full-text available
Conventional neuropsychological tests do not represent the complex and dynamic situations encountered in daily life. Immersive virtual reality simulations can be used to simulate dynamic and interactive situations in a controlled setting. Adding eye tracking to such simulations may provide highly detailed outcome measures, and has great potential f...
Article
Full-text available
There is evidence to suggest that people with Complex Regional Pain Syndrome (CRPS) can have altered body representations and spatial cognition. One way of studying these cognitive functions is through manual straight ahead (MSA) pointing, in which participants are required to point straight ahead of their perceived body midline without visual feed...
Article
Objective: In addition to pain, people with complex regional pain syndrome (CRPS) often report inattention to and disengagement from their affected limb (i.e., "neglect-like symptoms"). Understanding how these symptoms relate to other characteristics of CRPS, and chronic pain generally, could provide insights for preventing and treating CRPS. Met...
Article
The Bath Complex Regional Pain Syndrome Body Perception Disturbance Scale (“B-CRPS-BPDS”) measures alterations in body perception. We assessed its internal consistency, known group validity, construct validity, and associations with demographic and clinical characteristics. We also evaluated changes in, and baseline predictors of B-CRPS-BPDS scores...
Article
It has been suggested that sensorimotor conflict contributes to the maintenance of some pathological pain conditions, implying that there are problems with the adaptation processes that normally resolve such conflict. We tested whether sensorimotor adaptation is impaired in people with Complex Regional Pain Syndrome (CRPS) by characterising their a...
Article
Discomfort provoked by normally innocuous visual stimuli has been reported by people with chronic pain. Visual discomfort may be higher in pain conditions in which central sensitization is implicated, such as Complex Regional Pain Syndrome (CRPS) and fibromyalgia. In an online study, we validated the Leiden Visual Sensitivity Scale (L-VISS) and Vis...
Article
Full-text available
Background Complex Regional Pain Syndrome (CRPS) is a disorder of severe chronic pain in one or more limb(s). People with CRPS report unusual perceptions of the painful limb suggesting altered body representations, as well as difficulty attending to their affected limb (i.e. a ‘neglect-like’ attention bias). Altered body representations and attenti...
Article
Full-text available
Introduction: Impairments in visual search are a common symptom in visuospatial neglect (VSN). The severity of the lateralized attention bias in visual search tasks can vary depending on the number of distractors: the more distractors, the more targets are missed. However, little is known about how the number of targets affect search performance i...
Article
Full-text available
Introduction Numerous tests of visuo-spatial neglect (VSN) have been developed. In this study, we propose a clustering of VSN tests by making a distinction between static tests with low levels of cognitive demand (i.e. tests without movement or time-restrictions, such as paper-and-pencil tests) and dynamic tests with high levels of cognitive demand...
Article
Full-text available
Introduction: Despite the interest in memory functioning in Korsakoff’s syndrome (KS), visual working memory capacity in KS is still poorly understood. Results from the last decades on working memory limitations in KS appear to be mixed, clearly calling for further investigations. Method: We investigated visual working memory storage capacity of pa...
Article
Complex regional pain syndrome (CRPS) and fibromyalgia are chronic pain conditions of unexplained origins. In addition to symptoms in the diagnostic criteria, patients can report changes to vision and other sensations or bodily functions. It is unclear whether these are greater than would be expected due to normal ageing, living with chronic pain g...
Article
Visuospatial neglect (VSN) is characterized by a lateralized attentional deficit in the visual domain. In addition, patients with VSN might have an impairment in the temporary storage of spatial information in working memory (spatial working memory; SWM) that, like VSN, could impair systematic searching behavior. Several studies have demonstrated e...
Article
Spatial attention can improve performance in terms of speed and accuracy; this advantage may be mediated by brain processes at both poststimulus (reactive) and prestimulus (proactive) stages. Here, we studied how visuospatial attention affects both proactive and reactive brain functions using event‐related potentials (ERPs). At reactive stage, effe...
Article
Full-text available
Even though we frequently execute saccades, we perceive the external world as coherent and stable. An important mechanism of trans-saccadic perception is spatial remapping: the process of updating information across eye movements. Previous studies have indicated a right hemispheric dominance for spatial remapping, which has been proposed to transla...
Article
Full-text available
Background Visuo‐spatial neglect (VSN) is generally assessed with neuropsychological paper‐and‐pencil tasks, which are often not sensitive enough to detect mild and/or well‐compensated VSN. It is of utmost importance to develop dynamic tasks, resembling the dynamics of daily living. Objective A simulated driving task was used to assess (1) differe...
Article
Full-text available
Accurate tests of cognition are vital in (neuro)psychology. Cancellation tasks are popular tests of attention and executive function, in which participants find and ‘cancel’ targets among distractors. Despite extensive use in neurological patients, it remains unclear whether demographic variables (that vary among patients) affect cancellation perfo...
Article
Introduction: Visuospatial neglect can occur in peripersonal and extrapersonal space. The dorsal visual pathway is hypothesized to be associated with peripersonal, and the ventral pathway with extrapersonal neglect. We aimed to evaluate neural substrates of peripersonal versus extrapersonal neglect, separately for egocentric and allocentric frames...
Preprint
Full-text available
Highlights - Cancellation tasks are useful clinical tools that probe many cognitive modules - We used cancellation tests on 523 participants of different ages, sex, and education - We provide cancellation task norm scores for indices computed from a big sample - Cancellation indices include attention bias, processing speed and search organisation -...
Article
Objectives: Stroke could lead to deficits in organization of visual search. Cancellation tests are frequently used in standard neuropsychological assessment and appear suitable to measure search organization. The current aim was to evaluate which cognitive functions are associated with cancellation organization measures after stroke. Methods: St...
Article
Background: Patients with neglect ignore or respond slower to contralesional stimuli. Neglect negatively influences independence in activities of daily living (ADL). Prism adaptation (PA) is one of the most frequently studied treatments, yet there is little evidence regarding positive effects on neglect behavior in ADL. Objective: To assess whet...
Article
Full-text available
Results: Left USN (15.82%) was more frequent than right USN (9.25%). Demographic and stroke characteristics were comparable between groups. The lateralized attentional deficit was most severe in left USN. USN in both peripersonal and extrapersonal space was more frequently left-sided in nature. Search efficiency was lower in left USN. Balance was...
Article
Full-text available
Introduction: Visual neglect is a frequent disorder following stroke and is often diagnosed by neuropsychological assessment. However, paper-and-pencil tasks have low predictive value as they lack sensitivity to capture neglect in complex, dynamic situations, such as activities of daily living. Aims of the current study were to assess the feasibil...
Article
Full-text available
Visuo-spatial neglect can occur after both right and left hemisphere damage. It is generally accepted that left-sided neglect is more severe than right-sided neglect with respect to the lateralized attention deficit. In the current study, comparisons were made between left-sided and right-sided neglect with respect to frequency, severity, and regio...
Article
Full-text available
Objectives: The aims of the current review were (1) to give an overview of human studies investigating pharmacotherapy to ameliorate visuospatial neglect and (2) to evaluate the quality of those studies. Methods: A systematic literature search using PubMed, Scopus, and ResearchGate was conducted in regard to studies that evaluated pharmacologica...
Article
Full-text available
Neglect komt voor bij 30-50% van de patiënten in de subacute fase na een beroerte. Patiënten met neglect verwaarlozen één lichaamshelft of een deel van de ruimte om zich heen. Behandeling van neglect is belangrijk, omdat patiënten met neglect slechter herstellen en minder zelfstandig zijn dan patiënten zonder neglect. Momenteel wordt visuele scanni...
Article
The aim of this study was to identify predictors, available at admission, of physical independence at discharge from inpatient rehabilitation. Secondary aims were to identify predictors of functional gain and length of stay (LOS). We included 1310 adult stroke patients who were admitted for inpatient rehabilitation in five Dutch rehabilitation cent...
Article
Cancellation tasks are widely used for diagnosis of lateralized attentional deficits in stroke patients. A disorganized fashion of target cancellation has been hypothesized to reflect disturbed spatial exploration. In the current study we aimed to examine which lesion locations result in disorganized visual search during cancellation tasks, in orde...
Article
Full-text available
Prism adaptation (PA) is a widely used intervention for (visuo-)spatial neglect. PA-induced improvements can be assessed by visual search tasks. It remains unclear which outcome measures are the most sensitive for the effects of PA in neglect. In this review, we aimed to evaluate PA effects on visual search measures. A systematic literature search...
Article
Full-text available
- Neglect occurs in 30-50% of patients in the subacute phase post-stroke. Patients with neglect ignore one side of their body or one part of the space around them. - Treatment of neglect is important, as patients with neglect recover more slowly and are less independent compared to patients without neglect.- Visual scanning training is currently re...
Article
Full-text available
In patients with visual hemifield defects residual visual functions may be present, a phenomenon called blindsight. The superior colliculus (SC) is part of the spared pathway that is considered to be responsible for this phenomenon. Given that the SC processes input from different modalities and is involved in the programming of saccadic eye moveme...
Article
Disorders in spatial exploration can be expressed in a disorganized fashion of target cancellation. There is debate regarding whether disorganized search is related to stroke in general, to right brain damage or to unilateral spatial neglect (USN) in particular. In this study, 280 stroke patients and 37 healthy control subjects performed a computer...
Article
Full-text available
Background: A frequent disorder after stroke is neglect, resulting in a failure to report or respond to contralesional stimuli. Rehabilitation of neglect is important, given the negative influence on motor recovery, independence in self-care, transfers, and locomotion. Effects of prism adaptation (PA) to alleviate neglect have been reported. Howeve...
Article
Neglect is a heterogeneous disorder and may be specific for only peripersonal or extrapersonal space. Behavioural consequences at the level of independency in basic activities of daily living differ between patients with peripersonal and those with extrapersonal neglect. One of the most important factors that determine independency in basic activit...
Article
Full-text available
Eye movements towards a new target can be guided or disrupted by input from multiple modalities. The degree of oculomotor competition evoked by a distractor depends on both distractor and target properties, such as distractor salience or certainty regarding the target location. The ability to localize the target is particularly important when study...
Article
Full-text available
Background. Region-specific types of neglect (peripersonal and extrapersonal) have been dissociated, yet, differential behavioural consequences are unknown. Objective. The aim of the current study was to investigate behavioural consequences at the level of basic activities of daily living of region-specific neglect, using the Catherine Bergego Sca...
Article
Full-text available
Hemispatieel neglect, vaak kortweg neglect, komt frequent voor na een beroerte en is een stoornis waarbij prikkels aan de contralaesionale zijde verwaarloosd of genegeerd worden. Neglect beperkt het functionele herstel en een effectieve behandeling is daarom noodzakelijk. Een veelbelovende techniek om neglect te verminderen is prisma-adaptatie (PA). O...
Article
Full-text available
Inleiding: Neglect is een veelvoorkomende stoornis na een cebrovasculair acci- dent (CVA). Neglect wordt vaak gediagnosticeerd door middel van neuropsychologisch onderzoek (NPO), maar er bestaat een discrepantie tussen NPO uitkomsten en 'neglectgedrag' in het dagelijks leven. In deze studie is een Engelstalige neglect observatieschaal (Catherine Be...

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