An important variant of the traditional line bisection task has involved a
mechanical device invented by Bisiach and his colleagues (Bisiach et al. Pe
rceptual and premotor factors of unilateral neglect. Neurology 1990;40:1278
-51 [3]). This tool was devised to dissociate motor from perceptual factors
in hemi-spatial neglect, by means of a mid-line indicator which moved 'con
gruently' or 'non-congruently' with the direction of hand movement. In the
non-congruent condition, Bisiach was able to demonstrate a reduction, or re
versal, of the direction of bisection error in a number of patients with ne
glect. These errors were interpreted as instances of 'molor' neglect. Bisia
ch et al. [3] also tested 10 normal subjects, who did not differ on the two
conditions of the task. However, the original experiment [3] required the
use of the right hand only, and it has since become clear that bisection er
rors in normal subjects (i.e. pseudoneglect) are more substantial when dext
ral subjects use their left hands. By using a modified version of the Bisia
ch Tool we show that there is an effect of the motor versus perceptual cond
ition on this task, but only when subjects use their non-dominant (left) ha
nd. (C) 1999 Elsevier Science Ltd. All rights reserved.