And that doesn't mean that you're blind. So it means that the brain is kind of not registering the information coming from that side. That can be visual information, it can be tactile information, it can be auditory information.

So what happens is that people with this condition, they won't notice things when they're on their impaired sides, like objects, or even people, or sometimes in severe cases, even their own parts of the body, so their arms and so on. The condition is quite severe, as you can imagine, because it significantly impairs all the other forms of rehabilitation, they're trying to get people moving, for example. So getting people to use their arms or to learn to walk again, can be quite tricky if you have this condition, because you'll tend to bump into things on your impaired side.

It can also be dangerous when you're walking around, you know, and missing cars coming from that side. We have patients who've reported, like, accidents like this. So it's quite a severe condition that is associated with disability and long-term kind of consequences.

Or if they might not sit, they might say, that's not my arm. That's quite rare, that kind of presentation. But the patients might not be so comfortable moving on that side of space, they might not see objects so well, like, you know, their medicine, or when they're eating, they might only eat outside of the plate.

So it tends to be on the same side, the problem, where they also have impaired movement.

And is that something that people do? They're trying to accommodate for this by, I don't know, swivelling around in a chair or changing the way they're standing or sitting to try and compensate?

So when something pops up, there actually tells us it's really frightening. I didn't even realise it was there. And then it's right there.
In terms of compensating so if someone has a visual field cut, for example, where they lost a vision on one part of their visual space, you will tend to turn your head right to kind of compensate for this so that the parts that hit the retina where you can see, you can then see where you were previously kind of blind. But with people who have neglect or inattention, they don't have this kind of reflex to do that in the first place. So it's like, you wake up one morning, and half of the world's gone, and you don't even know it's gone.

So it's quite a significant condition, as you can imagine.

I'm just not quite sure what's going on in there at the moment. But for these people, there's just no awareness, really, that there could possibly be anything there, because their brain is just ignoring that space.

So you're kind of stuck with your good side, and there's absolutely no space to process anything on the other side. It's, yeah, definitely, it's quite a complicated situation. And in terms of the therapies available, they try to work with the patient, to train the patient to compensate for this, to remind them to turn their head, and so on.

But the clinical trials that have tested these kind of techniques have shown not really strong effects of this. So, for example, if you train a patient in reading, where you put a marker on their left side, say, their impaired side, and they have to find a big yellow sticker before they start reading, they might improve the reading, but the improvement will be very short term, and they won't carry over to other things that are also important to the person, like, you know, making a cup of tea or so on. So the effects are quite limited in the studies.

Where is the TV? So it's quite a significant condition.

So it's, it's really an impactful condition. And it has a knock on effect on everything else. So you tend to have more severe disability and stay longer in hospital as well, if you have this condition, because you're less mobile, you engage less with physiotherapy, you seem to respond less to physiotherapy, and so on.

And your train stopped, but I don't know if you notice, when you look out of the window, there's another train passing by, and your eyes move very quickly, you cannot stop your eyes from following this. So Eye focus is making use of these mechanisms, which are kind of like vestibular mechanisms, that trigger these automated eye movements, but also training people to slowly follow things across a screen. The way the app works is that it's personalised to the person's ability, so the individual.

So it provides that level of therapy that can, you know, grow as you get better, which, you know, other therapies don't provide. So it will start with easy things to follow, and then it builds up as the person progresses, so we have about 15 levels of difficulty. So there's different quantities, different speeds, and so on, to kind of engage the person on their rehabilitation.

So we'll know for sure if we can do it in the clinic with those more severe patients in April or so next year.

Thanks very much.