Functional Effects of Prism Adaptation Training in Stroke Patients with Spatial Neglect

Conditions

None listed

Brief summary

This study will clarify the effectiveness of prism adaptation treatment for stroke patients with hemi-spatial neglect. The treatment group will undergo five training sessions while wearing prism glasses. The control group will undergo the same procedure while wearing sham glasses. The two groups will be compared for improvements in the neglect impairment and in functional abilities.

Related papers

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Interventions

Patients are randomly assigned to experimental / control groups. Experimental subjects undergo prism adaptation (PA) training for five sessions over two weeks in addition to usual care. (PA training consists of 30 reaches for targets while wearing 15 degree right deviating prism glasses.) Double blinded FIM and Catherine Bergego Scale scores are assessed on hospital admission and discharge. Additional tests include: letter cancellation, figure copying, TUGT walking test, seated reach test, and

Patients are randomly assigned to experimental / control groups. Experimental subjects undergo prism adaptation (PA) training for five sessions over two weeks in addition to usual care. (PA training consists of 30 reaches for targets while wearing 15 degree right deviating prism glasses.) Double blinded FIM and Catherine Bergego Scale scores are assessed on hospital admission and discharge. Additional tests include: letter cancellation, figure copying, TUGT walking test, seated reach test, and Fluff test. Mailed survey follow up at 4 months includes Stroke Impact Scale (SIS-16) and depression screening (CESD-10).

Study design

Allocation

Randomised controlled trial

Intervention model

Parallel

Primary purpose

Treatment

Masking

Blinded (masking used)

Eligibility

Sex/Gender

All

Age

55 Years to No maximum

Healthy volunteers

No

Inclusion criteria

Stroke occurring within the previous 60 days with clinical evidence of neglect (Bergego >1); Able perform test procedures (patients with hemianopia WILL be included); Medically stable.

Exclusion criteria

Brainstem stroke or subarachnoid hemorrhage; Secondary neurological illness (e.g. Parkinsons, MS); Dementia (MMSE>23).

Outcome results