Hemispatial Neglect
Conditions
Brief summary
The purpose of this study is to evaluate whether 20 Sessions of 30 minutes with a visual and tactile scanning training in the personal, peripersonal and extrapersonal space combined with trunk rotation will be feasible and provide better results compared to 20 Sessions of 30 minutes of a standard visual scanning programme.
Detailed description
In patients with stroke, unilateral neglect is a predictor for poor independency and quality of life. Current therapies are lacking a progression of intensity based on clear criteria. In addition, therapies include rather analytical exercises and the transfer of the achieved functions to activities of daily living remains difficult. Therefore, the investigators developed a criterion based system, in which the investigators are matching interventions to specific neglect related deficits and behaviour. The investigators plan a randomised controlled trial (stage 2 development of concept trial) to evaluate whether an Experimental Group with 20 Sessions of 30 minutes with a visual and tactile scanning training in the personal, peripersonal and extrapersonal space combined with trunk rotation or a Control Group with 20 Sessions of 30 minutes of a standard visual scanning programme results in larger improvements on the neglect behaviour during activities of daily life (Catherine Bergego Scale). Sixteen stroke patients with left side neglect (i.e. right brain lesions) will be recruited in an inpatient rehabilitations setting.
Interventions
OTHERVisual and tactile scanning training
20 Sessions of 30 minutes with a visual and tactile scanning training in the personal, peripersonal and extrapersonal space and trunk rotation. The intervention includes visual or tactile scanning training in three different spaces and will be individually adapted to the needs of the patients. 1. Visual or tactile scanning in the personal space 2. Visual or tactile scanning and trunk rotation in the peripersonal space 3. Visual scanning and trunk rotation in the extrapersonal space
OTHERUni-modal visual scanning training
20 sessions of 30 minutes with traditional uni-modal visual scanning training in the peripersonal space.
Sponsors
University of Applied Sciences of Western Switzerland
HES-SO Valais-Wallis
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* First or second time right hemispheric stroke (haemorrhagic or ischaemic, diagnosed with computer tomography or magnetic resonance imaging) * Time after last stroke: less than 8 weeks * Hemispatial neglect with at least seven points on the Catherine Bergego Scale * Right handed
Exclusion criteria
* Reduced vision after rectification (i.e. corrected vision sufficient to read newspaper-sized print) * Mini-Mental State Evaluation Score below 11 * Not fluently speaking and understanding French or German language in order to understand the tasks and the assessments, as assessed and judged by the medical doctor and the staff.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Neglect behaviour during activities of daily life measured with the Catherine Bergego Scale | up to 14 months | Measured with the Catherine Bergego Scale |
| Adherence rate of the patients to the treatment | up to 11 months | — |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Visual neglect measured with the Behavioural Inattention Test (conventional subtest) | up to 14 months | Measured with the Behavioural Inattention Test (conventional subtest) |
| Severity of disability in a rehabilitation setting measured with the Functional Independence Measure | up to 11 months | Measured with the Functional Independence Measure |
| Health related quality of life measured with the EQ-5D | up to 14 months | Measured with the EQ-5D |
| Personal neglect measured with the Vest Test | up to 14 months | Measured with the Vest Test |
| Inclusion rate and refusal rate per week | up to 11 months | — |
| Completeness of documents | up to 11 months | — |
| Length of time of assessments | up to 11 months | — |
| Length of stay in inpatient rehabilitation setting | up to 11 months | — |
| Mobility related disability easured with the Rivermead Mobility Index | up to 11 months | Measured with the Rivermead Mobility Index |
Countries
Switzerland
Contacts
Primary ContactMartin Sattelmayer, MSc, MA
Backup ContactRoger Hilfiker, MPTSc
Outcome results
None listed