Spatial Neglect and Bias in Near and Far Space

NCT ID: NCT00350012

Last Updated: 2021-02-17

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Total Enrollment

950 participants

Study Classification

OBSERVATIONAL

Study Start Date

2004-05-31

Study Completion Date

2021-10-31

Brief Summary

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The purpose of this research study is to learn how people distribute their visual attention when looking at objects nearby versus far away, and why vision may become distracted at near versus far distances.

Detailed Description

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Visual distraction is a problem that more often occurs people who have suffered strokes than in the general population. Problems of visual attention generally appear immediately following a stroke, and may impair driving and other functions. While it is thought that there is a natural course of improvement over time, little is known about how this improvement occurs. Some studies suggest that recovery is only partial, meaning certain aspects of visual attention may improve while other aspects remain but escape notice.

The purpose of this study is to examine the effect of stroke on a person's visual attention when looking at objects nearby versus far away, and to learn why a person's visual attention may become more distracted at near versus far distances. The purpose of this study is also to understand how modeled interventions, such as eye patching or prism goggles, affect impairment measures of visual attention.

After an initial screening (including attention, thinking, memory, and visual judgment tests), participants will be given a neurological examination. Participants may be asked to perform visual tasks while wearing an eye patch or prism goggles. Next, they will be asked to perform a line bisection task by looking at lines on a video screen either at close or far distances and, using a laser pointer, marking the center of the lines as they appear on-screen. Participants may be asked to perform other, similar visual tasks as well.

Duration of the study for participants varies, ranging from 1 or 2 sessions totaling approximately 2 hours to multiple sessions spanning a year.

Research from this study may help researchers better understand problems associated with stroke and may lead to therapies designed to promote improved visual attention.

Conditions

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Stroke

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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1

Persons who have had a stroke and either have, or do not have, a pathological asymmetry of perception, attention and action causing functional disability (spatial neglect; Barrett and Burkholder, 2006).

No interventions assigned to this group

2

Healthy age- and education-matched volunteers

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* The subject has a history of stroke.
* The subject is 18 to 100 years old.
* The subject is able to give Informed consent.
* The subject is post-Stroke with left-hemisphere injury and has no spatial neglect (no attentional imbalance).
* The subject is post-stroke with right hemisphere damage and has spatial neglect (attentional imbalance).
* Healthy subject with no brain injury.
* The subject is post stroke and has hemianopia (a "visual field cut").
* The subject is able and willing to comply with the study protocol, including availability for all scheduled clinic visits.

Exclusion Criteria

* Subjects with brain tumors, head injury with loss of consciousness, visual disorders other than corrected near or far-sightedness, history of learning disabilities, dementia or Alzheimer's Disease.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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National Institute of Neurological Disorders and Stroke (NINDS)

NIH

Sponsor Role collaborator

Kessler Foundation

OTHER

Sponsor Role lead

Responsible Party

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A. M. Barrett, MD

Director, Stroke Research

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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A. M. Barrett, MD

Role: PRINCIPAL_INVESTIGATOR

Stroke Rehabilitation Research, Kessler Foundation Research Center

Locations

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Kessler Foundation, 1199 Pleasant Valley Way

West Orange, New Jersey, United States

Site Status

Countries

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United States

References

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Boukrina O, Chen P, Budinoska T, Barrett AM. Exploratory examination of lexical and neuroanatomic correlates of neglect dyslexia. Neuropsychology. 2020 May;34(4):404-419. doi: 10.1037/neu0000619. Epub 2020 Jan 30.

Reference Type DERIVED
PMID: 31999167 (View on PubMed)

Caulfield MD, Chen P, Barry MM, Barrett AM. Which perseverative behaviors are symptoms of spatial neglect? Brain Cogn. 2017 Apr;113:93-101. doi: 10.1016/j.bandc.2016.11.002. Epub 2017 Feb 3.

Reference Type DERIVED
PMID: 28167411 (View on PubMed)

Other Identifiers

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5K02NS047099

Identifier Type: NIH

Identifier Source: secondary_id

View Link

K02NS047009

Identifier Type: -

Identifier Source: org_study_id

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