Prism Adaptation Therapy for Spatial Neglect

NCT ID: NCT00989430

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

Clinical Phase

NA

Total Enrollment

160 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-10-31

Study Completion Date

2021-10-31

Brief Summary

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The purpose of this research study with a randomized controlled design is to examine the effects of prism adaptation treatment on two visual-spatial recovery components. After a stroke, an "internal GPS", locating where objects or people lie in a particular area of space, may be impaired. Alternately, a stroke may impair precise visual-spatial hand and body aiming movements. The research team wishes to discover whether prism adaptation treatment (two weeks of daily 20-min sessions of goal-directed movement with prism goggles) affects visual-spatial where or aiming errors selectively after stroke.

This research represents one of the first attempts to apply what we know about the brain from neuroscience research, to modern clinical rehabilitation practices.

Detailed Description

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The purpose of this research study with a randomized controlled design is to examine the effects of prism adaptation treatment on two visual-spatial recovery components. After a stroke, an "internal GPS", locating where objects or people lie in a particular area of space, may be impaired. Alternately, a stroke may impair precise visual-spatial hand and body aiming movements. The research team wishes to discover whether prism adaptation treatment (two weeks of daily 20-min sessions of goal-directed movement with prism goggles) affects visual-spatial where or aiming errors selectively after stroke.

This research represents one of the first attempts to apply what we know about the brain from neuroscience research, to modern clinical rehabilitation practices.

Conditions

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Spatial Neglect Deficits in Attention Motor Control and Perception

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Prism Adaptation Treatment

Two weeks of prism adaptation treatment followed by 4 weekly assessments and long-term follow-ups at the 3rd and 6th months.

Group Type EXPERIMENTAL

Prism Adaptation Treatment

Intervention Type BEHAVIORAL

Wearing prism goggles and performing visuomotor tasks during therapy sessions.

Control: Standard Rehabilitation Care

Participants will continue with their standard inpatient rehabilitation care. They will be assessed with cognitive and functional scales for tracking their recovery.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Prism Adaptation Treatment

Wearing prism goggles and performing visuomotor tasks during therapy sessions.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* The subject is 18 to 100 years of age, inclusive.
* The subject has had a stroke on the right side of the brain.
* The subject is able to give Informed consent.
* The subject has a spatial neglect (if known).
* The subject is able and willing to comply with the study protocol, including availability for all scheduled clinic visits.

Exclusion Criteria

* The subject has or had a serious brain condition other than stroke.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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U.S. Department of Education

FED

Sponsor Role collaborator

Kessler Foundation

OTHER

Sponsor Role lead

Responsible Party

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A. M. Barrett, MD

Director, Stroke Rehabilitation Research

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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A. M. Barrett, MD

Role: PRINCIPAL_INVESTIGATOR

Kessler Foundation

Locations

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Kessler Institute for Rehabilitation

West Orange, New Jersey, United States

Site Status

Countries

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United States

References

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Longley V, Hazelton C, Heal C, Pollock A, Woodward-Nutt K, Mitchell C, Pobric G, Vail A, Bowen A. Non-pharmacological interventions for spatial neglect or inattention following stroke and other non-progressive brain injury. Cochrane Database Syst Rev. 2021 Jul 1;7(7):CD003586. doi: 10.1002/14651858.CD003586.pub4.

Reference Type DERIVED
PMID: 34196963 (View on PubMed)

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)

Related Links

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Other Identifiers

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Spatial Neglect

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

AMBarrett3

Identifier Type: -

Identifier Source: org_study_id

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