Rehabilitation of impaired body orientation in space: investigation of responsivity of the Spacecurl as a measuring instrument

Not Applicable

Recruiting

Conditions: I69.3
R27
R29.5
R29.3
Sequelae of cerebral infarction
Other lack of coordination
Abnormal posture

Registration Number: DRKS00003228

Lead Sponsor: Klinikum der Universität München, Campus Großhadern

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Recruiting

Sex: All

Target Recruitment: 20

Inclusion Criteria

Patients with unilateral right-hemispherical stroke and pusher or neglect symptoms
- Patient is able to be in upright body position for at least 30 min (for arm 1)

Exclusion Criteria

Exclusion criteria for the Spacecurl (arm 1 and 2 affected):
• Severe cardiovascular disorders
• known thrombosis
• known Aneurysms
• unstable spine
• neurosis / psychosis
• advanced pregnancy
• body height below 145 cm and over 195 cm or body weight >130 kg

Exclusion criteria for the Lokomat therapy (affecting arm 1 - pusher):
• orthostatic circulatory disturbance
• unstable fractures or fractures sensitive to weightbearing
• severe osteoporosis
• skin problems in the area of the security cuffs
• known pre-existing joint problems (eg arthritis)
• significant asymmetries (eg discrepancy of leg length )
• Height below 160 cm and over 190 cm or a body weight >150 kg

Exclusion criteria for the GVS-stimulation (concerns arm 2 - neglect):
• metal implant(s) in the body
• brain tumor(s)
• inflammation of the scalp
• epilepsy
• degenerative or psychiatric disease(s)

Study & Design

Study Type: interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Measurement of Subjective Postural Vertical (SPV) before and after the respective intervention (Pusher (arm 1): day1 and day 3, Neglect (arm 2): day 1, day 3 and day 5.<br><br>The SPV is measured with the Spacecurl. The examiner slightly tilts the subject in the Spacecurl (coronal and sagittal plane) and leads him slowly (1.8 °/s) back to the vertical. The subject beckons to the investigator (verbally or by pressing a button) when he feels vertically aligned. He also has the possibility to self-adjust his position to the vertical (magnitude estimation and magnitude production). The degrees are measured on a calibrated scale affixed on the Spacecurl. In addition, they are recorded by a Accelometer, which contains a gyroscope.

Secondary Outcome Measures