Vestibular rehabilitation in pusher syndrome and spatial neglect

Not Applicable

Recruiting

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

Registration Number: DRKS00003227

Lead Sponsor: Klinikum der Universität München, Campus Großhadern

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Recruiting

Sex: All

Target Recruitment: 40

Inclusion Criteria

• Patients after unilateral ischemic or hemorrhagic stroke
• The patient is not younger than 18 years
• The patient suffers from hemiparesis
• The patient can not stand unassisted
• The patient is able to be in upright body position for at least 30 minutes

Exclusion Criteria

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

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

Study & Design

Study Type: interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
- SCP Scale for Contraversive Pushing<br>- LS Lateropulsion Scale<br>The scales will be assessed by a trained and blinded examiner immediately before and after the respective therapy (either Lokomat, GVS or conventional physical therapy).<br>Outcome is after the third therapy session.

Secondary Outcome Measures

Name	Time	Method
- SVV Subjective Visual Vertical<br>The bucket method was evaluated by Zwergal et al. (2009) as an easily performed and reliable bed-side test to measure the SVV. The subject sits upright and looks into a bucket. The visual field is completely covered by the edge of the bucket. On the bottom of the bucket is a dark, straight line. The bucket is rotated slowly by the examiner from different start positions into the direction of zero position. The subject indicates when he determines the dark line as vertical and the investigator reads out the deviation in degrees on a scale on the outside of the bucket.<br><br>- Photographs for evaluation of head, trunk and leg position.<br><br>The parameters will be collected before and after the respective therapy (either Lokomat, GVS or conventional physical therapy) by a trained therapist.<br>Outcome is after the third Therapy unit.