Visual and Tactile Scanning Training in Patients With Neglect After Stroke

Not Applicable

• Conditions: Hemispatial Neglect
• Interventions: Other: Uni-modal visual scanning training; Other: Visual and tactile scanning training

• Registration Number: NCT02309853
• Lead Sponsor: HES-SO Valais-Wallis

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.

Study Timeline

• Study First Submitted: 2014-11-09
• Status Verified: 2014-12
• Study Start: 2014-12
• Study First Submitted QC: 2014-12-04
• Last Update Submitted: 2014-12-04
• Study First Posted: 2014-12-05
• Last Update Posted: 2014-12-05
• Primary Completion: 2015-09
• Study Completion: 2015-12

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 16

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.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Unimodal visual scanning training	Uni-modal visual scanning training	20 sessions of 30 minutes with traditional uni-modal visual scanning training
Visual and tactile scanning training	Visual and tactile scanning training	20 Sessions of 30 minutes with a visual and tactile scanning training in the personal, peripersonal and extrapersonal space combined with trunk rotation

Primary Outcome Measures

Name	Time	Method
Adherence rate of the patients to the treatment	up to 11 months
Neglect behaviour during activities of daily life measured with the Catherine Bergego Scale	up to 14 months	Measured with the Catherine Bergego Scale

Secondary Outcome Measures

Name	Time	Method
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
Inclusion rate and refusal rate per week	up to 11 months
Length of time of assessments	up to 11 months
Personal neglect measured with the Vest Test	up to 14 months	Measured with the Vest Test
Mobility related disability easured with the Rivermead Mobility Index	up to 11 months	Measured with the Rivermead Mobility Index
Length of stay in inpatient rehabilitation setting	up to 11 months
Completeness of documents	up to 11 months

Trial Locations

Locations (1)

Berner Klinik Montana; 🇨🇭 Montana, Valais, Switzerland