A Biomarker for Personalized Care in Post-stroke Spatial Neglect
概览
- 阶段
- 不适用
- 干预措施
- Right brain stroke survivors
- 疾病 / 适应症
- Spatial Neglect
- 发起方
- VA Office of Research and Development
- 入组人数
- 45
- 试验地点
- 1
- 主要终点
- SN severity at 6 months
- 状态
- 进行中（未招募）
- 最后更新
- 2个月前
概览
简要总结
More than 30,000 Veterans are hospitalized for stroke each year, and in the critical first months of recovery, at least half are disabled by abnormal 3-D spatial function (spatial neglect). Their self-care, mobility, and ability to return home are severely limited.
详细描述
Spatial Neglect (SN)is an underdiagnosed stroke-related condition--and a specific core set of symptoms--Aiming Spatial Neglect-- may have a major adverse effect on outcome. These same symptoms may predict excellent response to spatial neglect therapy. The investigators seek to develop a biological parameter for treatment assignment. In this two-year study, the investigators will enroll 45 people with right brain stroke who are at high risk of SN. The investigators will examine clinical brain images, behavioral assessment and research brain images at baseline and recovery at 3 and 6 months after study entry.
研究者
入排标准
入选标准
- •Stroke survivors \>18 years
- •1-8 months post-stroke
- •Can undergo testing and give informed consent
排除标准
- •Other serious
- •Chronic neurological disorders
- •Evidence of other serious strokes
- •Inability to undergo testing or give informed consent
研究组 & 干预措施
Right brain stroke survivors
People with right brain stroke who are recruited to the study.
结局指标
主要结局
SN severity at 6 months
时间窗: 6 months post-baseline
Catherine Bergego Scale--an examiner-assessed measure of functional performance specific to SN. The score goes from 0 to 30 determining mild (0-10), moderate (11-20) or severe (21-30) spatial neglect.
Change in functional ability for daily life tasks assessed on the FONE-FIM at 3 months
时间窗: baseline to 3 months
Functional performance of daily life tasks will be assessed with the FONE-FIM questionnaire. This variable assesses improvement between baseline and 3 months. The FONE-FIM has has a minimum score of 18 and a maximum score of 126, being 126 the maximum level of independence in daily life activities. Therefore, change can be 0-108 points.
SN severity at baseline
时间窗: baseline
Catherine Bergego Scale--an examiner-assessed measure of functional performance specific to SN. The score goes from 0 to 30 determining mild (0-10), moderate (11-20) or severe (21-30) spatial neglect.
Change in functional ability assessed by the Barthel Index at 3 months
时间窗: baseline to 3 months
Functional performance of daily life tasks will be assessed with the Barthel Index questionnaire. This is has a minimum score of 0 and a maximum score of 100, with100 the maximum amount of help a person might need to perform daily life activities. Therefore, change at 3 months can be 0-100 points.
Change in functional ability for daily life tasks assessed on the FONE-FIM at 6 months
时间窗: baseline to 6 months
Functional performance of daily life tasks will be assessed with the FONE-FIM questionnaire. This variable assesses improvement between baseline and 6 months. The FONE-FIM has has a minimum score of 18 and a maximum score of 126, being 126 the maximum level of independence in daily life activities. Therefore, change can be 0-108 points.
SN severity at 3 months
时间窗: 3 months post-baseline
Catherine Bergego Scale--an examiner-assessed measure of functional performance specific to SN. The score goes from 0 to 30 determining mild (0-10), moderate (11-20) or severe (21-30) spatial neglect.
Change in functional ability assessed by the Barthel Index at 6 months
时间窗: baseline to 6 months
Functional performance of daily life tasks will be assessed with the Barthel Index questionnaire. This is has a minimum score of 0 and a maximum score of 100, with100 the maximum amount of help a person might need to perform daily life activities. Therefore, change at 6 months can be 0-100 points.