Cerebral Stroke Clinical Trial
Official title:
The HEP-OKS Pilot Study - a Randomized Controlled Trial of Hemifield Eye Patching and Optokinetic Stimulation to Treat Hemispatial Neglect in Stroke Patients
Spatial neglect represents one of the major cognitive disorders following stroke. Patients
patients fail to be aware of objects or people to their left and orientate instead to their
right side. Enduring neglect has been found to be a poor prognostic indicator for functional
independence following stroke. Despite some promising experimental accounts there are no
established treatments for this condition.
The aim of this study is to test whether a combined treatment with hemifield eye patching
(HEP) and optokinetic stimulation (OKS) can permanently reduce neglect behaviour and improve
functional outcome in patients with hemispatial neglect following stroke.
The investigators hypothesise that the treatment with HEP and OKS will lead to a greater
reduction of neglect scoring in the neglect test battery as well as a greater improvement in
functional independence scores as compared to the spontaneous clinical course of the
usual-care control group.
To specify, this study should answer the following main question: Does the daily wearing of hemifield eye patches over a period of 1 week in combination with daily sessions of optokinetic stimulation lead to a significant reduction of neglect behaviour as measured by total scores in a paper-and-pencil neglect test battery and/or an improvement in functional independence scores (Catherine-Bergego-Scale, Barthel Index) in a cohort of stroke patients with acute hemispatial neglect as compared to the spontaneous course of the disease in a control patient group without a neglect-specific treatment? ;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Treatment
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