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Clinical Trial Details — Status: Recruiting

Administrative data

NCT number NCT04227132
Other study ID # RF-2013-02359306
Secondary ID
Status Recruiting
Phase N/A
First received
Last updated
Start date December 16, 2019
Est. completion date December 2025

Study information

Verified date March 2023
Source IRCCS San Camillo, Venezia, Italy
Contact Francesca Meneghello, M.D.
Phone 0412207183
Email francesca.meneghello@ospedalesancamillo.net
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The aim of this study is to investigate the effect of training with an adaptive computer game, in comparison to standard training, in the rehabilitation of stroke survivors suffering from spatial neglect.


Description:

Many stroke survivors who have suffered right brain damage show spatial neglect (SN), a deficit of spatial attention orienting that causes unawareness for stimuli located in the left hemispace. Recent data show that the execution of concurrent tasks (that is, multitasking) can worsen the clinical condition and impact functional recovery. The aim of this study is to investigate the effect of an adaptive computer game "Labyrinth" previously validated on health population. The videogame is designed for training both attention and execution functions as it engages spatial navigation and multitasking. The effect of the computer game will be compared to standard computerized exercises used for neglect rehabilitation. The investigators plan to administer to a sample of 30 stroke patients with SN both Labyrinth and standard trainings for 10 sessions each. The two trainings will be delivered in a randomized crossover design. Improvements of patients' performance will be registered across trainings and in a follow-up test at 1 month, by assessing the severity of SN and functional everyday outcomes. The investigators expect that patients' performance will improve following both types of training, but with stronger improvement for the adaptive videogame.


Recruitment information / eligibility

Status Recruiting
Enrollment 30
Est. completion date December 2025
Est. primary completion date December 31, 2023
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria: - First stroke patients with right brain damage - Right-handed - Preserved Italian language comprehension to provide informed consensus - Clinical signs of spatial neglect (diagnosis by BIT) Exclusion Criteria: - Prior history of psychiatric or neurological disease - Substance abuse - Inability to sustain the experimental trainings

Study Design


Intervention

Device:
Adaptive computer game training
Patients sit in front of a computer monitor and play the adaptive videogame with a joystick. The game requires to orient and move inside a maze, and it includes phases that engage multitasking abilities. The level and speed of the game is adapted online to patients' performance.
Standard computerized training
Patients sit in front of the computer monitor and perform simple computerized exercises using a keyboard to respond. Exercises are organized into modules according to the trained cognitive functions. Patients will perform four different modules that are designed for neglect rehabilitation. The level of exercises adapts periodically based on patient's performance.

Locations

Country Name City State
Italy Ospedale San Camillo IRCCS Venice-Lido Veneto

Sponsors (1)

Lead Sponsor Collaborator
IRCCS San Camillo, Venezia, Italy

Country where clinical trial is conducted

Italy, 

Outcome

Type Measure Description Time frame Safety issue
Primary Changes at Behavioral Inattention Test (BIT) Diagnostic test for spatial neglect, composed by different subtests of spatial attention Baseline; immediately after the first training; immediately after the second training; finally after 3 weeks from the end of second training
Primary Changes at KF-NAP scale Test for everyday functional outcome Baseline; immediately after the first training; immediately after the second training; finally after 3 weeks from the end of second training
Secondary Changes at Load Test Computerized test on spatial monitoring and multitasking abilities Baseline; immediately after the first training; immediately after the second training; finally after 3 weeks from the end of second training
Secondary Changes at Apple Test Test for allocentric and egocentric spatial neglect Baseline; immediately after the first training; immediately after the second training; finally after 3 weeks from the end of second training
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