An Assessment of the Prevalence of Spatial Neglect in Stroke Survivors With Aphasia

Stroke Clinical Trial

Official title:

An Assessment of the Prevalence of Spatial Neglect in Stroke Survivors With Aphasia With Option of Prism Adaptation Treatment (PAT) Protocol

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02068664
• Other study ID #: R-802-13
• Status: Completed
• Phase: N/A
• First received: February 12, 2014
• Last updated: August 16, 2017
• Start date: February 2014
• Est. completion date: December 2016

Study information

• Verified date: August 2017
• Source: Kessler Foundation
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

The purpose of this study is to determine if stroke survivors with aphasia have spatial neglect (Phase 1). If they are determined to have the condition Phase 2 will be offered: which is prism adaptation treatment. This is a pilot study that will be performed with 4-5 subjects.

Description:

Spatial neglect is a disorder that may occur after a brain injury such as stroke. Spatial neglect may affect stroke recovery. One example of this heterogeneous condition: Individuals with spatial neglect often pay more attention to one side of what they are looking at, even though they have no difficulty seeing. The study investigators would like to screen stroke survivors with aphasia because they may also have spatial neglect (right neglect after left hemisphere stroke), which is said by the literature to occur in 25% of cases. If it is identified, a treatment approach will be offered, to attempt to remediate the condition using prism goggles, following a prism treatment protocol based on previous studies.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 60
• Est. completion date: December 2016
• Est. primary completion date: December 2016
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• A stroke survivor with aphasia who is a member at the Adler Aphasia Center

Exclusion Criteria:

• Has a history of brain tumor, head injury with loss of consciousness, dementia, alzheimers

Related Conditions & MeSH terms

• Aphasia
• Perceptual Disorders
• Spatial Neglect
• Stroke

Intervention

Behavioral:
• prism adaptation treatment
Prism goggles shift the image one sees toward the left (because the thicker portion of the glass lens is on the right). This will change the perception of where the image is in space, causing the person to adapt. The after-effects of the treatment is what is important. It has been shown to make it easier for people to move in the right space (if have right neglect) or improves ability to complete other functional tasks.

Locations

Country	Name	City	State
United States	Adler Aphasia Center	Maywood	New Jersey

Sponsors (1)

Lead Sponsor	Collaborator
Kessler Foundation

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Kessler Foundation Neglect Assessment Process	a performance based and behavioral measure for spatial neglect that utilizes and standardizes the administration of the Catherine Bergego Scale (CBS)	2 weeks
Secondary	Behavior Inattention Test	Conventional subtest, a set of paper and pencil test for spatial neglect	2 weeks
Secondary	Barthel Index	A functional independence assessment of daily tasks	2 weeks
Secondary	University of Alabama at Birmingham (UAB) Life Space assessment	a self graded assessment on community mobility and participation	2 weeks

External Links

•   Kessler Foundation