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

Sponsor

Kessler Foundation (Other)

Overall Status

Completed

CT.gov ID

NCT02068664

Collaborator

(none)

Enrollment

Location

Duration (Months)

1.8

Patients Per Site Per Month

Study Details

Study Description

Brief 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.

Condition or Disease	Intervention/Treatment	Phase
Spatial Neglect Aphasia Stroke	Behavioral: prism adaptation treatment

Detailed 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.

Study Design

Study Type:

Observational

Actual Enrollment :

60 participants

Observational Model:

Cohort

Time Perspective:

Prospective

Official Title:

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

Study Start Date :

Feb 1, 2014

Actual Primary Completion Date :

Dec 1, 2016

Actual Study Completion Date :

Dec 1, 2016

Arms and Interventions

Arm	Intervention/Treatment
Observational prism adaptation treatment	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.

Arm

Intervention/Treatment

Observational

prism adaptation treatment

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.

Outcome Measures

Primary Outcome Measures

Kessler Foundation Neglect Assessment Process [2 weeks]
a performance based and behavioral measure for spatial neglect that utilizes and standardizes the administration of the Catherine Bergego Scale (CBS)

Secondary Outcome Measures

Behavior Inattention Test [2 weeks]
Conventional subtest, a set of paper and pencil test for spatial neglect
Barthel Index [2 weeks]
A functional independence assessment of daily tasks
University of Alabama at Birmingham (UAB) Life Space assessment [2 weeks]
a self graded assessment on community mobility and participation

Eligibility Criteria

Criteria

Ages Eligible for Study:

18 Years and Older

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

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

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	Adler Aphasia Center	Maywood	New Jersey	United States	07607

Sponsors and Collaborators

Kessler Foundation

Investigators

Principal Investigator: Kimberly Hreha, OT, Kessler Foundation/Kessler Institute for Rehabilitation
Principal Investigator: A.M. Barrett, M.D., Kessler Foundation