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

N/ACompletedNCT02068664

Kessler Foundation60 enrolled

Overview

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.

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 Type

OBSERVATIONAL

Enrollment

Conditions

Spatial Neglect Aphasia Stroke

Interventions

prism adaptation treatmentBEHAVIORAL

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.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

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

Locations (1)

Adler Aphasia Center

Maywood, New Jersey, United States

Outcomes

Primary Outcomes

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)

Time frame: 2 weeks

Secondary Outcomes

Behavior Inattention Test

Conventional subtest, a set of paper and pencil test for spatial neglect

Time frame: 2 weeks

Barthel Index

A functional independence assessment of daily tasks

Time frame: 2 weeks

University of Alabama at Birmingham (UAB) Life Space assessment

a self graded assessment on community mobility and participation

Time frame: 2 weeks

Data from ClinicalTrials.gov

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