The purpose of this study is to evaluate whether 20 Sessions of 30 minutes with a visual and tactile scanning training in the personal, peripersonal and extrapersonal space combined with trunk rotation will be feasible and provide better results compared to 20 Sessions of 30 minutes of a standard visual scanning programme.
In patients with stroke, unilateral neglect is a predictor for poor independency and quality of life. Current therapies are lacking a progression of intensity based on clear criteria. In addition, therapies include rather analytical exercises and the transfer of the achieved functions to activities of daily living remains difficult. Therefore, the investigators developed a criterion based system, in which the investigators are matching interventions to specific neglect related deficits and behaviour. The investigators plan a randomised controlled trial (stage 2 "development of concept trial") to evaluate whether an Experimental Group with 20 Sessions of 30 minutes with a visual and tactile scanning training in the personal, peripersonal and extrapersonal space combined with trunk rotation or a Control Group with 20 Sessions of 30 minutes of a standard visual scanning programme results in larger improvements on the neglect behaviour during activities of daily life (Catherine Bergego Scale). Sixteen stroke patients with left side neglect (i.e. right brain lesions) will be recruited in an inpatient rehabilitations setting.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
16
20 Sessions of 30 minutes with a visual and tactile scanning training in the personal, peripersonal and extrapersonal space and trunk rotation. The intervention includes visual or tactile scanning training in three different spaces and will be individually adapted to the needs of the patients. 1. Visual or tactile scanning in the personal space 2. Visual or tactile scanning and trunk rotation in the peripersonal space 3. Visual scanning and trunk rotation in the extrapersonal space
20 sessions of 30 minutes with traditional uni-modal visual scanning training in the peripersonal space.
Berner Klinik Montana
Montana, Valais, Switzerland
RECRUITINGNeglect behaviour during activities of daily life measured with the Catherine Bergego Scale
Measured with the Catherine Bergego Scale
Time frame: up to 14 months
Adherence rate of the patients to the treatment
Time frame: up to 11 months
Visual neglect measured with the Behavioural Inattention Test (conventional subtest)
Measured with the Behavioural Inattention Test (conventional subtest)
Time frame: up to 14 months
Severity of disability in a rehabilitation setting measured with the Functional Independence Measure
Measured with the Functional Independence Measure
Time frame: up to 11 months
Personal neglect measured with the Vest Test
Measured with the Vest Test
Time frame: up to 14 months
Mobility related disability easured with the Rivermead Mobility Index
Measured with the Rivermead Mobility Index
Time frame: up to 11 months
Health related quality of life measured with the EQ-5D
Measured with the EQ-5D
Time frame: up to 14 months
Length of stay in inpatient rehabilitation setting
Time frame: up to 11 months
Inclusion rate and refusal rate per week
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Time frame: up to 11 months
Completeness of documents
Time frame: up to 11 months
Length of time of assessments
Time frame: up to 11 months