Microsoft Kinect, Gait Function,Hemineglect, Vestibulo-ocular Training

Study Overview
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Brief Summary
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Gait problems in hemineglect patient post stroke , vestibuloocular training plays a role in improving gait function, gait assessment using a model based study (Microsoft Kinect) for pre and post training assesment.

Detailed Description
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The syndrome of visuospatial neglect is a common consequence of unilateral brain injury. It is most often associated with stroke and is more severe and persistent following right hemisphere damage, with reported frequencies in the acute stage of up to 80%. This may result in gait disturbance, high levels of energy expenditure and increase the risk of falls. Vestibuleo-ocular training techniques are aimed at improving or even restoring visual function by training patients to detect stimuli in the blind hemifield and increase their overall sensitivity to them. The investigators propose a model based (Microsoft Kinect), a device can be used for assessment of spatiotemporal gait variables as well as gait kinematics.

Official Title
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A Model Based Study for Gait in Heminglect Patient Pre and Post Vestibul-ocular Rehabilitation

Conditions
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Hemiplegic Gait

Intervention / Treatment
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* Other: vestibuloocular training
* Other: regular exercise training for hemiplegic patients


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Subjects age will range from (60-70) years old. Patients who had a stroke at least six months prior. Patients who had visual field defects post stroke. Patients who could walk without caretaker assistance or no severe dyskinesias. Adequate hearing (hearing aid if required). Patients who had no problem with their state of consciousness and absence of dementia Patients who had no orthopedic problems that may affect gait. Patients will be chosen in both sexes. Clinically and medically stable. Exclusion Criteria: Patients who will meet one of the following criteria will be excluded from the study: Only one functional eye. Neurological problem or any severe co-morbidity likely to affect gait. Intact visual field. Instability of patient's medical condition. Obese ( BMI ≥ 30 Kg∕m2 ). Association with another medical problem that can affect patient

Ages Eligible for Study
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Minimum Age: 60 Years
Maximum Age: 70 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: study group<br>20 patient with hemineglect, minimum 6 months post stroke | Other: vestibuloocular training<br>* using vestibulo ocular training program for training neglect patient<br>* Other names: regular exercise training for hemiplegic patients;Other: regular exercise training for hemiplegic patients<br>* Traditional gait training program.<br>|
| Active Comparator: control group<br>20 patient with hemineglect, minimum 6 months post stroke | Other: regular exercise training for hemiplegic patients<br>* Traditional gait training program.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| gait changes in hemineglect patient after vestibulo ocular rehabilitation program | gait assesment using microsoft kinect for hemineglect patient pre and post vestibulo ocular rehabilitation | baseline |