Clinical trial NCT02935270: Examining Measurement of Behavioral Neglect Post Stroke
Official title: Examining Measurement of Behavioral Neglect Post Stroke
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Stroke
Hemispatial Neglect
Keywords: Stroke
Neglect
Rehabilitation
Lead sponsor: Medical University of South Carolina
Sponsor class: OTHER
First posted: 2016-10-17
Enrollment: 55
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: OTHER
Time perspective: CROSS_SECTIONAL
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Stroke survivors

Brief summary: The purpose of this study is to examine measurement of unilateral neglect post stroke. Although a number of clinical assessments are used to measure neglect, it is unclear whether items from some of the most commonly used assessments are able to effectively and comprehensively measure neglect. This study will determine whether these assessments measure different aspects of neglect and whether items from various neglect assessments can be combined to more effectively measure neglect.

Detailed description: Many individuals have difficulty attending to the affected side of their body or to the affected side of space after stroke (unilateral neglect). Although a number of clinical assessments are used to measure this inattention, it is unclear whether items from some of the most commonly used assessments are able to effectively and comprehensively measure inattention. Clinical assessments provide critical information to clinicians and researchers and are used to inform treatment and document patient progress. Therefore, it is important that investigators more closely examine these existing assessments.

Individuals who demonstrate impaired attention to the affected side after stroke also have greater motor impairment than individuals who do not have impaired attention, but investigators do not know how inattention affects reaching movements using the impaired arm. This study will examine various methods used to assess inattention to the affected side after stroke and also examine how inattention affects reaching movements of the impaired arm.

Eligibility criteria: Inclusion Criteria:

* Unilateral hemispheric stroke
* 18 years or older

Exclusion Criteria:

* Severe aphasia
* Inability to follow 2-step directions
* Presence of other neurological disease that may impair vision or perception during performance of evaluation procedures

Primary outcomes:
measure: Catherine Bergego Scale
timeFrame: One-time assessment scheduled over 1-2 days
measure: Behavioral Inattention Test
timeFrame: One-time assessment scheduled over 1-2 days
measure: Naturalistic Action Test
timeFrame: One-time assessment scheduled over 1-2 days
measure: Virtual Reality Lateralized Attention Test
timeFrame: One-time assessment scheduled over 1-2 days
measure: Kinematic Assessment of Arm Movement
timeFrame: One-time assessment scheduled over 1-2 days
Secondary outcomes:
measure: Arm Use measured by Accelerometers
timeFrame: One-time assessment scheduled over 3 days
Other outcomes:
Locations:
city: Charleston
country: United States
facility: Medical University of South Carolina
state: South Carolina
Study officials:
affiliation: Medical University of South Carolina
name: Michelle Woodbury, PhD, OTR/L
role: PRINCIPAL_INVESTIGATOR
References:
citation: Grattan ES, Woodbury ML. Do Neglect Assessments Detect Neglect Differently? Am J Occup Ther. 2017 May/Jun;71(3):7103190050p1-7103190050p9. doi: 10.5014/ajot.2017.025015.