Clinical trial NCT03913663: Microsoft Kinect, Gait Function,Hemineglect, Vestibulo-ocular Training
Official title: A Model Based Study for Gait in Heminglect Patient Pre and Post Vestibul-ocular Rehabilitation
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Hemiplegic Gait
Lead sponsor: Beni-Suef University
Sponsor class: OTHER
First posted: 2019-04-12
Enrollment: 40
Sex: ALL
Minimum age (years): 60
Maximum age (years): 70
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NON_RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: 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: 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.

Eligibility criteria: 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

Primary outcomes:
measure: gait changes in hemineglect patient after vestibulo ocular rehabilitation program
timeFrame: baseline
Secondary outcomes:
Other outcomes:
Locations:
city: Banī Suwayf
country: Egypt
facility: Beni Suef University
state: Beni Suef
Study officials:
affiliation: Beni-Suef University
name: mohammed elhamrawy, master
role: PRINCIPAL_INVESTIGATOR
References:
citation: Gambi E, Agostinelli A, Belli A, Burattini L, Cippitelli E, Fioretti S, Pierleoni P, Ricciuti M, Sbrollini A, Spinsante S. Heart Rate Detection Using Microsoft Kinect: Validation and Comparison to Wearable Devices. Sensors (Basel). 2017 Aug 2;17(8):1776. doi: 10.3390/s17081776.
citation: Basagni B, De Tanti A, Damora A, Abbruzzese L, Varalta V, Antonucci G, Bickerton WL, Smania N, Mancuso M. The assessment of hemineglect syndrome with cancellation tasks: a comparison between the Bells test and the Apples test. Neurol Sci. 2017 Dec;38(12):2171-2176. doi: 10.1007/s10072-017-3139-7. Epub 2017 Oct 4.
citation: Muntaseer Mahfuz M, Schubert MC, Figtree WVC, Todd CJ, Migliaccio AA. Human Vestibulo-Ocular Reflex Adaptation Training: Time Beats Quantity. J Assoc Res Otolaryngol. 2018 Dec;19(6):729-739. doi: 10.1007/s10162-018-00689-w. Epub 2018 Sep 24.