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Engaging Mobile Prism Adaptation Treatment at Home
Sponsor: Nova Scotia Health Authority
Summary
Spatial neglect is a common disorder after stroke which leads to problems with noticing or responding to information from the left side of the body or space. This condition has been linked to reduced independence in a wide range of daily life activities including eating, dressing, and mobility. Despite its high prevalence in stroke patients, there is currently no standard of care for spatial neglect. Prism adaptation (PA) is a promising treatment, however, there are limitations to using PA in standard clinical care as it requires daily exposure for at least two weeks, yet access to equipment and supervision is limited. To solve this problem, the investigators have developed a new game-like PA treatment (Peg-the-Mole, PTM) that can be used at home without the need for daily in person therapist set-up and supervision. In this study the investigators aim to evaluate the feasibility and effectiveness of the gamified and portable PA procedure in an inpatient and home setting, with the hypothesis that the PA procedure will improve patient's neglect symptoms.
Official title: Feasibility and Effectiveness of a New Computerized Treatment Protocol for Spatial Neglect Post Stroke During Inpatient and Outpatient Rehabilitation
Key Details
Gender
All
Age Range
Any - Any
Study Type
INTERVENTIONAL
Enrollment
80
Start Date
2023-09-15
Completion Date
2026-11
Last Updated
2025-07-30
Healthy Volunteers
No
Conditions
Interventions
Prism Adaptation - 15-degree prism goggles
Patients in the experimental condition will wear prism goggles while completing an iPad-administered aiming task. The prisms will shift the patients' vision 15 degrees rightward, causing a recalibration of visuo-motor information. Prism adaptation will be carried out for ten sessions for 15 minutes a day, over the span of two weeks.
Prism Adaptation - 5-degree prism goggles
5-degree goggles are worn instead of the 15-degree prism goggles, while completing the same tasks as those assigned to the 15-degree condition.
Locations (4)
Nova Scotia Health Early Supported Stroke Discharge Team
Bedford, Nova Scotia, Canada
Nova Scotia Rehabilitation and Arthritis Centre (NSRAC)
Halifax, Nova Scotia, Canada
Nova Scotia Rehabilitation and Arthritis Centre
Halifax, Nova Scotia, Canada
Valley Regional Hospital
Kentville, Nova Scotia, Canada