Neglect Treatment by Prism Adaptation in the Acute Phase
University of Geneva, Switzerland
32 participants
Nov 1, 2023
INTERVENTIONAL
Conditions
Summary
This project aims at unveiling the beneficial effects of prism adaptation as early rehabilitation technique to treat unilateral spatial neglect in the acute phase after a brain damage. This syndrome, frequent and very invalidating for daily life activities after a brain damage, is a cognitive disorder of lack of attention towards a part of the space. Patients at a first event brain injury hospitalized into the Neurology and Neurosurgery Departments and affected by spatial neglect will undergo to a protocol of five consecutive rehabilitation treatments, being assigned to the experimental (prisms) or control groups (neutral prisms). The effectiveness of the treatment will be assessed with cognitive, functional and motor-related measures, as well as a follow up 3 months later. These results can have a strong impact on the long-term functional outcome of these patients.
Eligibility
Inclusion Criteria4
- First neurological event, affecting the right hemisphere or the left hemisphere (stroke, brain tumour post-surgery);
- Structural images of the brain lesion available (magnetic resonance or tomographic scans);
- Good Normal (or corrected) visual acuity;
- Presence of USN, as assessed by a standard neuropsychological evaluation.
Exclusion Criteria4
- Previous neurological disorder and/or current or previous psychiatric disease.
- Presence or suspicion of previous general cognitive deficits documented from the clinical dossier and/or suspicious of possible cognitive deficits ;
- Presence of difficulty in task's comprehension preventing its completion;
- Impossibility to sustain a research session of at least 30 minutes (e.g., attentional lability).
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Interventions
Visuo-motor activities of exploration in the left and right space, adapting activities of daily living, while wearing prisms with 10 degrees of visual field deviation
Visuo-motor activities of exploration in the left and right space, adapting activities of daily living, while wearing prisms with no visual field deviation
Locations(1)
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NCT06078111