Prism Adaptation Therapy (PAT) for Right Brain Stroke Rehabilitation

Description

After a right brain stroke, \>50% of Veterans experience problems with dressing, eating, self-care or steering their wheelchairs because their ability to move, orient, and respond toward the left side is limited: spatial neglect. Spatial neglect prevents them from functioning independently, and their needs in the hospital and at home are greatly increased. An effective treatment for spatial neglect is 10 days of visuomotor training while wearing optical prisms (PAT), however many clinicians \[fail to diagnose spatial neglect and use this approach. In this study, the investigators will develop a brain scanning test that could objectively identify the Veterans with spatial neglect after stroke who are the best candidates to receive PAT and recover their ability to function. When the research is complete, the investigators expect that brain scans done in the hospital can guide the team to refer Veterans to PAT rehabilitation: improving daily life function\] and quality of life.

Conditions

Spatial Neglect After Right Brain Stroke

Study Overview

Study Details

Study overview

After a right brain stroke, \>50% of Veterans experience problems with dressing, eating, self-care or steering their wheelchairs because their ability to move, orient, and respond toward the left side is limited: spatial neglect. Spatial neglect prevents them from functioning independently, and their needs in the hospital and at home are greatly increased. An effective treatment for spatial neglect is 10 days of visuomotor training while wearing optical prisms (PAT), however many clinicians \[fail to diagnose spatial neglect and use this approach. In this study, the investigators will develop a brain scanning test that could objectively identify the Veterans with spatial neglect after stroke who are the best candidates to receive PAT and recover their ability to function. When the research is complete, the investigators expect that brain scans done in the hospital can guide the team to refer Veterans to PAT rehabilitation: improving daily life function\] and quality of life.

Prism Adaptation Treatment (PAT) for Right Brain Stroke Rehabilitation

Prism Adaptation Therapy (PAT) for Right Brain Stroke Rehabilitation

Condition
Spatial Neglect After Right Brain Stroke
Intervention / Treatment

-

Contacts and Locations

Decatur

Atlanta VA Medical and Rehab Center, Decatur, GA, Decatur, Georgia, United States, 30033-4004

Leeds

VA Central Western Massachusetts Healthcare System, Leeds, MA, Leeds, Massachusetts, United States, 01053-9764

Cleveland

Louis Stokes VA Medical Center, Cleveland, OH, Cleveland, Ohio, United States, 44106-1702

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • * Has had a first right brain stroke \>18 years of age
  • * 1-4 months post-diagnosis of right brain stroke
  • * Can sit up, see out of both eyes and point to objects (\>20/50 vision in both eyes)
  • * Can give informed consent to participate
  • * Has been diagnosed with other chronic, disabling neurological disorder (e.g. multiple sclerosis, Alzheimer Disease)
  • * Has had a clinical left brain stroke or has neuroimaging evidence of prior stroke(s) including the presence of more than two lacunes with diameter greater than 15 mm.
  • * Cannot sit up to be tested and receive PAT
  • * Has \<20/50 vision when viewing with both eyes

Ages Eligible for Study

18 Years to

Sexes Eligible for Study

ALL

Accepts Healthy Volunteers

No

Collaborators and Investigators

VA Office of Research and Development,

Anna M. Barrett, MD, PRINCIPAL_INVESTIGATOR, VA Central Western Massachusetts Healthcare System, Leeds, MA

Study Record Dates

2027-12-31