Prism Adaptation Therapy (PAT) for Right Brain Stroke Rehabilitation

Conditions

• Spatial Neglect After Right Brain Stroke

Eligibility Criteria

Sex

ALL

Age

18 Years - N/A

Healthy Volunteers

Not accepted

Interventions

• Prism adaptation therapy — BEHAVIORAL
  The investigators' research and clinical group is the US leader in implementing this intervention for spatial neglect and have brought it to more than 50 clinical centers, hospitals, and treatment organizations.

Study Details

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.

Key Dates

Start date

Feb 1, 2023

Status verified

Apr 2026

Primary completion

Dec 31, 2026

Completion

Dec 31, 2027

Study Design

Enrollment

244 participants (estimated)

Allocation

NON_RANDOMIZED

Intervention model

SINGLE_GROUP

Primary purpose

DIAGNOSTIC

Arms

• Active Comparator: Prism adaptation Therapy
  People with spatial neglect will receive this effective treatment to reduce symptoms, which the investigators' previous work indicated may be particularly effective for Aiming SN symptoms.
• No Intervention: No spatial neglect
  People without spatial neglect symptoms will not receive an intervention for spatial neglect.

Primary Outcome Measure

Spatial neglect (SN) type (Aiming SN versus Where SN) [ Time Frame: baseline ]

Central Contacts

• Akila Sanjay, BA
  (508) 856-0104
  [email protected]
• Anna M Barrett, MD
  [email protected]

Locations (4)

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