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Active Cue-Training in Neglect

K

Klinikum Bremen Ost

Status

Completed

Conditions

Hemispatial Neglect

Treatments

Behavioral: Cueing

Study type

Interventional

Funder types

Other

Identifiers

Details and patient eligibility

About

The presented study investigates standardized visual cueing in reading and visual spatial task as a treatment method for spatial neglect. In a randomized controlled design patients receive either cued reading and visual spatial tasks (intervention) or treatment which is unspecific to neglect (control).

In the intervention condition, patients with left-sided neglect receive intense training, including reading and visual spatial task with standardized and adapted visual cueing by the therapist. Improvements in reading and visual spatial tasks lead to a reduction of cues by the therapist. Accordingly, the patient has to apply self-cueing over time in order to solve the task.

For the control condition, all patients receive unspecific treatment without any standardized adapted cueing implemented by the therapist.

To enhance the effectivity of cueing in reading and visual spatial tasks, the investigators additionally conduct parietal transcranial direct current stimulation (tDCS) in those patients without tDCS exclusion criteria (see exclusion criteria below).

It is hypothesised that systematic and adaptive therapeutic cueing leads to a significant reduction of omissions of word and word parts in reading.

UPDATE: No Add-on tDCS was performed since it was not applicable for our severly impaired patients due to the strict exclusion criteria of tDCS.

Enrollment

26 patients

Sex

All

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Left sided neglect
  • Capacity of at least 30 minutes
  • Ability to read in German language
  • Mobilization of 80%

Exclusion criteria

  • Previous known dementia
  • Normal pressure hydrocephalus

Exclusion Criteria for tDCS Add-on (not exclusion of the intervention):

  • Shunt
  • Craniectomy
  • Epilepsy
  • Other metal implants

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Crossover Assignment

Masking

Single Blind

26 participants in 2 patient groups

Intervention
Experimental group
Description:
* adaptive, therapeutic cueing during reading tasks * adaptive, therapeutic cueing during visuo spatial tasks
Treatment:
Behavioral: Cueing
Control
No Intervention group
Description:
- unspecific neglect treatment

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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