Immersive Virtual Reality Treatment for Unilateral Spatial Neglect
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Immersive Virtual Reality Intervention, Conventional rehabilitation.
- Who it may be relevant to
- Registry conditions: Stroke, Unilateral Spatial Neglect. Basic parameters: from 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- France
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Rehabilitation of Unilateral Spatial Neglect Using an Immersive Virtual Reality Music Practice Program
Overview
Unilateral Spatial Neglect (USN) is a relatively common neuropsychological syndrome following stroke. It is characterized by difficulties in detecting, orienting and identifying events located in the hemispace contralateral to a brain lesion, unrelated to a primary motor or sensory disorder. Numerous methods have been developed for the rehabilitation of this syndrome. However, limitations in terms of efficacy are highlighted. These limitations may be linked to the fact that these methods are restricted to certain sensory modalities, thus failing to take into account the heterogeneity of the syndrome. Moreover, some patients' adherence to rehabilitation programs can also be complicated by motivational difficulties. Immersive Virtual Reality could help overcome these limitations. Indeed, it enables the introduction of new sensory modalities, notably auditory, to support a better apprehension of space. The main objective of this study is to determine the efficacy of an immersive virtual reality rehabilitation protocol based on musical practice in patients suffering from USN. This study also aims to explore the benefits of this rehabilitation protocol on patients' daily lives, as well as to explore the influence of patients' mood and motivation on the benefits of the immersive virtual reality rehabilitation protocol. To achieve these goals, patients will benefit from immersive virtual reality rehabilitation based on music practice. This rehabilitation will be compared to conventional USN rehabilitation. To this end, patients will be divided into two groups: classical rehabilitation only or classical rehabilitation and immersive virtual reality in parallel. Each patient will be randomly assigned to one of the two groups for a period of 2 weeks. Pre- and post-rehabilitation assessments will be provided.
Interventions
- Other Immersive Virtual Reality Intervention
The immersive virtual reality rehabilitation protocol is an experimental protocol based on musical practice. This protocol will be based on the "Piano Vision" application, which allows several modes of music production: free or guided musical practice. - Other Conventional rehabilitation
The conventional rehabilitation corresponds to the classically performed in the cognitive treatment of unilateral spatial neglect. It involves training visual scanning using barrage exercises, sequence identification, scene description, and pointing.
Primary outcome measures
- Bells Test [Time frame: 8 weeks]
- Mesulam cancellation Task [Time frame: 8 weeks]
- Bisection Test [Time frame: 8 weeks]
- Copying Test [Time frame: 8 weeks]
- Scene description Task [Time frame: 8 weeks]
- Ecological scale of daily life activities [Time frame: 8 weeks]
- Piano bisection Task [Time frame: 8 weeks]
- Identifying the keys at the ends of the piano [Time frame: 8 weeks]
- Virtual reality Bells Test [Time frame: 8 weeks]
- Auditory Stimuli Localization Task in virtual reality [Time frame: 8 weeks]
Secondary outcome measures (2)
- Mood assessment [Time frame: 4 weeks]
- Situational motivation questionnaire [Time frame: 4 weeks]
Eligibility criteria
Inclusion criteria
- Men and women over 18 years
- Free and informed written consent
- Enrolled in the French social security system
- Cerebral lesion of vascular origin
- Unilateral spatial neglect syndrome
Exclusion criteria
- Epilepsy or migraine
- Major vision problems
- Major hearing impairment
- Pre-existing cognitive impairment (MMSE < 20)
- Major disorders of verbal comprehension preventing the protocol
- Refusal to sign consent form
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Crossover
- Masking
- Double blind
- Primary purpose
- Treatment
Study locations
France · 1 center
- Hôpitaux de Saint-Maurice — Saint-Maurice
Identifiers
NCT: NCT06366360 · Piano-Neglect