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Набор по приглашению NCT07475611

Effectiveness of an Interactive Screen in the Rehabilitation of Neglect in Adults With Subacute Stroke: A Randomized Controlled Trial in Argentina.

Без фазы С лечением Stroke Neglect, Hemispatial

Ориентир для пациента и семьи

Простыми словами

Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.

Что изучают
В протоколе указаны: Myro Interactive Screen (Tyromotion) as a tool for occupational therapy approach in patients with unilateral neglect, occupational therapy conventional treatment.
Кому может быть актуально
Состояния в реестре: Stroke, Neglect, Hemispatial. Базовые параметры: 18 лет — 88 лет · Все.
Что важно проверить
Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
Где проводится
Аргентина
Следующий шаг
Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →

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Обзор

Hemispatial neglect is one of the most frequent and disabling sequelae after a stroke, particularly following right-hemisphere lesions. Its prevalence ranges from 25% to 80% and is associated with poorer functional outcomes, increased risk of falls, prolonged hospital stays, and lower rates of discharge to home. In response to these challenges, rehabilitation technologies have emerged as promising tools, especially during the subacute phase of stroke, a critical period for neuroplasticity. The MYRO® device-an adjustable interactive screen that enables intensive, task-oriented training-has shown benefits in promoting visual scanning, midline crossing, and sensorimotor integration through personalized exercises with constant feedback. This study aims to evaluate the effectiveness of MYRO® combined with conventional occupational therapy in patients with left hemispatial neglect secondary to subacute stroke. A randomized clinical trial will be conducted with 30 participants assigned to two groups: conventional occupational therapy (OT-C) and occupational therapy plus rehabilitation technology using MYRO® (OT-M). Both groups will receive interventions for four weeks, with assessments at baseline, at the end of the protocol, and at a six-week follow-up. Outcome measures will include the NIHSS, FIM, Catherine Bergego Scale, Cancelation Bells Test, and Line Bisection Test. It is expected that the use of MYRO® will enhance visuospatial attention toward the left hemifield and accelerate functional recovery compared with conventional treatment alone. The results could provide relevant evidence supporting the integration of interactive technology into neurofunctional rehabilitation within the Argentine context.

Вмешательства

  • Устройство Myro Interactive Screen (Tyromotion) as a tool for occupational therapy approach in patients with unilateral neglect
    Use of the Myro Interactive Screen (Tyromotion) as a tool for occupational therapy approach in patients with unilateral neglect
  • Другое occupational therapy conventional treatment
    Bottom - up, restorative occupational therapy approach to unilateral neglect

Первичные конечные точки

  • Catherine Bergego Scale for Neglect [Срок оценки: from the start of treatment until 4 weeks]

Критерии участия

Критерии включения

  • Right-sided stroke. Ischemic or hemorrhagic.
  • Currently in the subacute phase of recovery from the event (1 week to <6 months post-stroke).
  • Presence of left hemineglect as determined by the Catherine Bergego Scale and/or Cancel Bells Test and/or Line Bisection Test.
  • Age 18 to 88 years.
  • Native Spanish speaker.

Критерии исключения

  • Bilateral stroke. Previous strokes.
  • Medically unstable condition.
  • Previous visual impairments that prevent interaction with the device screen.
  • Presence of severe left homonymous hemianopsia. Determined by the total absence of vision in the entire left visual field, evaluated by confrontation visual field testing during the neurological physical examination.
  • Severe aphasia that prevents the comprehension of simple instructions that guarantee the completion of the task, determined by an NIHSS scale with a score of 3 points on the aphasia subitem.
  • Severe attentional and executive function deficits that prevent the comprehension of simple instructions, determined by the Catherine Bergego Scale and/or Cancel Bells Test and/or Line Bisection Test.

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение
Рандомизированное
Модель
Параллельные группы
Маскирование
Тройное слепое
Основная цель
Организация здравоохранения

Центры проведения

Аргентина · 1 центр
  • FLENI — Buenos Aires

Публикации

  • Williams LJ, Kernot J, Hillier SL, Loetscher T. Spatial Neglect Subtypes, Definitions and Assessment Tools: A Scoping Review. Front Neurol. 2021 Nov 24;12:742365. doi: 10.3389/fneur.2021.742365. eCollection 2021. PMID 34899565
  • Williams LJ, Loetscher T, Hillier S, Hreha K, Jones J, Bowen A, Kernot J. Identifying spatial neglect - an updated systematic review of the psychometric properties of assessment tools in adults post-stroke. Neuropsychol Rehabil. 2025 Apr;35(3):628-667. doi: 10.1080/09602011.2024.2346212. Epub 2024 May 10. PMID 38727637

Идентификаторы

NCT: NCT07475611 · 14/25

Первоисточники (государственные реестры)

Открыть это исследование на ClinicalTrials.gov ↗