UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000044426
Receipt number R000050749
Scientific Title Effects of Virtual Reality and Visual Search Interventions on voluntary, reorienting of attention in patients with subacute left unilateral spatial neglect
Date of disclosure of the study information 2021/06/05
Last modified on 2024/09/20 09:04:03

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Basic information

Public title

Effects of Virtual Reality and Visual Search Interventions on voluntary, reorienting of attention in patients with subacute left unilateral spatial neglect

Acronym

Effects of Virtual Reality and Visual Search Interventions on voluntary, reorienting of attention in patients with left unilateral spatial neglect

Scientific Title

Effects of Virtual Reality and Visual Search Interventions on voluntary, reorienting of attention in patients with subacute left unilateral spatial neglect

Scientific Title:Acronym

Effects of Virtual Reality and Visual Search Interventions on voluntary, reorienting of attention in patients with left unilateral spatial neglect

Region

Japan


Condition

Condition

storke

Classification by specialty

Neurology Vascular surgery Neurosurgery
Rehabilitation medicine Adult

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Effects of Virtual Reality and Visual Search Interventions on voluntary, reorienting of attention in patients with left unilateral spatial neglect

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Behavioral Inattention Test,
Catherine Bergego Scale,
Modified Posner tasks

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Cross-over

Randomization

Randomized

Randomization unit

Individual

Blinding

Single blind -investigator(s) and assessor(s) are blinded

Control

Active

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Device,equipment Maneuver

Interventions/Control_1

Intervention condition
Intervention to quickly track balloons using a head-mounted display.
(Intervention period: 2 weeks, 5 times a week, 10 minutes a day)

Interventions/Control_2

Control condition
Intervention to search for 50 numbers.
(Intervention period: 2 weeks, 5 times a week, 10 minutes a day)

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Patients with stroke due to right hemisphere injury with unilateral spatial neglect (Behavioral Inattention Test <131 points).
Mini Mental State Examination 16 points or more

Key exclusion criteria

Left hemisphere stroke patient, bilateral lesions
Persons with a history of stroke
Left-handed person
Severe aphasia or dementia diagnosed and unable to follow instructions

Target sample size

22


Research contact person

Name of lead principal investigator

1st name Shinpei
Middle name
Last name Osaki

Organization

Kansai Electric Power Hospital

Division name

Department of rehabilitation

Zip code

553-0003

Address

2-1-7 Fukushima, Fukushima-ku, Osaka

TEL

06-6458-5821

Email

osaki.shimpei@b2.kepco.co.jp


Public contact

Name of contact person

1st name Shinpei
Middle name
Last name Osaki

Organization

Kansai Electric Power Hospital

Division name

Department of rehabilitation

Zip code

553-0003

Address

2-1-7 Fukushima, Fukushima-ku, Osaka

TEL

06-6458-5821

Homepage URL


Email

osaki.shimpei@b2.kepco.co.jp


Sponsor or person

Institute

Kansai Electric Power Hospital

Institute

Department

Personal name



Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Kansai Electric Power Hospital

Address

2-1-7 Fukushima,Fukushima-ku,Osaka

Tel

06-6458-5821

Email

osaki.shimpei@b2.kepco.co.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2021 Year 06 Month 05 Day


Related information

URL releasing protocol

https://pubmed.ncbi.nlm.nih.gov/37478380/

Publication of results

Published


Result

URL related to results and publications

https://pubmed.ncbi.nlm.nih.gov/37478380/

Number of participants that the trial has enrolled

28

Results

Outcomes were changes in scores on Catherine Bergego Scale (CBS) and reaction time on the modified Posner task (MPT). There was significant improvement in CBS score change after VR balloon retrieval training. In the invalid condition of MPT, significant improvements were shown after VR balloon search training in left-sided reaction time (improvement of stimulation-driven attention).

Results date posted

2024 Year 09 Month 20 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

Inclusion criteria were as follows: (1) first-ever stroke, (2) no severe cognitive impairment (Mini-Mental State Examination), (3) right hemisphere brain lesion, and (4) at least a score below the cutoff value in one item of the standard test for the behavioural inattention test conventional subtests (BIT-c).
Exclusion criteria were as follows: (1) left hemisphere brain lesion, (2) bilateral lesions, (3) previous stroke, (4) Aphasia or other cognitive impairments, (5) disturbance of consciousness, and (6) patients refusal to participate.

Participant flow

We recruited participants from the Rehabilitation Department of our Hospital between January 2020 and December 2021. Patients were screened at the point of admission to the rehabilitation department within the hospital. The participants were divided into two groups: immediate VR group (n=14) and delayed VR group (n=14).

Adverse events

none in particular

Outcome measures

(1) Behavioural Inattention test conventional subtests (BIT-c) were used to determine USN. A line cancellation test, copying test, line bisection test, and drawing test are included in the basic evaluation. The total score is 146 points.
(2) The Catherine Bergego Scale (CBS) is an observation scale for assessment of neglect in 10 real-life situations/tasks, and is administered by a blinded physical therapist, occupational therapist, and nurse. Each item of the 10 categories in CBS attracts a score of either 0 (no neglect) or 3 (severe neglect); the maximum total score is 30 points.
(3) The modified Posner task (MPT) is a neuropsychological test used to assess changes in attention. This task reacts to the target displayed in either the left or right position.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Main results already published

Date of protocol fixation

2020 Year 01 Month 11 Day

Date of IRB

2020 Year 01 Month 10 Day

Anticipated trial start date

2020 Year 01 Month 11 Day

Last follow-up date

2022 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2021 Year 06 Month 04 Day

Last modified on

2024 Year 09 Month 20 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000050749