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Trial registered on ANZCTR
Registration number
ACTRN12605000539639
Ethics application status
Approved
Date submitted
16/09/2005
Date registered
28/09/2005
Date last updated
28/09/2005
Type of registration
Retrospectively registered
Titles & IDs
Public title
Functional Effects of Prism Adaptation Training in Stroke Patients with Spatial Neglect
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Scientific title
Functional Effects of Prism Adaptation Training in Stroke Patients with Spatial Neglect
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Stroke patients with hemi-spatial neglect
666
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Condition category
Condition code
Stroke
739
739
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0
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Ischaemic
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Patients are randomly assigned to experimental / control groups. Experimental subjects undergo prism adaptation (PA) training for five sessions over two weeks in addition to usual care. (PA training consists of 30 reaches for targets while wearing 15 degree right deviating prism glasses.)
Double blinded FIM and Catherine Bergego Scale scores are assessed on hospital admission and discharge.
Additional tests include: letter cancellation, figure copying, TUGT walking test, seated reach test, and Fluff test.
Mailed survey follow up at 4 months includes Stroke Impact Scale (SIS-16) and depression screening (CESD-10).
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Intervention code [1]
636
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Rehabilitation
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Comparator / control treatment
Control subjects complete the identical procedure but wear sham coloured glasses.
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Control group
Placebo
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Outcomes
Primary outcome [1]
915
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1) Functional improvement as measured by change in FIM, and also by the Stroke Impact Scale (SIS-16).
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Assessment method [1]
915
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Timepoint [1]
915
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At discharge and at 4 months follow up.
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Primary outcome [2]
916
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2) Amelioration of neglect impairment as measured by Catherine Bergego Scale, Fluff Test, figure copying, and letter cancellation.
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Assessment method [2]
916
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Timepoint [2]
916
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Secondary outcome [1]
1771
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1) Effects of PA training on gait and balance as measured by seated reach and TUGT tests on study admission and discharge.
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Assessment method [1]
1771
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Timepoint [1]
1771
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Secondary outcome [2]
1772
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2) Use of health resources (length of stay, FIM efficiency) at discharge.
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Assessment method [2]
1772
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Timepoint [2]
1772
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Secondary outcome [3]
1773
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3) Quality of Life (survey instrument consisting of CESD-10, SIS-16, SIS social subscale, and a VAS-QOL item) four months after discharge.
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Assessment method [3]
1773
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Timepoint [3]
1773
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Eligibility
Key inclusion criteria
Stroke occurring within the previous 60 days with clinical evidence of neglect (Bergego >1); Able perform test procedures (patients with hemianopia WILL be included); Medically stable.
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Minimum age
55
Years
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Maximum age
Not stated
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Brainstem stroke or subarachnoid hemorrhage; Secondary neurological illness (e.g. Parkinsons, MS); Dementia (MMSE>23).
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Group assignment sequence is generated by Excel random number generation, with results recorded in individual sealed envelopes supplied to each participating hospital. Sequence is concealed until subjects have enrolled in the study and completed all baseline assessments.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Group assignment sequence is generated by Excel random number generation in blocks.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Stopped early
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Data analysis
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Reason for early stopping/withdrawal
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Date of first participant enrolment
Anticipated
9/02/2005
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
100
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
820
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University
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Name [1]
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Northern Rivers University Department of Rural Health
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Address [1]
820
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Country [1]
820
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Australia
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Funding source category [2]
821
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University
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Name [2]
821
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University of Sydney
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Address [2]
821
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Country [2]
821
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Australia
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Primary sponsor type
University
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Name
orthern Rivers University Department of Rural Health
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Address
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Country
Australia
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Secondary sponsor category [1]
686
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Charities/Societies/Foundations
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Name [1]
686
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Physiotherapy Research Foundation
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Address [1]
686
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Country [1]
686
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
2087
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St. Vincent's Hospital
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Ethics committee address [1]
2087
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Lismore NSW
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Ethics committee country [1]
2087
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Australia
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Date submitted for ethics approval [1]
2087
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Approval date [1]
2087
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Ethics approval number [1]
2087
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Ethics committee name [2]
2088
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Gold Coast Hospital
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Ethics committee address [2]
2088
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Southport QLD
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Ethics committee country [2]
2088
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Australia
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Date submitted for ethics approval [2]
2088
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Approval date [2]
2088
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Ethics approval number [2]
2088
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Summary
Brief summary
This study will clarify the effectiveness of prism adaptation treatment for stroke patients with hemi-spatial neglect. The treatment group will undergo five training sessions while wearing prism glasses. The control group will undergo the same procedure while wearing sham glasses. The two groups will be compared for improvements in the neglect impairment and in functional abilities.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
35686
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Address
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Country
35686
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Phone
35686
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Fax
35686
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Email
35686
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Contact person for public queries
Name
9825
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Ms Sheila Keane
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Address
9825
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PO Box 3074
Lismore NSW 2480
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Country
9825
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Australia
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Phone
9825
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+61 2 66207570
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Fax
9825
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+61 2 66207270
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Email
9825
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[email protected]
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Contact person for scientific queries
Name
753
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Ms Sheila Keane
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Address
753
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PO Box 3074
Lismore NSW 2480
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Country
753
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Australia
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Phone
753
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+61 2 66207570
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Fax
753
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+61 2 66207270
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Email
753
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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