Microsoft Kinect, Gait Function,Hemineglect, Vestibulo-ocular Training

A Model Based Study for Gait in Heminglect Patient Pre and Post Vestibul-ocular Rehabilitation

Gait problems in hemineglect patient post stroke , vestibuloocular training plays a role in improving gait function, gait assessment using a model based study (Microsoft Kinect) for pre and post training assesment.

Study Overview

• Status: Completed
• Conditions: Hemiplegic Gait
• Intervention / Treatment: Other: vestibuloocular training; Other: regular exercise training for hemiplegic patients

Detailed Description

The syndrome of visuospatial neglect is a common consequence of unilateral brain injury. It is most often associated with stroke and is more severe and persistent following right hemisphere damage, with reported frequencies in the acute stage of up to 80%. This may result in gait disturbance, high levels of energy expenditure and increase the risk of falls. Vestibuleo-ocular training techniques are aimed at improving or even restoring visual function by training patients to detect stimuli in the blind hemifield and increase their overall sensitivity to them. The investigators propose a model based (Microsoft Kinect), a device can be used for assessment of spatiotemporal gait variables as well as gait kinematics.

• Study Type: Interventional
• Enrollment (Actual): 40
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Egypt
  • Beni Suef
    • Banī Suwayf, Beni Suef, Egypt, 62511
      • Beni Suef University

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 60 years to 70 years (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Subjects age will range from (60-70) years old.
• Patients who had a stroke at least six months prior.
• Patients who had visual field defects post stroke.
• Patients who could walk without caretaker assistance or no severe dyskinesias.
• Adequate hearing (hearing aid if required).
• Patients who had no problem with their state of consciousness and absence of dementia
• Patients who had no orthopedic problems that may affect gait.
• Patients will be chosen in both sexes.
• Clinically and medically stable.

Exclusion Criteria:

Patients who will meet one of the following criteria will be excluded from the study:

• Only one functional eye.
• Neurological problem or any severe co-morbidity likely to affect gait.
• Intact visual field.
• Instability of patient's medical condition.
• Obese ( BMI ≥ 30 Kg∕m2 ).
• Association with another medical problem that can affect patient

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Non-Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Active Comparator: study group; 20 patient with hemineglect, minimum 6 months post stroke	Other: vestibuloocular training; using vestibulo ocular training program for training neglect patient; Other Names: regular exercise training for hemiplegic patients; Other: regular exercise training for hemiplegic patients; Traditional gait training program.
Active Comparator: control group; 20 patient with hemineglect, minimum 6 months post stroke	Other: regular exercise training for hemiplegic patients; Traditional gait training program.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
gait changes in hemineglect patient after vestibulo ocular rehabilitation program	gait assesment using microsoft kinect for hemineglect patient pre and post vestibulo ocular rehabilitation	baseline

Collaborators and Investigators

• Sponsor: Beni-Suef University
• Investigators: Principal Investigator: mohammed elhamrawy, master, Beni-Suef University

Publications and helpful links

General Publications

• Gambi E, Agostinelli A, Belli A, Burattini L, Cippitelli E, Fioretti S, Pierleoni P, Ricciuti M, Sbrollini A, Spinsante S. Heart Rate Detection Using Microsoft Kinect: Validation and Comparison to Wearable Devices. Sensors (Basel). 2017 Aug 2;17(8):1776. doi: 10.3390/s17081776.
• Basagni B, De Tanti A, Damora A, Abbruzzese L, Varalta V, Antonucci G, Bickerton WL, Smania N, Mancuso M. The assessment of hemineglect syndrome with cancellation tasks: a comparison between the Bells test and the Apples test. Neurol Sci. 2017 Dec;38(12):2171-2176. doi: 10.1007/s10072-017-3139-7. Epub 2017 Oct 4.
• Muntaseer Mahfuz M, Schubert MC, Figtree WVC, Todd CJ, Migliaccio AA. Human Vestibulo-Ocular Reflex Adaptation Training: Time Beats Quantity. J Assoc Res Otolaryngol. 2018 Dec;19(6):729-739. doi: 10.1007/s10162-018-00689-w. Epub 2018 Sep 24.

Study record dates

Study Major Dates

• Study Start (Actual): May 22, 2019
• Primary Completion (Actual): July 15, 2019
• Study Completion (Actual): July 18, 2019

Study Registration Dates

• First Submitted: April 9, 2019
• First Submitted That Met QC Criteria: April 11, 2019
• First Posted (Actual): April 12, 2019

Study Record Updates

• Last Update Posted (Actual): July 24, 2019
• Last Update Submitted That Met QC Criteria: July 23, 2019
• Last Verified: May 1, 2019

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Nervous System Diseases; Neurologic Manifestations; Gait Disorders, Neurologic
• Other Study ID Numbers: microsoft kinect hemineglect

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No