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Therapist-Assisted Rehabilitation of Visual Function and Hemianopia after Brain Injury: Intervention Study on the Effect of the Neuro Vision Technology Rehabilitation Program

机译:颅脑损伤后治疗师协助的视觉功能和偏盲康复:神经视觉技术康复计划效果的干预研究

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Background Serious and often lasting vision impairments affect 30% to 35% of people following stroke. Vision may be considered the most important sense in humans, and even smaller permanent injuries can drastically reduce quality of life. Restoration of visual field impairments occur only to a small extent during the first month after brain damage, and therefore the time window for spontaneous improvements is limited. One month after brain injury causing visual impairment, patients usually will experience chronically impaired vision and the need for compensatory vision rehabilitation is substantial. Objective The purpose of this study is to investigate whether rehabilitation with Neuro Vision Technology will result in a significant and lasting improvement in functional capacity in persons with chronic visual impairments after brain injury. Improving eyesight is expected to increase both physical and mental functioning, thus improving the quality of life. Methods This is a prospective open label trial in which participants with chronic visual field impairments are examined before and after the intervention. Participants typically suffer from stroke or traumatic brain injury and will be recruited from hospitals and The Institute for the Blind and Partially Sighted. Treatment is based on Neuro Vision Technology, which is a supervised training course, where participants are trained in compensatory techniques using specially designed equipment. Through the Neuro Vision Technology procedure, the vision problems of each individual are carefully investigated, and personal data is used to organize individual training sessions. Cognitive face-to-face assessments and self-assessed questionnaires about both life and vision quality are also applied before and after the training. Results Funding was provided in June 2017. Results are expected to be available in 2020. Sample size is calculated to 23 participants. Due to age, difficulty in transport, and the time-consuming intervention, up to 25% dropouts are expected; thus, we aim to include at least 29 participants. Conclusions This investigation will evaluate the effects of Neuro Vision Technology therapy on compensatory vision rehabilitation. Additionally, quality of life and cognitive improvements associated to increased quality of life will be explored. Trial Registration ClinicalTrials.gov {"type":"clinical-trial","attrs":{"text":"NCT03160131","term_id":"NCT03160131"}} NCT03160131 ; https://clinicaltrials.gov/ct2/show/ {"type":"clinical-trial","attrs":{"text":"NCT03160131","term_id":"NCT03160131"}} NCT03160131 (Archived by WebCite at http://www.webcitation.org/6x3f5HnCv).
机译:背景技术严重且经常持久的视力障碍影响中风后30%至35%的人。视力可能被认为是人类最重要的感觉,即使较小的永久性伤害也会大大降低生活质量。视野损害的恢复仅在脑损伤后的第一个月内很小程度地发生,因此自发改善的时间窗口有限。脑损伤导致视力障碍的一个月后,患者通常会出现慢性视力障碍,并且需要进行代偿性视力康复。目的这项研究的目的是调查用神经视觉技术进行康复是否会导致脑损伤后慢性视力障碍患者的功能得到显着和持久的改善。改善视力有望增强身心功能,从而改善生活质量。方法这是一项前瞻性开放标签试验,其中在干预前后对患有慢性视野障碍的参与者进行了检查。参与者通常患有中风或颅脑外伤,并将从医院和盲人和部分视力协会招募。治疗基于神经视觉技术,这是一门有监督的培训课程,其中,参与者使用专门设计的设备接受补偿技术的培训。通过“神经视觉技术”程序,将仔细研究每个人的视力问题,并使用个人数据来组织个人培训课程。在培训前后,还会进行有关生活和视觉质量的认知面对面评估和自我评估的问卷。结果于2017年6月提供了资金。预计将在2020年提供结果。样本量计算为23名参与者。由于年龄,运输困难和费时的干预,预计辍学率将高达25%;因此,我们的目标是至少包括29名参与者。结论本研究将评估神经视觉技术疗法对代偿性视觉康复的影响。此外,将探讨生活质量和与生活质量提高相关的认知改善。试验注册ClinicalTrials.gov {“ type”:“ clinical-trial”,“ attrs”:{“ text”:“ NCT03160131”,“ term_id”:“ NCT03160131”}} NCT03160131; https://clinicaltrials.gov/ct2/show/ {“ type”:“ clinical-trial”,“ attrs”:{“ text”:“ NCT03160131”,“ term_id”:“ NCT03160131”}} NCT03160131(由WebCite存档在http://www.webcitation.org/6x3f5HnCv)。

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