Bedford

Spatial neglect is a common condition after stroke that causes difficulty noticing or responding to the left side of the body or space. This condition often reduces independence in daily activities such as eating, dressing, and moving around. Researchers are evaluating a new computerized prism adaptation PA treatment that uses a game-like approach called Peg-the-Mole PTM to improve symptoms of spatial neglect. The trial aims to test the feasibility and effectiveness of this treatment in both inpatient and home settings through a randomized, controlled, double-blind design. Participants will be randomly assigned to one of two groups an experimental group using 15-degree rightward deviating prism goggles or a placebo control group using 5-degree deviating goggles. Both groups will complete ten 15-minute sessions over about two weeks using the PTM game on an iPad. Treatment can take place in the hospital or at home depending on hospital stay length, and a hybrid model will allow continuation of therapy after discharge if needed. During the study, participants will be assessed before starting the treatment, immediately after finishing it, and one month later. Researchers will measure neglect severity and its impact on daily activities using various tests and scales. Feasibility will be tracked through treatment compliance and patient feedback after each session. This study will help determine if the gamified and portable PA treatment can be successfully used to help patients recover from spatial neglect after stroke.