About this trial
The goal of this observational study is to evaluate the clinical usability and diagnostic performance of newly developed web-based Star Cancellation and Line Bisection tests in assessing visuospatial neglect in hemiplegic stroke patients. It will also compare these digital tests with conventional paper-and-pencil assessments.
The main questions it aims to answer are:
Can the web-based Star Cancellation and Line Bisection tests accurately distinguish between stroke patients with and without visuospatial neglect? Do digital test parameters (such as completion time, search speed, and search patterns) provide additional clinical information beyond conventional test scores? Researchers will compare the results of the web-based tests with standard paper-and-pencil tests to evaluate their diagnostic accuracy and clinical validity.
Participants will:
Complete conventional paper-and-pencil Star Cancellation and Line Bisection tests Perform web-based (digital) versions of the same tests using a tablet and stylus Undergo routine clinical and cognitive assessments as part of standard care Provide demographic and clinical information
Eligibility criteria
Qualifiers
Age 18 to 80 years
First-ever ischemic or hemorrhagic stroke
Hemiplegia secondary to stroke
Stroke in the subacute or chronic phase, defined as 1 to 24 months after stroke onset
Disqualifiers
History of neurological or severe psychiatric disease before stroke that could significantly affect cognitive function or attention, such as brain tumor, traumatic brain injury, vasculitis, multiple sclerosis, or schizophrenia
Severe visual field defect not attributable to visuospatial neglect, such as isolated homonymous hemianopia
Severe upper extremity motor impairment or apraxia preventing interaction with the tablet or stylus pen
Inability to understand test instructions, cooperate with the assessment, or complete the evaluation process
Trial design
Treatments tested in this trial
- Web-Based Star Cancellation Test
- Web-Based Line Bisection Test