Evidence map›Paper›PMID 38773793›Full record

Trial reportBrain and behavior2024

Digital therapeutics using virtual reality-based visual perceptual learning for visual field defects in stroke: A double-blind randomized trial.

Eun Namgung, Sun U Kwon, Moon-Ku Han, Gyeong-Moon Kim, Hahn Young Kim, Kwang-Yeol Park, Moonju Cho, Ha-Gyun Choi, Hyun-Wook Nah, Hyun Taek Lim and 1 more

Abstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Brain and behavior, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Eun NamgungAsan Institute for Life Sciences, Asan Medical Center, Seoul, South Korea.
Sun U KwonDepartment of Neurology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.
Moon-Ku HanDepartment of Neurology, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, South Korea.
Gyeong-Moon KimDepartment of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea.
Hahn Young KimDepartment of Neurology, Konkuk University Medical Center, Konkuk University College of Medicine, Seoul, South Korea.
Kwang-Yeol ParkDepartment of Neurology, Chung-Ang University Hospital, Chung-Ang University College of Medicine, Seoul, South Korea.
Moonju ChoNunaps Inc., Seoul, South Korea.
Ha-Gyun ChoiNunaps Inc., Seoul, South Korea.
Hyun-Wook NahDepartment of Neurology, Chungnam National University Sejong Hospital, Chungnam National University College of Medicine, Sejong, South Korea.
Hyun Taek LimDepartment of Ophthalmology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.
Dong-Wha KangDepartment of Neurology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.ORCID 0000-0002-2999-485X

Funding

Korea Health Industry Development Institute HR18C0016National Research Foundation of Korea 2022R1F1A1060778
6 · The paper itself

Abstract

introductionVisual field defects (VFDs) represent a debilitating poststroke complication, characterized by unseen parts of the visual field. Visual perceptual learning (VPL), involving repetitive visual training in blind visual fields, may effectively restore visual field sensitivity in cortical blindness. This current multicenter, double-blind, randomized, controlled clinical trial investigated the efficacy and safety of VPL-based digital therapeutics (Nunap Vision [NV]) for treating poststroke VFDs.

methodsStroke outpatients with VFDs (>6 months after stroke onset) were randomized into NV (defective field training) or Nunap Vision-Control (NV-C, central field training) groups. Both interventions provided visual perceptual training, consisting of orientation, rotation, and depth discrimination, through a virtual reality head-mounted display device 5 days a week for 12 weeks. The two groups received VFD assessments using Humphrey visual field (HVF) tests at baseline and 12-week follow-up. The final analysis included those completed the study (NV, n = 40; NV-C, n = 35). Efficacy measures included improved visual area (sensitivity ≥6 dB) and changes in the HVF scores during the 12-week period.

resultsWith a high compliance rate, NV and NV-C training improved the visual areas in the defective hemifield (>72 degrees

conclusionsThe current trial suggests that VPL-based digital therapeutics may induce clinically meaningful visual improvements in patients with poststroke VFDs. Yet, between-group differences in therapeutic efficacy were not found as NV-C training exhibited unexpected improvement comparable to NV training, possibly due to learning transfer effects.

Indexed as

StrokeStroke RehabilitationVirtual RealityVisual FieldsVisual PerceptionAgedDouble-Blind MethodFemaleHumansLearningMaleMiddle AgedVision Disorderschronic strokedigital therapeuticsvisual field defectsvisual perceptual learning

Identifiers

PMID38773793
PMCPMC11109502

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.