Dynamic Auditory Cueing for Spatial Neglect in Stroke

Spatial neglect is a common condition after stroke and can make it difficult for people to pay attention to one side of space. This problem can negatively affect daily activities and functional independence. This study aims to evaluate whether dynamic auditory cueing for spatial neglect (DAC-SN) can improve spatial neglect in people with stroke. Participants are randomly assigned to one of two groups. One group receives conventional rehabilitation, while the other group receives conventional rehabilitation combined with dynamic auditory cueing. Dynamic auditory cueing uses moving sounds to guide attention toward the affected side. The intervention is applied for about ten minutes per day, five days a week, for four weeks. Spatial neglect and functional outcomes are assessed using standardized clinical tests and scales at baseline and at predefined time points during and after the intervention. The results of this study may provide evidence for the use of auditory-based approaches in the rehabilitation of spatial neglect after stroke.

Inclusion Criteria: * Adults aged 18 years or older * Subacute or chronic stroke * Clinical diagnosis of left-sided spatial neglect confirmed by standardized tests (e.g., Line Bisection Test (LBT), Star Cancellation Test (SCT)) * Normal or corrected visual acuity * Absence of auditory extinction * Ability to understand and comply with study procedures * Provision of written informed consent Exclusion Criteria: * Hearing impairment (Hearing Handicap Inventory score ≥26) * Presence of hemianopia * Impaired visual acuity due to ocular pathology (e.g., cataract, glaucoma) * History of neurological disease (e.g., dementia, Parkinson's disease) * Structural brain lesions unrelated to stroke * Inability to participate in rehabilitation sessions or assessments