Music Therapy In Adolescents With Cerebral Palsy

Cerebral Palsy Clinical Trial

Official title:

The Effect Of Music Therapy On Upper Extremity Functions In Adolescents With Cerebral Palsy

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT03778398
• Other study ID #: IMU FTR
• Status: Recruiting
• Phase: N/A
• Start date: June 20, 2018
• Est. completion date: March 20, 2020

Study information

• Verified date: December 2018
• Source: Istanbul Medeniyet University
• Contact: Bilinç Dogruöz Karatekin, MD
• Phone: +905368308709
• Email: bilincdogruoz[@]hotmail.com
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Purpose of the study;

• To improve the upper extremity motor functions of patients with adolescent cerebral palsy,

• Prevent treatment interruptions as age progresses,

• Increase the hand functions of children with cerebral palsy and to increase their living standards.

Hand functions will be assessed with MACS (Manual Ability Classification System), hand dynamometer, box-block test, 9 hole peg test, pressing velocity measured with Cubase MIDI (musical instrument data interface) program. Patients will receive 2 days of 40 minutes per week, total 3 months of customized piano training. Each session will be started with finger warming exercises, then with the right hand, left handed and with both hands, a simple pentatonic array will be played. In the following lessons, notes will be marked with colors and simple songs will be taught. At the end of 3 months, the tests will be repeated.

Description:

Cerebral palsy is the development, movement and posture disorder that causes the limitation of activity which is thought to be caused by non-progressive disorders in the fetal or infant brain. Intensive rehabilitation program begins in early childhood; However, adults with cerebral palsy are less likely to receive rehabilitative interventions. There is a great need for effective upper extremity rehabilitation studies that motivate the patient in CP (cerebral palsy) rehabilitation after childhood. Therapeutic Instrumental Music Performance (TIMP) is one of the three techniques of neurological music therapy techniques for motor rehabilitation. This technique uses instruments to strengthen functional motor patterns. There are very few studies on TIMP in individuals with cerebral palsy and these studies have not been performed on patients with adolescent cerebral palsy.

Purpose of the study;

• To improve the upper extremity motor functions of patients with adolescent cerebral palsy,

• Prevent treatment interruptions as age progresses,

• Increase the hand functions of children with cerebral palsy and to increase their living standards.

Inclusion Criteria:

• Being 11-18 years old

• To be diagnosed with cerebral palsy

• Not have been previously trained piano

• To have enough cognitive function to perform commands

• Accepted to participate in the study

Criteria for not being included in research:

• Having cognitive disorder

• Advanced visual impairment, visual field defect

• To be previously trained for piano

• Another disease preventing upper extremity movements

Hand functions will be assessed with MACS (Manual Ability Classification System), hand dynamometer, box-block test, 9 hole peg test, pressing velocity measured with Cubase MIDI (musical instrument data interface) program. Patients will receive 2 days of 40 minutes per week, total 3 months of customized piano training. Each session will be started with finger warming exercises, then with the right hand, left handed and with both hands, a simple pentatonic array will be played. In the following lessons, notes will be marked with colors and simple songs will be taught. At the end of 3 months, the tests will be repeated.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 12
• Est. completion date: March 20, 2020
• Est. primary completion date: February 1, 2020
• Accepts healthy volunteers: No
• Gender: All
• Age group: 11 Years to 18 Years

Eligibility

Inclusion Criteria:

• Being 11-18 years old

• To be diagnosed with cerebral palsy

• Not have been previously trained piano

• To have enough cognitive function to perform commands

• Accepted to participate in the study

Exclusion Criteria:

• Having cognitive disorder

• Advanced visual impairment, visual field defect

• To be previously trained for piano

• Another disease preventing upper extremity movements

Related Conditions & MeSH terms

• Cerebral Palsy
• Paralysis

Intervention

Other:
• Neurologic music therapy
Customized piano training

Locations

Country	Name	City	State
Turkey	Istanbul Medeniyet University Faculty of Medicine, Physical Therapy and Rehabilitation Department	Istanbul

Sponsors (1)

Lead Sponsor	Collaborator
Istanbul Medeniyet University

Country where clinical trial is conducted

Turkey, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Improved hand function	Improvement on MACS (Manual Ability Classification System)	3 months
Primary	Improved hand strength	Improvement on hand dynamometer and pressing velocities measured by Cubase MIDI (musical instrument data interface) program	3 months
Primary	Improved fine motor skills	Improvement on box-block test	3 months
Primary	Improved fine motor skills	Improvement on 9 hole peg test	3 months
Secondary	Improved hand coordination	observational, development of the ability to play the piano with two hands	3 months