Child Clinical Trial
Official title:
Effectiveness of Musical Training in the Improvement of the Neurocognitive Function and Psychological Well-being of Children Surviving Brain Tumours
This study aims to examine the effects of musical training on improving the neurocognitive function and psychological well-being of children surviving brain tumours. Half of the participants will receive weekly 45-minute lessons on musical training for one year (52 weeks) while the other half are the placebo controls.
Children surviving brain tumours have the highest risk of suffering neurocognitive late
effects, such as impairment of intellectual development and deficits in attention and
concentration, working memory, processing speed and executive function. Such effects severely
affect their levels of academic achievement, psychosocial function and quality of life.
Musical training is considered to have potential for treating neurocognitive
impairment,mostly because the extensive brain networks engaged in musical training can induce
substantial neuroplasticity changes in cortical and subcortical regions of motor, auditory
and speech processing networks. A review of musical training for neuro-rehabilitation
revealed that it can enhance motor recovery and neuroplasticity after stroke and improve
motor deficits observed in Parkinson's disease. A growing body of evidence points to the
beneficial effects of musical training on the cognitive development of children. The results
of a longitudinal study on the effects of musical training on children's brain and cognitive
development demonstrated that such training results in long-term enhancement of
visualspatial, verbal and mathematical performance. Moreover, engaging in musical practice in
childhood predicts academic performance and IQ at the university level. Thus, there appears
to be some support for the effects of music lessons on intellectual development.
Nevertheless, although musical training is popular and is considered to be a beneficial
intervention in the treatment of neurocognitive impairment, longitudinal studies that examine
the efficacy of music-making in clinical settings are limited. Importantly, there is to date
no study that examines the effects of musical training on induction of neuroplasticity in
childhood cancer survivors with neurocognitive impairment. There is an imperative need for
rigorous empirical scrutiny of the ability of musical training, in particular, to achieve
neuroplasticity and thus promote the cognitive function and psychological well-being of
children surviving brain tumours.
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