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Music Therapy In Adolescents With Cerebral Palsy

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ClinicalTrials.gov Identifier: NCT03778398
Recruitment Status : Unknown
Verified December 2018 by Bilinç Doğruöz Karatekin, Istanbul Medeniyet University.
Recruitment status was:  Recruiting
First Posted : December 19, 2018
Last Update Posted : December 19, 2018
Sponsor:
Information provided by (Responsible Party):
Bilinç Doğruöz Karatekin, Istanbul Medeniyet University

Brief 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.


Condition or disease Intervention/treatment Phase
Cerebral Palsy Other: Neurologic music therapy Not Applicable

Detailed 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.

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 12 participants
Allocation: N/A
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: The Effect Of Music Therapy On Upper Extremity Functions In Adolescents With Cerebral Palsy
Actual Study Start Date : June 20, 2018
Estimated Primary Completion Date : February 1, 2020
Estimated Study Completion Date : March 20, 2020

Resource links provided by the National Library of Medicine


Arm Intervention/treatment
Experimental: Neurologic music therapy
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.
Other: Neurologic music therapy
Customized piano training




Primary Outcome Measures :
  1. Improved hand function [ Time Frame: 3 months ]
    Improvement on MACS (Manual Ability Classification System)

  2. Improved hand strength [ Time Frame: 3 months ]
    Improvement on hand dynamometer and pressing velocities measured by Cubase MIDI (musical instrument data interface) program

  3. Improved fine motor skills [ Time Frame: 3 months ]
    Improvement on box-block test

  4. Improved fine motor skills [ Time Frame: 3 months ]
    Improvement on 9 hole peg test


Secondary Outcome Measures :
  1. Improved hand coordination [ Time Frame: 3 months ]
    observational, development of the ability to play the piano with two hands



Information from the National Library of Medicine

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Ages Eligible for Study:   11 Years to 18 Years   (Child, Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

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

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03778398


Contacts
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Contact: Bilinç Doğruöz Karatekin, MD +905368308709 bilincdogruoz@hotmail.com

Locations
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Turkey
Istanbul Medeniyet University Faculty of Medicine, Physical Therapy and Rehabilitation Department Recruiting
Istanbul, Turkey, 34732
Contact: Bilinç Doğruöz Karatekin    +905368308709    bilincdogruoz@hotmail.com   
Principal Investigator: Bilinç Doğruöz Karatekin, MD         
Sub-Investigator: Afitap İçağasıoğlu, MD, Prof         
Sponsors and Collaborators
Istanbul Medeniyet University
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Responsible Party: Bilinç Doğruöz Karatekin, MD, Research Assistant of PMR, Istanbul Medeniyet University
ClinicalTrials.gov Identifier: NCT03778398    
Other Study ID Numbers: IMU FTR
First Posted: December 19, 2018    Key Record Dates
Last Update Posted: December 19, 2018
Last Verified: December 2018
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by Bilinç Doğruöz Karatekin, Istanbul Medeniyet University:
music therapy
cerebral palsy
piano training
Additional relevant MeSH terms:
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Paralysis
Cerebral Palsy
Neurologic Manifestations
Nervous System Diseases
Brain Damage, Chronic
Brain Diseases
Central Nervous System Diseases