Music Therapy In Adolescents With Cerebral Palsy

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

Study Description

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.

Study Design

• 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

Arms and Interventions

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

Outcome Measures

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

Eligibility Criteria

• 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

Contacts and Locations

Contacts

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

Locations

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

More Information

• 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
• Last Update Posted: December 19, 2018
• Last Verified: December 2018

Individual Participant Data (IPD) Sharing Statement:

• Plan to Share IPD: No

• 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:

Paralysis; Cerebral Palsy; Neurologic Manifestations; Nervous System Diseases; Brain Damage, Chronic; Brain Diseases; Central Nervous System Diseases