Music Therapy In Adolescents With Cerebral Palsy

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

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 Overview

• Status: Unknown
• Conditions: Cerebral Palsy
• Intervention / Treatment: Other: Neurologic music therapy

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 Type: Interventional
• Enrollment (Anticipated): 12
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Turkey
  • Istanbul, Turkey, 34732
    • Recruiting
    • Istanbul Medeniyet University Faculty of Medicine, Physical Therapy and Rehabilitation Department

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 7 years to 14 years (Child, Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

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

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: N/A
• Interventional Model: Single Group Assignment
• Masking: None (Open Label)

Number of Arms

1

Arms and Interventions

Participant Group / 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

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Improved hand function	Improvement on MACS (Manual Ability Classification System)	3 months
Improved hand strength	Improvement on hand dynamometer and pressing velocities measured by Cubase MIDI (musical instrument data interface) program	3 months
Improved fine motor skills	Improvement on box-block test	3 months
Improved fine motor skills	Improvement on 9 hole peg test	3 months

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Improved hand coordination	observational, development of the ability to play the piano with two hands	3 months

Collaborators and Investigators

• Sponsor: Istanbul Medeniyet University

Study record dates

Study Major Dates

• Study Start (Actual): June 20, 2018
• Primary Completion (Anticipated): February 1, 2020
• Study Completion (Anticipated): March 20, 2020

Study Registration Dates

• First Submitted: December 2, 2018
• First Submitted That Met QC Criteria: December 14, 2018
• First Posted (Actual): December 19, 2018

Study Record Updates

• Last Update Posted (Actual): December 19, 2018
• Last Update Submitted That Met QC Criteria: December 14, 2018
• Last Verified: December 1, 2018

More Information

Terms related to this study

• Keywords: music therapy; cerebral palsy; piano training
• Additional Relevant MeSH Terms: Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Neurologic Manifestations; Brain Damage, Chronic; Cerebral Palsy; Paralysis
• Other Study ID Numbers: IMU FTR

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: No

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No