Ignite Creation Date:
2024-10-26 @ 3:41 PM
Last Modification Date:
2024-10-26 @ 3:41 PM
Study NCT ID:
NCT06621771
Status:
NOT_YET_RECRUITING
Last Update Posted:
None
First Post:
2024-09-25
Brief Title:
Playing Piano to Improve Hand Function Early After Stroke
Sponsor:
None
Organization:
None
Study Overview
Official Title:
A Piano Training Program to Improve Manual Dexterity and Upper Extremity Function in Subacute Stroke Survivors
Status:
NOT_YET_RECRUITING
Status Verified Date:
2024-10
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
No
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
The goal of this clinical trial is to study the feasibility of a 6-week piano playing training intervention in a subacute stroke population More specifically the investigators aim to 1 implement and test the feasibility of the intervention in the subacute stroke rehabilitation program and 2 explore the acceptability of the supervised training sessions and home practice sessions Researchers will also 3 estimate and contrast the effects of the piano training intervention as compared to conventional therapy on manual dexterity coordination functional use of the upper extremity attention and mood
Therapy specifically provided as part of this project will be delivered above and beyond usual therapy time in both intervention groups Participants of the piano group will
Engage in a step-by-step musical training consisting of two supervised individual 45-min sessions per week for 6 consecutive weeks for a total of 12 sessions
The supervised session will also be complemented with a biweekly home program 15 minutes consisting of piano exercises
Participants in the conventional group will
Engage in two individual 45-min sessions per week for 6 consecutive weeks consisting in conventional occupational therapy treatment
They will also receive a biweekly home program consisting in occupational therapy exercises 15 minutes
Therapy specifically provided as part of this project will be delivered above and beyond usual therapy time in both intervention groups Participants of the piano group will
Engage in a step-by-step musical training consisting of two supervised individual 45-min sessions per week for 6 consecutive weeks for a total of 12 sessions
The supervised session will also be complemented with a biweekly home program 15 minutes consisting of piano exercises
Participants in the conventional group will
Engage in two individual 45-min sessions per week for 6 consecutive weeks consisting in conventional occupational therapy treatment
They will also receive a biweekly home program consisting in occupational therapy exercises 15 minutes
Detailed Description:
Piano Training Musical pieces are designed to involve all 5 digits of the paretic hand Whether played with the right or left hand they involve the same number of finger repetitions as well as similar finger sequences and melodic patterns A Musical Instrument Digital Interface MIDI piano program called Synthesia will be used to display musical pieces on a computer screen that is adapted for people with no music reading abilities Participants will be cued to press a sequence of key presses required to produce a melody by a visual display showing a blue dot falling from the upper part of the screen down to indicate the correct key on a virtual keyboard After each cue the program will pause until the participant pressed the correct key before moving on During the supervised training sessions participants will play on a touch sensitive piano keyboard A computer will record the responses from the piano keyboard and provided a final score indicating the number of errors and total duration for each musical piece A professional therapist will be present during these supervised sessions and will provide verbal feedback on the quality of movement and discouraged compensatory strategies Nine musical pieces will be introduced to the participants in an order of increasing difficulty level 1 involving movements of consecutive fingers eg1-2-3-4-5 level 2 involving third fourth and fifth intervals or movements of non-consecutive fingers eg 1-3-5-1-4 and level 3 involving chords that is 2 fingers played at the same time Within each level 3 musical pieces involving an increasing number of key presses and changes in melodic direction will be introduced The speed of execution or tempo will also increase within each musical piece
Conventional Intervention Conventional sessions will consist of usual occupational therapy treatment eg mobility ADL IALD information session excluding treatments focusing specifically on arm and hand motor recovery The nature therapy provided as part of the conventional intervention will be carefully documents in the chart
Home Practice All participants in the piano group will receive an unsupervised home program consisting of piano sequence exercises comprising short excerpts of the same musical pieces practiced during the supervised sessions and they will receive a roll-up flexible piano Participants in the conventional group will receive assignments related to occupational therapy exercises andor IALDADLs All participants will report on their practice duration and content in a logbook after each practice session
Conventional Intervention Conventional sessions will consist of usual occupational therapy treatment eg mobility ADL IALD information session excluding treatments focusing specifically on arm and hand motor recovery The nature therapy provided as part of the conventional intervention will be carefully documents in the chart
Home Practice All participants in the piano group will receive an unsupervised home program consisting of piano sequence exercises comprising short excerpts of the same musical pieces practiced during the supervised sessions and they will receive a roll-up flexible piano Participants in the conventional group will receive assignments related to occupational therapy exercises andor IALDADLs All participants will report on their practice duration and content in a logbook after each practice session
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None