Efficacy of Music-Based Telerehabilitation After Stroke
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Music-based telerehabilitation.
- Who it may be relevant to
- Registry conditions: Stroke. Basic parameters: 30 years — 80 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Finland
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Overview
The goal of this clinical trial is to learn if a music-based telerehabilitation intervention implemented at home works to treat different kinds of neurological deficits caused by stroke. The main questions it aims to answer are: 1) Can the music intervention improve recovery of cognitive, verbal, motor, and emotional deficits after stroke, 2) can the music intervention enhance structural and functional recovery of the brain, and (3) how different demographic, musical, and clinical background factors affect the way the music intervention works. Researchers will compare the music intervention to standard (usual) care to see if the music intervention works to treat the deficits caused by stroke. Subjects are stroke patients who will participate either in the music intervention 5 times/week for 10 weeks in addition to standard care or receive standard care only. During the trial, the subjects will undergo neuropsychological testing and magnetic resonance imaging (MRI) three times: at baseline (before the intervention), at 3-month stage (immediately after the intervention), and at 6-month stage (3 months after the intervention).
Interventions
- Behavioral Music-based telerehabilitation
The music-based telerehabilitation program is a 10-week multicomponent intervention which includes (1) rhythm-based training of motor and cognitive (attention, working memory, executive function) functions, (2) singing-based training of speech production (using singing and melodic intonation therapy training), (3) playing-based training of upper-extremity motor functions (using instrumental training with a xylophone), and (4) music listening for enhancement of mood, attention, and memory. Traini
Primary outcome measures
- Change in the cognitive functioning summary score from baseline to 3-month stage [Time frame: Baseline and 3-month stage]
- Change in the speech production summary score from baseline to 3-month stage [Time frame: Baseline and 3-month stage]
- Change in the upper-extremity motor function summary score from baseline to 3-month stage [Time frame: Baseline and 3-month stage]
- Change in the mood and quality of life summary score from baseline to 3-month stage [Time frame: Baseline and 3-month stage]
Secondary outcome measures (12)
- Change in the cognitive functioning summary score from baseline to 6-month stage [Time frame: Baseline and 6-month stage]
- Change in the speech production summary score from baseline to 6-month stage [Time frame: Baseline and 6-month stage]
- Change in the upper-extremity motor function summary score from baseline to 6-month stage [Time frame: Baseline and 6-month stage]
- Change in the mood and quality of life summary score from baseline to 6-month stage [Time frame: Baseline and 6-month stage]
- Change in the attention summary score from baseline to 3-month and 6-month stages [Time frame: Baseline, 3-month stage, and 6-month stage]
- Change in the executive function summary score from baseline to 3-month and 6-month stages [Time frame: Baseline, 3-month stage, and 6-month stage]
- Change in the working memory summary score from baseline to 3-month and 6-month stages [Time frame: Baseline, 3-month stage, and 6-month stage]
- Change in the MoCA total score from baseline to 3-month and 6-month stages [Time frame: Baseline, 3-month stage, and 6-month stage]
- Change in the MoCA Verbal Fluency subtest score from baseline to 3-month and 6-month stages [Time frame: Baseline, 3-month stage, and 6-month stage]
- Change in the SART correct responses from baseline to 3-month and 6-month stages [Time frame: Baseline, 3-month stage, and 6-month stage]
- Change in the SART reaction times from baseline to 3-month and 6-month stages [Time frame: Baseline, 3-month stage, and 6-month stage]
- Change in the FAT Reaction Time subtest reaction times from baseline to 3-month and 6-month stages [Time frame: Baseline, 3-month stage, and 6-month stage]
Eligibility criteria
Inclusion criteria
- Left or right hemisphere stroke which has occurred at least 3 months ago
- At least mild cognitive deficit and mild aphasia / upper-extremity hemiparesis caused by the stroke
- Age 30-80 years
- Finnish-speaking (or bilingual, able to participate in Finnish)
- Understands the purpose of the study and is able to give informed consent
Exclusion criteria
- Prior significant hearing or visual impairment
- Prior severe psychiatric illness (e.g., schizopheria, bipolar disorder, severe unipolar depression)
- Prior severe neurological illness (e.g., brain injury, dementia; can have prior TIA or mild stroke)
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Single blind
- Primary purpose
- Treatment
Study locations
Finland · 1 center
- University of Helsinki / Faculty of Medicine / Department of Psychology — Helsinki
Identifiers
NCT: NCT06804304 · HUS/5459/2024