Music Therapy In Adolescents With Cerebral Palsy
- Conditions
- Cerebral Palsy
- Interventions
- Other: Neurologic music therapy
- Registration Number
- NCT03778398
- Lead Sponsor
- 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.
- 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.
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- All
- Target Recruitment
- 12
- 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
- Having cognitive disorder
- Advanced visual impairment, visual field defect
- To be previously trained for piano
- Another disease preventing upper extremity movements
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description Neurologic music therapy 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.
- Primary Outcome Measures
Name Time Method Improved fine motor skills 3 months Improvement on 9 hole peg test
Improved hand strength 3 months Improvement on hand dynamometer and pressing velocities measured by Cubase MIDI (musical instrument data interface) program
Improved hand function 3 months Improvement on MACS (Manual Ability Classification System)
- Secondary Outcome Measures
Name Time Method Improved hand coordination 3 months observational, development of the ability to play the piano with two hands
Trial Locations
- Locations (1)
Istanbul Medeniyet University Faculty of Medicine, Physical Therapy and Rehabilitation Department
🇹🇷Istanbul, Turkey