Health TrialsbyHealthPanel

Intensive Music Therapy on Cognitive Function in Subacute Stroke Rehabilitation in Malaysia

ConditionsRehabilitationCognitionStrokeAttention
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-75
SponsorUniversity of Malaya

About this trial

The purpose of this study is to explore whether intensive music therapy can help improve cognitive functions like memory, attention, and decision-making skills in stroke patients who are undergoing rehabilitation.

This is a feasibility study, meaning it's also designed to see how practical it is to include music therapy as part of stroke rehabilitation. The investigators want to learn how well patients can participate in and stick with this type of therapy, and whether it fits well with other treatments that stroke patients usually receive. By understanding this, the investigators can assess the resources, staff training, and planning needed for music therapy to be part of stroke recovery in the future.

The study will also help the investigators estimate the effects of music therapy, which will be used to design a larger, more detailed study in the future.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Diagnosed with ischemic or haemorrhagic stroke confirmed by CT scan

Duration of stroke within the first 3 months

Aged 18 - 75 years old

Ability to provide informed consent

Disqualifiers

Severe aphasia

Significant uncorrected hearing or visual impairments preventing engagement in music therapy.

Severe or unstable medical conditions (e.g., uncontrolled hypertension or diabetes).

Medications that significantly impair cognition or motor function (e.g., high dose sedatives).

Trial design

Design model

Parallel

Treatments tested in this trial

  • Music Therapy

    Other intervention

    The music therapy session described follows a structured and engaging approach, aimed at enhancing the patient's cognitive skills during neurorehabilitation. Here's a summary of the session components: Relaxation Phase, Song Selection, Instrument Selection and Familiarization, Rhythmic Training, Progression and Adjustment, Session Frequency and Customization. This individualized approach aims to enhance patient engagement and recovery by integrating music, rhythm, and therapeutic interaction into the neurorehabilitation process.

  • Standard Care (in control arm)

    Other intervention

    In the control group, participants will receive the standard neurorehabilitation program prescribed by the rehabilitation team, without the addition of music therapy. This will provide a baseline to compare outcomes with the intervention group and evaluate the feasibility and preliminary effects of the music therapy intervention. The usual cognitive rehabilitation program during the subacute stroke period focuses on restoring cognitive abilities such as attention, memory, executive functions, and communication. The control group's daily rehabilitation sessions will last for 45 minutes, mirroring the music therapy group's session duration, ensuring a fair comparison of outcomes across both groups. This comparison will help assess the unique contributions of music therapy on cognitive functions like attention, memory, and executive functions in stroke patients.

Treatment groups

36 Participants
are divided into 2 treatment groups
Group A: Standard Care groupActive comparator 1 intervention
Group B: Music Therapy GroupExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Montreal Cognitive Assessment (MoCA)

is noteworthy for being greater sensitivity than the other test and can detect more mild deficits

Time frame
This will be assessed at baseline, after completion of 8 sessions, an average of 2 weeks and also at 1 month after completion.
2

Trail Making Test (TMT)

is easy to understand, and has a short administration which assesses visuoperceptual tracking, processing speed, divided attention, and cognitive flexibility.

Time frame
This will be assessed at baseline, after completion of 8 sessions, an average of 2 weeks and also at 1 month after completion.
3

Digit Span (Forward and Backward)

is easy to implement, requires minimal training needs, and measures selective attention and cognitive interference

Time frame
This will be assessed at baseline, after completion of 8 sessions, an average of 2 weeks and also at 1 month after completion.
4

Clock Drawing Test (CDT)

is a screening test for cognitive dysfunction secondary to dementia, delirium, or a range of neurological and psychiatric illnesses

Time frame
This will be assessed at baseline, after completion of 8 sessions, an average of 2 weeks and also at 1 month after completion.

Secondary outcomes

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

University of Malaya

Lead sponsor

Source ClinicalTrials.gov

This trial is not recruiting at the moment. You can still explore other options: