About this trial
The goal of this clinical trial is to evaluate the efficacy of a musical interventionand non-invasive brain stimulation in neurological patients. The main questions it aims to answer are:
* to evaluate the residual neuroplastic processes in DOC state related to music exposure * to determine the putative modulation of the aforementioned processes and the clinical outcome of DOC patients by non-pharmacological strategies, i.e., electric (tDCS) and music stimulation * to evaluate the impact of this intervention on caregiver's burden and psychological distress.
Participants will be randomly assigned to one of three different music-listening intervention groups. Primary outcomes will be clinical, that is based on the neurologist's observations of clinical improvement, and neurophysiological, collected pre-intervention, post-intervention and post-placebo.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age > 18 years
Post-stroke aphasia
Post-stroke neglect
Patients with disorders of consciusness (DOC)
Disqualifiers
No auditory injury
no hystory of neurological disease
No hystory of psychiatric disease
Previous stroke
Trial design
Parallel
Treatments tested in this trial
Combinatory effect of music stimulation and neurostimulation
Other interventionmusic
Treatment groups
Trial outcomes
Primary outcomes
Neuropsychological outcomes
-Coma Recovery Scale-Revised (CRS-R) - (0-23). High score means a better outcome.
Neuropsychological outcomes
Disability Rating Scale (DRS) - (0-29). High score means a worse outcome.
Neuropsychological outcomes
Rancho Levels of Cognitive Functioning (LCF) - (1-8). High score means a better outcome.
Neuropsychological outcomes
Glasgow Outcome Scale- Extended (GOS-E) - (1-8). High score means a better outcome.
Secondary outcomes
Caregiver psychological distress
Back depression Inventory II (BDI II) - (0-63). High score means a worse outcome.
Caregiver psychological distress
State-trait anxiety inventory (STAI-Y). It is composed by two scales: STAI-Y State (20-80) and STAI-Y Trait (20-80). High score means a worse outcome.
Caregiver psychological distress
Psychophysiological Questionnaire (30-120). WHOQOL-BREF.
Caregiver psychological distress
Prolonged grief disorder -12 (PG-12) - (11-55). High score means a worse outcome.
Sponsors and contacts
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Istituti Clinici Scientifici Maugeri SpA
Lead sponsor
University of Bari Aldo Moro
Collaborator
University of Aarhus
Collaborator