Creative Therapy to Affect Stroke Outcomes

Mahidol University

Status and phase: Unknown; Phase 4

Conditions: Stroke

Treatments: Other: Creative therapy (art and music therapy); Other: Physical therapy

Study type: Interventional

Funder types: Other

Identifiers

NCT01455155

Si290/2011

Details and patient eligibility

About

Stroke is one of the common diseases in the elderly. It is the third ranking cause of death and affects health care system in our country. The focal brain lesions encountered in patients with stroke can result in impairments in motor function, language, cognition, sensory processing, cognition and emotional disturbances. All of these conditions affect performance of functional activities. The abrupt change in the life situation of the stroke survivor impacts all phases of care. This may reduce a patient's quality of life.

Many innovative therapy techniques have been developed to help the restoration of lost functions and to aid in prevention and treatment of depression. Music and art therapy has been used in rehabilitation settings to stimulate brain functions involved in movement, cognition, speech, emotions, and sensory perceptions. However many research studies on the use of music and art therapy in rehabilitation of acquired brain injury have suffered from small sample size, making it difficult to achieve statistically significant results. In addition, differences in factors such as study designs, methods of interventions, and intensity of treatment have led to varying results.

Full description

Our study focuses on the use of creative therapy with a patient diagnosed with stroke. Creative therapy refers to a group of techniques include art therapy, writing, movement therapy, role play, and music therapy that are expressive and creative in nature. The aim of creative therapies is to help patients find a form of expression beyond words or traditional therapy, such as cognitive or psychotherapy. These therapies use arts modalities and creative processes during intentional intervention in therapeutic, rehabilitative, community, or educational settings to foster health, communication, and expression.

Enrollment: 204 estimated patients

Sex: All

Ages: 50 to 85 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Stroke patients
• Duration of stroke >=1 month
• Age >=50 years
• Ability to follow command and communicable

Exclusion criteria

• Unstable medical conditions, including fever, uncontrolled hypertension
• Serious contact diseases, for example AIDS, TB
• Severe dementia or uncontrolled psychiatric problems

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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204 participants in 2 patient groups

Creative therapy

Experimental group

Description:

Conventional physical therapy program (5 times/week) plus creative therapy (Art and Music) 2 times/week for 4 weeks

Treatment:

Other: Creative therapy (art and music therapy)

Control

Active Comparator group

Description:

Conventional physical therapy (5 times/week) for 4 weeks

Treatment:

Other: Physical therapy