Efficacy of Music-Based Telerehabilitation After Stroke

Teppo Sarkamo

Status: Enrolling

Conditions: Stroke

Treatments: Behavioral: Music-based telerehabilitation

Study type: Interventional

Funder types: Other

Identifiers

NCT06804304

HUS/5459/2024

Details and patient eligibility

About

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).

Enrollment: 100 estimated patients

Sex: All

Ages: 30 to 80 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Left or right hemisphere stroke which has occurred 3-12 months ago
• At least mild cognitive deficit and mild aphasia / upper-extremity hemiparesis caused by the stroke
• Age 30-80 years
• Right-handed
• 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)

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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100 participants in 2 patient groups

Music intervention plus standard care

Experimental group

Description:

Participation in a music-based telerehabilitation program (10 weeks, 5 days/week, 60 min/day) in addition to standard care for post-stroke deficits provided in public health care (physical therapy, occupational therapy, speech therapy, and/or neuropsychological rehabilitation).

Treatment:

Behavioral: Music-based telerehabilitation

Standard care only

No Intervention group

Description:

Standard care for post-stroke deficits provided in public health care (physical therapy, occupational therapy, speech therapy, and/or neuropsychological rehabilitation). No additional intervention is provided.