30 Participants Needed

Piano Training for Stroke

AL
MV
Overseen ByMyriam Villeneuve, Mec
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: McGill University
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores whether Music-Supported Therapy (MST), specifically playing the piano, can improve hand and arm function, coordination, and mood in individuals who recently experienced a stroke. Participants in the piano group will receive personalized piano lessons twice a week and practice at home, while the other group will undergo regular therapy sessions. The aim is to determine if piano training serves as a practical and enjoyable alternative to standard therapies. Individuals who have experienced their first stroke within the last six months and can move their arms and fingers may be suitable candidates. No prior piano experience is required for the piano group. As an unphased trial, this study provides a unique opportunity to explore innovative therapy options that could enhance recovery and quality of life.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications. It seems focused on piano training and therapy, so it's best to ask the trial organizers for more details.

What prior data suggests that this piano training intervention is safe for stroke patients?

Research has shown that music-supported therapy, such as playing the piano, is safe for people recovering from a stroke. Studies have found that this therapy can improve movement, mood, and overall quality of life. Importantly, no major reports of negative effects have emerged from these music-related therapies. This suggests that joining a piano training program is likely safe and well-tolerated for individuals in stroke rehabilitation.12345

Why are researchers excited about this trial?

Researchers are excited about using piano training for stroke recovery because it offers a unique, engaging approach to rehabilitation. Unlike conventional occupational therapy, which often involves repetitive physical tasks, piano training combines cognitive and motor skills by requiring participants to read music and coordinate their hands. This dual-action approach could potentially enhance brain plasticity and improve motor recovery more effectively. Plus, the enjoyable nature of music-making might boost patient motivation and adherence to therapy, offering a refreshing alternative to traditional methods.

What evidence suggests that piano training might be an effective treatment for stroke?

Research shows that music therapy can aid stroke recovery. In this trial, participants in the Piano group will engage in piano training, which studies have found improves hand movement and motor skills in stroke patients. Music therapy also supports overall recovery, increases motivation, and assists with daily tasks. Evidence suggests that music-supported therapy could effectively enhance hand function. These findings indicate that piano training may improve coordination and dexterity for those recovering from a stroke.56789

Who Is on the Research Team?

AL

Anouk Lamontagne, PhD

Principal Investigator

McGill University

Are You a Good Fit for This Trial?

This trial is for individuals in the early stages of recovery from a stroke. It's designed to see if playing piano can help improve hand function more than regular therapy. Participants should be able to attend two 45-minute sessions per week and do additional exercises at home.

Inclusion Criteria

Have no professional piano experience (only for the piano group)
My vision and hearing are normal or corrected to normal.
I can follow simple instructions.
See 2 more

Exclusion Criteria

I have vision problems, neglect one side of my body or space, and have significant memory or thinking issues.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants engage in a 6-week piano playing training intervention or conventional occupational therapy, with supervised and home practice sessions

6 weeks
12 supervised sessions (in-person), biweekly home practice

Follow-up

Participants are monitored for changes in manual dexterity, coordination, and mood after the intervention

6 weeks
Follow-up assessments at week 12

What Are the Treatments Tested in This Trial?

Interventions

  • Playing Piano
Trial Overview Researchers are testing whether a special program of piano playing helps with hand movement, coordination, attention, and mood after a stroke better than standard occupational therapy does. Both groups will also have extra practice at home.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Active Control
Group I: Piano groupExperimental Treatment1 Intervention
Group II: Conventional groupActive Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

McGill University

Lead Sponsor

Trials
421
Recruited
1,017,000+

Jewish Rehabilitation Hospital

Collaborator

Trials
7
Recruited
810+

Published Research Related to This Trial

A pilot study involving three chronic stroke survivors demonstrated that a 3-week piano training program significantly improved their manual dexterity and upper extremity function, as measured by various tests.
The improvements in fine and gross motor skills were maintained even three weeks after the intervention, suggesting that music-supported therapy could be a feasible and effective rehabilitation approach for chronic stroke patients.
Playing piano can improve upper extremity function after stroke: case studies.Villeneuve, M., Lamontagne, A.[2021]
Music-Supported Therapy (MST) significantly improved movement quality in a patient with chronic stroke after 20 sessions over 4 weeks, as shown by 3D movement analysis.
Neuroimaging techniques revealed that MST led to beneficial changes in brain activity and cortical excitability, indicating that it promotes neural reorganization in the sensorimotor cortex, which is crucial for recovery.
Music-supported therapy induces plasticity in the sensorimotor cortex in chronic stroke: a single-case study using multimodal imaging (fMRI-TMS).Rojo, N., Amengual, J., Juncadella, M., et al.[2016]
Therapeutic keyboard music playing significantly improved finger function in subjects, as evidenced by better scores in joint position error tests, faster probe reaction times, and reduced writing times, compared to grip training.
The study involved 10 subjects divided into experimental and control groups, and while surface electromyography showed no significant changes, the other measures indicated that therapeutic music can be an effective treatment for enhancing hand function.
The immediate effects of therapeutic keyboard music playing for finger training in adults undergoing hand rehabilitation.Zhang, X., Liu, S., Yang, D., et al.[2020]

Citations

Potential Benefits of Music Therapy on Stroke RehabilitationOverall, studies have demonstrated that music therapy in rehabilitation of stroke can help improve dysphagia, enhance the effect of limb motor exercise training ...
Music therapy with adults in the subacute phase after strokeMusic-based interventions have been used successfully in the treatment of impairments after stroke and have been shown to improve various functions, such as ...
Impact of Accompaniment Music in App-Assisted ...Music-based therapy has been shown to enhance motivation and support holistic stroke recovery. Integrating music into technology-assisted home ...
Playing Piano to Improve Hand Function Early After StrokeThe goal of this clinical trial is to study the feasibility of a 6-week piano playing training intervention in a subacute stroke population.
The Effectiveness of Music Therapy on Hand Function in ...Based on the results, music-supported therapy could be a useful treatment for improving hand function and activities of daily living in patients with stroke.
Effectiveness and safety of music-supported therapy on ...This study will provide a basis for judging whether Music-supported therapy is effective in treating mood in post-stroke rehabilitation Patients.
Effectiveness and safety of music-supported therapy on ...This study will provide a basis for judging whether Music-supported therapy is effective in treating mood in post-stroke rehabilitation Patients.
Enriched Music-supported Therapy for chronic stroke patientsMusic-Supported Therapy (MST) is an effective intervention to enhance motor and cognitive function, emotional well-being and quality of life in chronic stroke ...
Improvement in Stroke-induced Motor Dysfunction by ...Music-supported therapy has been shown to be effective in post-stroke rehabilitation of motor function in some clinical trials14,15,16,17,18 ...
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