对中风后处于亚急性阶段的成人进行音乐治疗:研究方案

IF 1.4 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Contemporary Clinical Trials Communications Pub Date : 2024-07-25 DOI:10.1016/j.conctc.2024.101340
Theo Dimitriadis , Mohammed A. Mudarris , Dieuwke S. Veldhuijzen , Andrea W.M. Evers , Wendy L. Magee , Rebecca S. Schaefer
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引用次数: 0

摘要

中风是一种高度致残的疾病,音乐疗法经常被用于康复治疗。音乐疗法产生效果的一个可能机制是音乐的激励作用,例如在改善情绪的基础上坚持治疗。本研究将调查中风后亚急性阶段康复过程中与神经音乐治疗(NMT)技术相关的动机变化。研究将采用随机受试者内交叉设计,调查两种 NMT 技术和相关动机指数的效果。数据将在三个时间点收集:基线(TP1)、随机分组并接受 NMT 或标准护理后(TP2),以及交叉后的第三个时间点(TP3)。这种设计可以抵消顺序效应、自发和/或非线性恢复导致的时间效应,以及在相对异质的样本中进行的单个受试者比较。研究将包括 20 名经历过脑室上缺血性或出血性中风、上肢功能障碍和/或认知障碍的成年参与者。将收集有关运动功能、认知和生活质量的行为测量指标,以及总体动机的自我报告指标。研究结果将有助于了解音乐疗法在中风康复中的潜在机制,特别是动机状态在神经康复中的相关性。
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Music therapy with adults in the subacute phase after stroke: A study protocol

Stroke is a highly disabling condition, for which music therapy is regularly used in rehabilitation. One possible mechanism for the effects of music therapy is the motivational aspect of music, for example regarding treatment adherence based on improved mood. In this study, changes in motivation related to Neurologic Music Therapy (NMT) techniques during rehabilitation in the subacute phase after stroke will be investigated. Using a randomised within-subjects cross-over design, the effects of two NMT techniques and related motivational indices will be investigated. Data will be collected at three timepoints: baseline (TP1), after being randomised into groups and receiving NMT or standard care (TP2), and then at a third time point after the cross-over and having received both conditions (TP3). This design allows to counteract order effects, time effects due to spontaneous and/or nonlinear recovery, as well as single-subject comparisons in a relatively heterogeneous sample. Twenty adult participants who have experienced a supratentorial ischaemic or haemorrhagic stroke and are experiencing upper-limb impairments and/or cognitive deficits will be included. Behavioural measures of motor function, cognition, and quality of life will be collected, along with self-reported indices of overall motivation. The study outcomes will have implications for the understanding of the underlying mechanisms of music therapy in stroke recovery, more specifically regarding the relevance of motivational states in neurorehabilitation.

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来源期刊
Contemporary Clinical Trials Communications
Contemporary Clinical Trials Communications Pharmacology, Toxicology and Pharmaceutics-Pharmacology
CiteScore
2.70
自引率
6.70%
发文量
146
审稿时长
20 weeks
期刊介绍: Contemporary Clinical Trials Communications is an international peer reviewed open access journal that publishes articles pertaining to all aspects of clinical trials, including, but not limited to, design, conduct, analysis, regulation and ethics. Manuscripts submitted should appeal to a readership drawn from a wide range of disciplines including medicine, life science, pharmaceutical science, biostatistics, epidemiology, computer science, management science, behavioral science, and bioethics. Contemporary Clinical Trials Communications is unique in that it is outside the confines of disease specifications, and it strives to increase the transparency of medical research and reduce publication bias by publishing scientifically valid original research findings irrespective of their perceived importance, significance or impact. Both randomized and non-randomized trials are within the scope of the Journal. Some common topics include trial design rationale and methods, operational methodologies and challenges, and positive and negative trial results. In addition to original research, the Journal also welcomes other types of communications including, but are not limited to, methodology reviews, perspectives and discussions. Through timely dissemination of advances in clinical trials, the goal of Contemporary Clinical Trials Communications is to serve as a platform to enhance the communication and collaboration within the global clinical trials community that ultimately advances this field of research for the benefit of patients.
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