Music Therapy In Adolescents With Cerebral Palsy

Study Overview
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Brief Summary
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Purpose of the study; To improve the upper extremity motor functions of patients with adolescent cerebral palsy, Prevent treatment interruptions as age progresses, Increase the hand functions of children with cerebral palsy and to increase their living standards. Hand functions will be assessed with MACS (Manual Ability Classification System), hand dynamometer, box-block test, 9 hole peg test, pressing velocity measured with Cubase MIDI (musical instrument data interface) program. Patients will receive 2 days of 40 minutes per week, total 3 months of customized piano training. Each session will be started with finger warming exercises, then with the right hand, left handed and with both hands, a simple pentatonic array will be played. In the following lessons, notes will be marked with colors and simple songs will be taught. At the end of 3 months, the tests will be repeated.

Detailed Description
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Cerebral palsy is the development, movement and posture disorder that causes the limitation of activity which is thought to be caused by non-progressive disorders in the fetal or infant brain. Intensive rehabilitation program begins in early childhood; However, adults with cerebral palsy are less likely to receive rehabilitative interventions. There is a great need for effective upper extremity rehabilitation studies that motivate the patient in CP (cerebral palsy) rehabilitation after childhood. Therapeutic Instrumental Music Performance (TIMP) is one of the three techniques of neurological music therapy techniques for motor rehabilitation. This technique uses instruments to strengthen functional motor patterns. There are very few studies on TIMP in individuals with cerebral palsy and these studies have not been performed on patients with adolescent cerebral palsy. Purpose of the study; To improve the upper extremity motor functions of patients with adolescent cerebral palsy, Prevent treatment interruptions as age progresses, Increase the hand functions of children with cerebral palsy and to increase their living standards. Inclusion Criteria: Being 11-18 years old To be diagnosed with cerebral palsy Not have been previously trained piano To have enough cognitive function to perform commands Accepted to participate in the study Criteria for not being included in research: Having cognitive disorder Advanced visual impairment, visual field defect To be previously trained for piano Another disease preventing upper extremity movements Hand functions will be assessed with MACS (Manual Ability Classification System), hand dynamometer, box-block test, 9 hole peg test, pressing velocity measured with Cubase MIDI (musical instrument data interface) program. Patients will receive 2 days of 40 minutes per week, total 3 months of customized piano training. Each session will be started with finger warming exercises, then with the right hand, left handed and with both hands, a simple pentatonic array will be played. In the following lessons, notes will be marked with colors and simple songs will be taught. At the end of 3 months, the tests will be repeated.

Official Title
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The Effect Of Music Therapy On Upper Extremity Functions In Adolescents With Cerebral Palsy

Conditions
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Cerebral Palsy

Intervention / Treatment
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* Other: Neurologic music therapy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Being 11-18 years old To be diagnosed with cerebral palsy Not have been previously trained piano To have enough cognitive function to perform commands Accepted to participate in the study Exclusion Criteria: Having cognitive disorder Advanced visual impairment, visual field defect To be previously trained for piano Another disease preventing upper extremity movements

Ages Eligible for Study
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Minimum Age: 11 Years
Maximum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Neurologic music therapy<br>Patients will receive 2 days of 40 minutes per week, total 3 months of customized piano training. Each session will be started with finger warming exercises, then with the right hand, left handed and with both hands, a simple pentatonic array will be played. In the following lessons, notes will be marked with colors and simple songs will be taught. | Other: Neurologic music therapy<br>* Customized piano training<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Improved hand function | Improvement on MACS (Manual Ability Classification System) | 3 months | 
| Improved hand strength | Improvement on hand dynamometer and pressing velocities measured by Cubase MIDI (musical instrument data interface) program | 3 months | 
| Improved fine motor skills | Improvement on box-block test | 3 months | 
| Improved fine motor skills | Improvement on 9 hole peg test | 3 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Improved hand coordination | observational, development of the ability to play the piano with two hands | 3 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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music therapy, cerebral palsy, piano training