Effects of Group Leisure Activities and Musical Training on Hospital Stroke Rehabilitation.

MI-összefoglaló

A vizsgálat saját részvételi feltételeiből. Gép olvasta ki az oldalon álló regiszterszövegből, ezért tévedhet. Hogy ki vehet részt, azt a lenti regiszterszöveg és a vizsgálat csapata dönti el.

A vizsgálat olyan felnőtteket keres, akiknek nemrég agyi érkatasztrófájuk (stroke) volt, és kórházi rehabilitáción vesznek részt. Azt vizsgálják, mit ad hozzá a szokásos rehabilitációhoz a csoportos szabadidős tevékenység és a zenei képzés.

Életkor

18 éves vagy idősebb

Nem

Nemtől függetlenül bárki részt vehet.

A betegség stádiuma

Agyi képalkotással igazolt iszkémiás vagy vérzéses stroke, a csatlakozás előtt kevesebb mint 4 héttel.

A részvétel fő kizáró okai

• Korábbi stroke, amely tartós mozgási vagy gondolkodási problémát hagyott
• Más idegrendszeri vagy súlyos pszichiátriai betegség, kivéve ha klinikailag stabil
• Nem tud beleegyezést adni, vagy nem tudja követni a vizsgálat lépéseit
• Nem érti a spanyol, katalán vagy angol nyelvet

A regiszter feltételei, szó szerint

Mit akar kideríteni a vizsgálat

The goal of this clinical trial is to learn whether adding group leisure activities and musical training can help people recover better after a stroke during their hospital rehabilitation. The study will include adults who had a recent stroke and are staying in the neurological rehabilitation unit.

A vizsgálat 3 csoportja

• Standard care (usual rehabilitation program)Már használt kezelés, összehasonlításként

  The standard care consists of an intensive rehabilitation program during hospitalisation which follows the European stroke rehabilitation guidelines. The program aims to regain functioning, reduce patients' deficits, and improve their autonomy in basic daily activities. It follows a patient-centred approach with cyclical stages involving patient needs assessment, collaborative goal setting, therapeutic interventions, and re-assessment. The rehabilitation program comprises three hours of daily therapy (physical, occupational and speech therapy) over six days per week. Sessions are individualised, tailored to the patient's needs and graded by difficulty. The intensive rehabilitation program is described in detail in a recent publication by our team to allow replication, specifying dose, intensity, and content of each therapeutic intervention.

  Kezelés: Standard Intensive Stroke Rehabilitation Program

• Standard care + Music-supported TherapyA vizsgált kezelés

  Participants receive the standard rehabilitation program, which includes three 1-hour daily sessions of physical, occupational, and speech therapy. In addition, they complete a self-administered Music-supported Therapy program consisting of 1.5-hour daily sessions, five days per week. Patients use a validated tablet-based app that provides instructions for musical exercises and includes gamification features. The musical training includes task-specific activities such as learning rhythmic patterns and note sequences using percussion instruments and a MIDI piano. The MIDI piano connects to the tablet to provide real-time performance feedback. Training sessions are completed individually in the participant's hospital room at a time of their choosing, with breaks allowed as needed.

  Kezelés: Standard Intensive Stroke Rehabilitation Program és Music-supported Therapy

• Standard care + Enriched InterventionA vizsgált kezelés

  Participants receive the standard rehabilitation program, which includes three 1-hour daily sessions of physical, occupational, and speech therapy. In addition, they take part in an enriched intervention that combines group leisure activities with group Music-supported Therapy. During 1.5-hour sessions held five days per week, participants engage in 45 minutes of recreational activities followed by a 45-minute musical training session in small groups of 2-3 patients. All activities take place in an enriched communal area supervised by an occupational therapist. Recreational activities include options such as reading materials, board games, puzzles, painting supplies, and other leisure items. Music-supported Therapy sessions include active and passive music-making exercises using percussion instruments and a MIDI piano. The therapist provides live musical accompaniment on piano or guitar. Participants may select preferred percussion instruments during the session.

  Kezelés: Standard Intensive Stroke Rehabilitation Program és Enriched Intervention