Group Singing for Stroke Patients
Palo Alto (17 mi)Overseen byJoanne Loewy, DA
Age: 18+
Sex: Any
Travel: May be covered
Time Reimbursement: Varies
Trial Phase: N/A
Recruiting
Sponsor: Icahn School of Medicine at Mount Sinai
No Placebo Group
Trial Summary
What is the purpose of this trial?This trial examines the effects of communal singing on stroke survivors and their caregivers. The study aims to see if singing can improve mood, reduce stress, and support recovery. Choral singing therapy (CST) is sought out by people with stroke and Parkinson's disease to help self-manage symptoms of their condition.
Is communal singing a promising treatment for stroke patients?Yes, communal singing is a promising treatment for stroke patients. It can improve communication and speech, enhance social participation, and reduce caregiver stress. Singing therapy helps people with speech difficulties, like those with aphasia, to communicate better and feel more connected with others.456811
What safety data exists for group singing therapy for stroke patients?The provided research does not explicitly mention safety data for group singing therapy or related music therapy interventions for stroke patients. However, the studies focus on the therapeutic benefits, such as improved mood, social participation, and quality of life, without reporting adverse effects. This suggests that these therapies are generally considered safe, but specific safety data is not detailed in the abstracts.236810
What data supports the idea that Group Singing for Stroke Patients is an effective treatment?The available research shows that group singing can be an effective treatment for stroke patients. In one study, stroke patients who participated in music therapy, including group singing, showed improvements in motor functions, reduced anxiety and depression, and increased hand strength compared to those who only received standard care. Another study found that a singing intervention improved communication and speech production in patients with chronic aphasia, a condition often caused by stroke, and also enhanced social participation and reduced caregiver burden. Additionally, observations from another study indicated that music, including group singing, improved general mobility, social interaction, and emotional stability in stroke patients. These findings suggest that group singing can be a beneficial addition to standard rehabilitation for stroke patients.178911
Do I need to stop my current medications for this trial?The protocol does not specify whether you need to stop taking your current medications.
Eligibility Criteria
This trial is for stroke survivors of any severity and their personal caregivers. There are no specific exclusion criteria, meaning it's quite open to anyone who has experienced a stroke.Treatment Details
The study is testing the effects of communal singing as a form of music therapy. Participants will be split into two groups: one will engage in group singing sessions for six months, while the other receives standard post-stroke care.
2Treatment groups
Experimental Treatment
Active Control
Group I: Communal singingExperimental Treatment1 Intervention
Participants in the study group will join the choir and participate in a weekly hour rehearsal for six months and will be assessed for aphasia, mood, and quality of life outcomes
Group II: ControlActive Control1 Intervention
The control group will not participate in the choir for the first six months. At the end of the six months study period, all participants will be evaluated again for changes in aphasia, language, mood and quality of life
Find a clinic near you
Research locations nearbySelect from list below to view details:
Mount Sinai Beth IsraelNew York, NY
Loading ...
Who is running the clinical trial?
Icahn School of Medicine at Mount SinaiLead Sponsor
References
Observations on the use of music in rehabilitation of stroke patients. [2009]A preliminary investigation was initiated to explore the use of music as a means of improving general mobility, social interaction, and emotional stability in patients who have suffered a stroke. A literature search had revealed very little information on the use of music in the rehabilitation of such patients. The investigators videotaped a series of sessions involving group movement-to-music, group music-making, and individual movement-to-music. An individual case study in music-making was carried out as well. All videotapes were reviewed and we observed that an increase in the range and ease of movement of the patients occurred during weight-shifting activities, when appropriate music with a tempo of 58 to 63 beats per minute was used. Our observations supported the findings of recent research concerning preferred tempi for certain activities and reinforcement of movement by appropriate tempi. Other factors in our study, such as size of group, placement, cueing, and the opportunity to touch, appeared to affect the responses obtained in group situations. As the result of our observations, we have concluded that music enhances the general mobility and social interaction of patients who have sustained a cerebrovascular accident and that it may also improve a patient's emotional stability.
Effects of a theory-driven music and movement program for stroke survivors in a community setting. [2016]Many countries lack effective community-based rehabilitation programs despite the increasing numbers of stroke survivors. Therefore, we have conducted a pilot investigation in South Korea of a newly constructed community-based intervention program combining rhythmic music and specialized rehabilitation movement. The 8-week program was based on rhythmic auditory stimulation (RAS) theory, which uses rhythm to enhance stroke survivors' movements. Thirty-three stroke survivors were randomized into one of two groups: The experimental group (n = 16) carried out an 8-week RAS music-movement exercise intervention; the control group (n = 17) received referral information about available usual care services. Participants in the experimental group gained a wider range of motion and flexibility, had more positive moods, and reported increased frequency and quality of interpersonal relationships.
Effects of music therapy on mood in stroke patients. [2021]To investigate the effects of music therapy on depressive mood and anxiety in post-stroke patients and evaluate satisfaction levels of patients and caregivers.
Conceptualizing how group singing may enhance quality of life with Parkinson's disease. [2014]Abstract Purpose: Group singing could be a promising component of neurorehabilitative care. This article aims to conceptualize how group singing may enable people with Parkinson's disease (PD) to synchronize their movement patterns to musical rhythm and enhance quality of life.
Music-supported motor training after stroke reveals no superiority of synchronization in group therapy. [2021]Music-supported therapy has been shown to be an effective tool for rehabilitation of motor deficits after stroke. A unique feature of music performance is that it is inherently social: music can be played together in synchrony.
Choral singing therapy following stroke or Parkinson's disease: an exploration of participants' experiences. [2019]People with stroke or Parkinson's disease (PD) live with reduced mood, social participation and quality of life (QOL). Communication difficulties affect 90% of people with PD (dysarthria) and over 33% of people with stroke (aphasia). These consequences are disabling in many ways. However, as singing is typically still possible, its therapeutic use is of increasing interest. This article explores the experiences of and factors influencing participation in choral singing therapy (CST) by people with stroke or PD and their significant others.
Active music therapy approach for stroke patients in the post-acute rehabilitation. [2018]Guidelines in stroke rehabilitation recommend the use of a multidisciplinary approach. Different approaches and techniques with music are used in the stroke rehabilitation to improve motor and cognitive functions but also psychological outcomes. In this randomized controlled pilot trial, relational active music therapy approaches were tested in the post-acute phase of disease. Thirty-eight hospitalized patients with ischemic and hemorrhagic stroke were recruited and allocated in two groups. The experimental group underwent the standard of care (physiotherapy and occupational therapy daily sessions) and relational active music therapy treatments. The control group underwent the standard of care only. Motor functions and psychological aspects were assessed before and after treatments. Music therapy process was also evaluated using a specific rating scale. All groups showed a positive trend in quality of life, functional and disability levels, and gross mobility. The experimental group showed a decrease of anxiety and, in particular, of depression (p = 0.016). In addition, the strength of non-dominant hand (grip) significantly increased in the experimental group (p = 0.041). Music therapy assessment showed a significant improvement over time of non-verbal and sonorous-music relationships. Future studies, including a greater number of patients and follow-up evaluations, are needed to confirm promising results of this study.
[Music therapy as an effective method of neurorehabilitation]. [2018]To assess the role of music therapy in the recovery of motor, speech and autonomic functions in patients with ischemic stroke (II).
Immediate Effects of Mental Singing While Walking on Gait Disturbance in Hemiplegic Stroke Patients: A Feasibility Study. [2022]To investigate the immediate therapeutic effects of mental singing while walking intervention on gait disturbances in hemiplegic stroke patients.
Effect of music therapy derived from the five elements in Traditional Chinese Medicine on post-stroke depression. [2020]To evaluate the clinical efficacy and safety of five phase music therapy in patients with depression after ischemic stroke.
Efficacy of a multicomponent singing intervention on communication and psychosocial functioning in chronic aphasia: a randomized controlled crossover trial. [2023]The ability to produce words through singing can be preserved in severe aphasia, but the benefits of group-based singing rehabilitation in aphasia are largely unknown. Our aim was to determine the efficacy of a multicomponent singing intervention on communication and speech production, emotional-social functioning and caregiver well-being in aphasia. Fifty-four patients with acquired brain injury and chronic aphasia and their family caregivers (n = 43) were recruited. Using a crossover randomized controlled trial design, participants were randomized to two groups who received a 4-month singing intervention either during the first or second half of the study in addition to standard care. The intervention comprised weekly group-based training (including choir singing and group-level melodic intonation therapy) and tablet-assisted singing training at home. At baseline, 5- and 9-month stages, patients were assessed with tests and questionnaires on communication and speech production, mood, social functioning, and quality of life and family caregivers with questionnaires on caregiver burden. All participants who participated in the baseline measurement (n = 50) were included in linear mixed model analyses. Compared with standard care, the singing intervention improved everyday communication and responsive speech production from baseline to 5-month stage, and these changes were sustained also longitudinally (baseline to 9-month stage). Additionally, the intervention enhanced patients' social participation and reduced caregiver burden. This study provides novel evidence that group-based multicomponent singing training can enhance communication and spoken language production in chronic aphasia as well as improve psychosocial wellbeing in patients and caregivers. https://www.clinicaltrials.gov, Unique identifier: NCT03501797.