Recruiting

Improvised Active Music Therapy

Sponsor:

Wilfrid Laurier University

Code:

NCT05971459

Conditions

Parkinson Disease

Eligibility Criteria

Sex: All

Age: 50+

Healthy Volunteers: Accepted

Interventions

Improvised Active Music Therapy

Study Details

Brief summary:

The primary objective of this proposal is to examine the efficacy of Improvised Active Music Therapy (IAMT) sessions as an early novel tool for cognitive and motor assessment for individuals with Parkinson's Disease (PD) in neurological rehabilitation. This will be achieved by identifying subtle variations in how participants play music and correlating these data with mobility and cognitive parameters. The secondary objective is to examine and understand the participants' experience of playing improvised music through post-session interviews as a qualitative measure. We propose to conduct a mixed-method, single-blinded, age-matched group comparison of 25 older adults (= 50 years) with PD and 25 healthy older adults (= 50 years) at the Conrad Institute for Music Therapy Research (CIMTR), Faculty of Music, Wilfrid Laurier University. The CIMTR laboratory contains Musical Instrument Digital Interface (MIDI) equipment/instruments and MATLAB software, which will be used to collect and analyze the music data to compare the two groups. The long-term goal is to build a database of sessions to use Improvised Active Music Therapy (IAMT) as a complementary, reliable, and feasible assessment tool to predict whether older adults with PD will progress to Parkinson's Disease Dementia (PDD) or Dementia with Lewy Bodies (DLB) and distinguish the motor phenotype as Tremor Dominant (PDTD), Mixed (PDM), or Postural Instability and Gait Disturbances (PIGD).

The purpose of this project is to understand the effect of music therapy sessions on cognition and motor skills within the reciprocal improvised music interactions between music therapist and clients. Therefore, the specific objectives are as follows:

1. To examine how physical characteristics of different neurological conditions influence music measures (note frequency, velocity of movement, synchronization, and acquisition of rhythmic complexity).
2. To examine how music measures contribute to cognitive and motor performance.
3. To assess the contributions of individual difference factors such as diagnoses, hand dominance, musical training, music preference, participant's personal experience, and cognitive abilities to music involvement.

Conditions

Parkinson Disease

Study ID

NCT05971459

Start date

Jan 15, 2024

Status verified date

May, 2024

Completion date

Dec 30, 2024

Anticipated

Primary completion date

Aug 30, 2024

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 50+

Healthy Volunteers: Accepted

Inclusion Criteria:

  • Participants must be at least 50 years old, of any gender and location, and have a clinical diagnosis of Parkinson's Disease (PD).
  • Participants should be able to understand and communicate in English.
  • Participants should be capable of walking independently for a distance of 80 meters, with or without the use of a gait aid (e.g., walker, cane).
  • Participants should be able to sit independently for 30 minutes at a time.
  • Participants should be willing to play on a drum-set.
  • Participants should NOT be deemed cognitively impaired, as indicated by a score of greater than 24 out of 30 on the Montreal Cognitive Assessment (MOCA).

Exclusion Criteria:

  • Individuals who are unable to understand or communicate in English.
  • Individuals with any other neurological disorder that has residual motor deficits (e.g., epilepsy, multiple sclerosis).
  • Individuals who are using psychotropic medications that can affect motor performance (e.g., neuroleptics/anti-psychotics, anti-convulsants, and benzodiazepines).
  • Individuals who have experience as a musician or are currently learning to play an instrument.

Study Design

Enrollment

50 participants

Anticipated

Allocation

Non randomized

Intervention Model

Parallel Assignment

Primary purpose

Treatment

Interventions and Outcome Measures

Arms

experimental: Individuals with PD

One music therapy session of 30 minutes

active comparator: Healthy Individuals

One music therapy session of 30 minutes

Interventions

Improvised Active Music Therapy

During the music improvisation process, the accredited music therapist will carefully listen to the participant's initial musical expression, including tempo, rhythmic structure, dynamics, and beat. The accredited music therapist will then join, reflecting or confirming aspects of the participant's musical expression using standard music therapy improvisation techniques such as mirroring, matching, dialoguing, and containing on their electronic instrument. By comparing the participant's and therapist's musical responses over the sessions, it will be possible to identify note frequency, velocity of movement, synchronization, and acquisition of rhythmic complexity.

Primary outcome measure

  • Musical Interface Digital Instruments music measures [ Time Frame: 30 minutes (same session) Note frequency + velocity = musical engagemnet measure ]

Central Contacts and Locations

Central contacts

Demian Kogutek, PhD

+1 548-889-3623dkogutek@wlu.ca

Locations

Wilfrid Laurier University

Recruiting

Waterloo, Ontario, Canada, N2L 3C5

Contacts

Demian Kogutek, PhD

+1 548-889-3623dkogutek@wlu.ca

More Information

Sponsor

Wilfrid Laurier University

Last update posted

May 9, 2024

Last verified

May, 2024

Keywords

  • music therapy

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-10. This information was provided to ClinicalTrials.gov by Wilfrid Laurier University on 2024-05-09.