Music Therapy for Rehabilitation in Post-stroke Non-fluent Aphasia: the Indian Adaptation

NCT ID: NCT06323330

Last Updated: 2024-12-03

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-06-01

Study Completion Date

2026-11-30

Brief Summary

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The goal of this Interventional Study is to develop and test the Indian Adaptation of Melodic Intonation Therapy (MIT) for Indian patients in with post-stroke Non-Fluent Aphasia (PSNFA). The main question\[s\] it aims to answer are: • To develop the MIT Indian Adaptation tool and check its feasibility • To compare the MIT with standard speech rehabilitation in patient with PSNFA. Participants will undergo Speech Rehabilitation according to the developed module and the standard treatment will be given in the comparator arm. The speech recovery at 12 weeks will be compared in both treatment arms.

Detailed Description

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The study will be done in two stages:

* Stage 1 (Intervention formulation): A battery for therapy will be formulated with the help of SLT in conjunction with the expert(s) in Indian music, neurologist, and physiologist. In a series of physical and online meetings, the duration, frequency, and content of the therapy programme will be formulated. The stage(s) at which NIRS will be conducted will also be decided. This will not involve any patient recruitment and should be finished in three months.
* Stage 2 (Feasibility phase): The feasibility run will be done in 10 eligible patients. With further adaptations depending upon the experience in the feasibility phase, the pilot phase will be conducted, in which the treatment arms will be randomized.
* Stage 2 (Pilot phase): Assuming standard error of measurement for participants with aphasia as 4.33 points with a 5-point difference considered clinically meaningful for the Western Aphasia Battery (WAB), and considering that no such prior study is there, 30 patients in intervention and control arm would be initially taken. Therefore, the total sample size 10+30+30=70 patients.

* The randomization will be done in 1:1 ratio, via a computer-generated random number sequence which will be in a sealed opaque envelope. The allocation will be concealed, and the treatment arm will be revealed after the patient has been screened and has consented for the study.
* The outcome assessment will be by a blinded assessor, who will be a co-investigator in the study.

Conditions

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Stroke Rehabilitation Aphasia, Broca

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

The MIT- Indian Adaptation will be tested and compared with standard speech rehabilitation in post-stroke non-fluent aphasia
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors
The outcome assessor will be blinded to the intervention

Study Groups

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Intervention

The intervention arm will be given the Music Therapy, the Indian language adapted module

Group Type EXPERIMENTAL

Speech rehabilitation

Intervention Type OTHER

Melodic Intonation Therapy- Indian Adaptation module which will be developed in the pilot phase

Active comparator

The active comparator arm will be given the standard speech rehabilitation.

Group Type ACTIVE_COMPARATOR

Speech rehabilitation

Intervention Type OTHER

Melodic Intonation Therapy- Indian Adaptation module which will be developed in the pilot phase

Interventions

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Speech rehabilitation

Melodic Intonation Therapy- Indian Adaptation module which will be developed in the pilot phase

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

All of the following

1. Age ≥18 years of age
2. Stroke with non-fluent aphasia, within one year of ictus
3. Imaging evidence suggestive of ischemic or hemorrhagic stroke of dominant hemisphere
4. Patient is alert and able to follow simple commands (should not have global aphasia)
5. Motivated caregiver
6. Informed and signed consent

Exclusion Criteria

Any of the following:

1. Patients with a history of a previous stroke other than the index event, which can explain the aphasia.
2. Any clinical condition (e.g., short life expectancy, coexisting disease) or other characteristics that preclude appropriate follow-up in the study (e.g., distant residence, no family support)
3. Patients participating in any therapeutic intervention clinical trials evaluating poststroke recovery
4. Use of psychotropic drugs that interfere with patient evaluation
Minimum Eligible Age

18 Years

Maximum Eligible Age

99 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Institute of Human Behavior and Allied Sciences

UNKNOWN

Sponsor Role collaborator

Indian Institute of Technology, New Delhi

UNKNOWN

Sponsor Role collaborator

Vardhman Mahavir Medical College And Safdarjung Hospital

OTHER

Sponsor Role collaborator

All India Institute of Medical Sciences

OTHER

Sponsor Role lead

Responsible Party

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Deepti Vibha

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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All India Institute of Medical Sciences, New Delhi

New Delhi, National Capital Territory of Delhi, India

Site Status RECRUITING

Safdarjung Hospital

New Delhi, National Capital Territory of Delhi, India

Site Status RECRUITING

Institute of Human Behavior and Allied Sciences

Delhi, , India

Site Status RECRUITING

Countries

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India

Central Contacts

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Deepti Vibha

Role: CONTACT

+91-9868398263

Facility Contacts

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Deepti Vibha

Role: primary

09868398263

Deepti Vibha

Role: primary

09868398263

Deepti Vibha

Role: primary

09868398263

Other Identifiers

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I-1623

Identifier Type: -

Identifier Source: org_study_id