Evaluation of the Ronnie Gardiner Method in Individuals With Stroke in Late Phase of Recovery
NCT ID: NCT06979050
Last Updated: 2025-10-03
Study Results
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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ACTIVE_NOT_RECRUITING
NA
80 participants
INTERVENTIONAL
2025-07-21
2028-07-31
Brief Summary
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This randomized controlled multicenter study aims to evaluate the effects of RGM training in individuals aged 18 and older who are more than six months post-stroke. Participants will be randomly assigned to either an intervention group receiving RGM training twice per week for 12 weeks, or to a passive control group. The primary outcome is balance, assessed by the Mini-BESTest. Secondary outcomes include gait, upper limb function, cognitive abilities such as working memory and divided attention, and health-related quality of life. Additionally, qualitative data will be collected to explore participants' and trainers' experiences regarding motivation, engagement, and perceived impact on daily participation. The study is expected to provide valuable evidence on the clinical usefulness of RGM in chronic stroke rehabilitation and its potential to be implemented as part of community-based, cost-effective rehabilitation programs.
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
DOUBLE
Study Groups
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Music-based intervention
Participants randomized to the intervention group will receive the Ronnie Gardiner Method (RGM), a rhythm- and music-based training program, in group sessions led by a certified instructor. The intervention consists of 60-minute sessions, twice per week, for 12 consecutive weeks. The training incorporates coordinated movements, speech, and rhythm using visual symbols representing limbs and directions, performed to music with varying tempo and complexity. Exercises are designed to improve motor function, balance, coordination, and cognitive engagement. Sessions are conducted primarily in standing to optimize balance effects.
The Ronnie Gardiner Method
The intervention involves participants performing coordinated movements while saying specific cue words, synchronized to rhythmic music. The exercises are guided by a visual notation system consisting of 19 colored symbols that represent different body parts and movements. Red symbols indicate movements on the left side of the body, while blue symbols represent the right side. Each symbol corresponds to a specific movement and verbal cue. Exercises are typically performed standing to maximize balance effects and are accompanied by rhythmic, often popular, music to enhance engagement and motivation. Complexity can be increased by adjusting the tempo of the music or combining multiple symbols. Training sessions are conducted in groups, led by certified instructors, twice per week for 12 weeks (60 minutes per session), with an additional home-based practice session each week.
Waiting-list
Waiting list, receiving the same intervention after the final follow-up assessment three months post-intervention.
No interventions assigned to this group
Interventions
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The Ronnie Gardiner Method
The intervention involves participants performing coordinated movements while saying specific cue words, synchronized to rhythmic music. The exercises are guided by a visual notation system consisting of 19 colored symbols that represent different body parts and movements. Red symbols indicate movements on the left side of the body, while blue symbols represent the right side. Each symbol corresponds to a specific movement and verbal cue. Exercises are typically performed standing to maximize balance effects and are accompanied by rhythmic, often popular, music to enhance engagement and motivation. Complexity can be increased by adjusting the tempo of the music or combining multiple symbols. Training sessions are conducted in groups, led by certified instructors, twice per week for 12 weeks (60 minutes per session), with an additional home-based practice session each week.
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* Cognitive ability corresponding to at least 25 out of 30 points on the Montreal Cognitive Assessment (MoCA)
* Functional disability corresponding to a Modified Rankin Scale (mRS) score of 2-3
* No assistance required for daily activities during participation (e.g., can independently travel to measurement/training sites and use the restroom)
* Ability to stand for 2 minutes without support and walk 10 meters with or without assistive devices, but without supervision
Exclusion Criteria
* Participation in regular sessions with RGM after August 2024
* Previous experience playing a musical instrument (defined as practicing \>1 hour/week in the past 10 years)
* A score of less than 25 on the Montreal Cognitive Assessment (MoCA)
18 Years
ALL
No
Sponsors
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Karlstad University
OTHER
Göteborg University
OTHER
Responsible Party
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Principal Investigators
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Petra Pohl, PhD
Role: PRINCIPAL_INVESTIGATOR
Göteborg University
Locations
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Folkuniversitetet
Gothenburg, , Sweden
Resurscentrum
Karlstad, , Sweden
Neurologiska rehabiliteringskliniken
Stockholm, , Sweden
Countries
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Related Links
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Other Identifiers
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2025-01269-01
Identifier Type: -
Identifier Source: org_study_id
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