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This study aims to explore the effects of an occupational therapy program combined with music therapy elements on children 5-12 years old with neurological disorders including those with neurogenic scoliosis. Occupational therapy programs typically focus on improving motor and cognitive functions to enhance the child's overall participation and daily functioning. Music has been shown to positively affect brain areas involved in emotions, memory, and language, and may reduce stress and increase feelings of happiness.
The study will measure changes in biological markers such as blood pressure, oxygen saturation, heart rate, and respiratory rate, as well as improvements in functionality for upper limbs but also balance and walking ability after the therapy program. These markers can provide valuable information about the physical health and quality of life of the children, which is currently lacking for the Greek population.
By investigating these biological indicators along with functional outcomes, this research hopes to offer new insights into the benefits of combining music therapy with occupational therapy. This may encourage better engagement from families and support rehabilitation specialists in demonstrating the value of their interventions even before functional improvements become noticeable
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Occupational Therapy + Music Therapy (with scoliosis) | Experimental | This arm includes children with neurological conditions and scoliosis who will receive a structured occupational therapy program incorporating music therapy elements |
|
| Occupational Therapy | Active Comparator | This group includes children with similar neurological conditions and scoliosis who will receive the same occupational therapy program without any music therapy integration. |
|
| Occupational Therapy + Music Therapy (no scoliosis) | Experimental | Children with neurological conditions but without scoliosis receive the same occupational therapy program combined with music therapy. This arm allows the evaluation of music therapy's effects in children with neurological conditions independent of spinal deformity |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Music therapy | Other | this research hopes to offer new insights into the benefits of combining music therapy with occupational therapy. |
|
| Measure | Description | Time Frame |
|---|---|---|
| 10M WALK TEST | WALKING ABILITY | From enrollment to the end of treatment at 6weeks |
| pediatric balance scale | balance Pediatric Balance Scale (PBS) is used, specifically the Greek validated version ("Pediatric Balance Scale - Greek version," PBS-GR), as translated and cross-culturally adapted by Bania et al. (2023). The scale ranges from 0 to 56, with higher scores indicating better balance performance and a better outcome. The PBS-GR has been shown to have high interrater reliability in children with movement impairment | "From enrollment to the end of treatment at 6 weeks" |
| Measure | Description | Time Frame |
|---|---|---|
| blood pressure | PHYSIOLOGICAL BIOMARKERS | Arterial blood pressure will be measured using an automated electronic sphygmomanometer (mmHg). Measurements will be taken in a seated position after 5 minutes of rest, immediately before and immediately after (45 min) each therapy session. |
| SaO2 oxygen saturation |
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Inclusion Criteria:
Diagnosis of a neurological condition with established neurological signs (e.g., motor or cognitive impairments)
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Athens Children's Hospital P.&A. Kiriakou | Athens | Attica | Greece |
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| occupational therapy | Other | standard treatment |
|
physiological marker |
| Oxygen saturation will be measured non-invasively using a fingertip pulse oximeter (%). Measurements will be taken in a seated position, after 5 minutes of rest, immediately before and immediately after each (45 min) therapy session. |
| heart rate | physiological marker | Heart rate will be measured non-invasively using an electronic sphygmomanometer (beats per minute, bpm). Measurements will be taken in a seated position, after 5 minutes of rest, immediately before and immediately after (45 min)each therapy session |
| Respiratory Rate | physiological marker | Respiratory rate will be measured manually by counting visible thoracic movements (breaths per minute) for 60 seconds while the child is in a seated position before and after (45 min) each therapy session |
| ID | Term |
|---|---|
| D002547 | Cerebral Palsy |
| D004660 | Encephalitis |
| D001932 | Brain Neoplasms |
| ID | Term |
|---|---|
| D001925 | Brain Damage, Chronic |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D000090862 | Neuroinflammatory Diseases |
| D016543 | Central Nervous System Neoplasms |
| D009423 | Nervous System Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
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| ID | Term |
|---|---|
| D009147 | Music Therapy |
| D009788 | Occupational Therapy |
| ID | Term |
|---|---|
| D026421 | Sensory Art Therapies |
| D000529 | Complementary Therapies |
| D013812 | Therapeutics |
| D012046 | Rehabilitation |
| D000359 | Aftercare |
| D003266 | Continuity of Patient Care |
| D005791 | Patient Care |
| D011613 | Psychotherapy |
| D004191 | Behavioral Disciplines and Activities |
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