RecruitingNot ApplicableNCT07503522

Personalized Music-Enhanced Aerobic Training for Patients in Subacute Stroke Recovery

Evaluation of the Effectiveness of a Personalized Music-Based Aerobic Exercise Rehabilitation Program for Patients With Subacute Stroke

Sponsor

Trịnh Minh Tú

Enrollment

92 participants

Start Date

Apr 1, 2026

Study Type

INTERVENTIONAL

Conditions

Subacute stroke

Summary

This study aims to evaluate the effectiveness of a personalized music-based aerobic exercise program designed specifically for inpatients in the subacute phase of stroke. All participants will receive the hospital's standard physical therapy program. In addition, the intervention group will participate in 30-minute music-based aerobic exercise sessions, 5 days per week, for a total of 6 weeks. The aerobic exercises are gentle and adapted to the functional abilities of individuals with subacute stroke. The exercises incorporate rhythmic music to guide movements of the arms, legs, and trunk, with the goal of improving mobility, balance, and mood. Participants will have their heart rate monitored and will be supervised directly by rehabilitation therapists throughout all sessions to ensure safety. Outcomes will be assessed before and after the 6-week intervention using standardized measures of motor function, balance, depressive symptoms, and independence in daily activities. The study does not interfere with participants' routine medical treatment and does not require discontinuation of any ongoing therapies. Risks associated with participation are generally mild and similar to those of routine therapeutic exercise, such as muscle soreness, dizziness, or risk of falls. All potential risks will be minimized through continuous supervision by trained healthcare staff. Participants may withdraw from the study at any time. Potential benefits for participants include improved mobility, better balance, reduced depressive symptoms, increased independence in daily living, and enhanced motivation during rehabilitation through the use of music. The study also aims to provide scientific evidence for the effectiveness of music-based aerobic exercise in stroke rehabilitation in Vietnam.

Eligibility

Min Age: 18 Years

Inclusion Criteria7

Age ≥ 18 years.
Clinically and radiologically confirmed diagnosis of subacute stroke.
Able to understand and respond to assessment questions.
No significant visual or hearing impairment.
Mini-Mental State Examination (MMSE) ≥ 10.
Able to sit unsupported.
Provided informed consent (patient or legal representative).

Exclusion Criteria7

Recent myocardial infarction or congestive heart failure.
Severe cardiac arrhythmia or resting systolic blood pressure > 200 mmHg.
Hypertrophic cardiomyopathy or severe aortic stenosis.
Musculoskeletal disorders contraindicating exercise.
Psychiatric disorders interfering with participation.
Severe aphasia preventing assessment.
Moderate-to-severe dementia (MMSE ≤ 9).

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Interventions

BEHAVIORALStandard Physical Therapy

Standard inpatient physical therapy including assisted range-of-motion exercises for upper and lower limbs and trunk, balance training, coordination exercises (30 minutes per session), and occupational therapy for activities of daily living (30 minutes per session). Training is delivered once per day, 5 days per week, for 6 weeks during hospitalization.

BEHAVIORALAerobic Exercise With Music

A supervised 30-minute aerobic exercise program with music, delivered 1 session per day, 5 days per week for 6 weeks, in addition to standard physical therapy. Exercises are adapted for seated or supported standing stroke patients and include breathing control, neck mobility, shoulder elevation, cross-body arm reaches, elbow, wrist and hand movements, trunk rotation, forward flexion, seated marching, supported standing arm lifts, trunk rotation, high-knee marching, and step-forward/back drills. Music tempo is phase-specific: warm-up 60-70 bpm, main session 80-110 bpm, cool-down 50-60 bpm. Heart rate is monitored with a smart wristband and limited to 60% of the individual target heart rate, calculated using the Karvonen formula.