Music Therapy for Comatose Brain Injured Patients
1 other identifier
observational
35
1 country
2
Brief Summary
The goal of this single-arm observational study is to determine whether alpha music therapy, initiated early in the recovery period, can improve cognitive function for severe traumatic brain injury patients when compared to historic controls. Participants will listen to selected music through headphones. The investigators will compare cognitive function between groups at three time points: ICU discharge, hospital discharge, and three months after injury.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for all trials
Started Apr 2026
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
April 2, 2026
CompletedStudy Start
First participant enrolled
April 7, 2026
CompletedFirst Posted
Study publicly available on registry
April 22, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 7, 2028
ExpectedStudy Completion
Last participant's last visit for all outcomes
April 7, 2028
April 22, 2026
April 1, 2026
2 years
April 2, 2026
April 15, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Glasgow Coma Scale score
The total score ranges from 3 to 15, with 15 representing a fully alert, oriented person, and 3 indicating deep coma or death.
Before and after alpha-music sessions on each of the 7 study days
Bispectral Index
Bispectral Index values range from 0 to 100. Lower numbers mean deeper sedation, while higher numbers indicate lighter sedation or wakefulness.
Before and after alpha-music sessions on each of the 7 study days
Secondary Outcomes (4)
Hospital survival or death
Through study completion, an average of 1 year
Intensive care unit length of stay
Through study completion, an average of 1 year
Hospital length of stay
Through study completion, an average of 1 year
Following commands
At 3 months following hospital discharge
Study Arms (2)
Matched, historical control cohort
Patients with intracranial hemorrhage and blunt trauma
Alpha-music therapy cohort
Comatose patients with traumatic brain injury who receive alpha-music therapy
Eligibility Criteria
Trauma patients with severe traumatic brain injury admitted to St. Elizabeth Youngstown Hospital Surgical Intensive Care Unit.
You may qualify if:
- blunt trauma
- computed tomography confirmed intracranial hemorrhage
- Glasgow Coma Scale (GCS) score 3-8 for 48+ hours postinjury
- mechanical ventilation
- age ≥18 years
- expected intensive care unit stay ≥72 hours
- approach family on hospital day 3 for consent; start study on hospital day 3 or 4 if consent given
You may not qualify if:
- GCS score \>8 when considering candidacy
- imminent extubation without tracheostomy
- pregnancy or recent birth
- hospice care
- penetrating trauma
- bilateral fixed pupils
- cancer, advanced liver disease, end-stage renal disease, autoimmune disorder, prior brain disorder
- non-survivable injury
- other reasons in the opinion of the investigator or attending trauma physician
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
St. Elizabeth Youngstown Hospital
Youngstown, Ohio, 44501, United States
St. Elizabeth Youngstown Hospital
Youngstown, Ohio, 44502, United States
Related Publications (56)
Ebtehaj M, Yaqubi S, Seddighi AS, Seddighi A, Yazdi Z. Correlation between BIS and GCS in patients suffering from head injury. Ir J Med Sci. 2012 Mar;181(1):77-80. doi: 10.1007/s11845-011-0768-3. Epub 2011 Nov 1.
PMID: 22042690BACKGROUNDMujawar AH, Bhalerao PM, Kshirsagar SJ. Correlation between bispectral index values and the Glasgow Coma Scale in traumatic brain injury patients: a prospective observational study. J Trauma Inj. 2025 Jun;38(2):97-102. doi: 10.20408/jti.2025.0026. Epub 2025 Jun 30.
PMID: 40602750BACKGROUNDHeavner MS, Gorman EF, Linn DD, Yeung SYA, Miano TA. Systematic review and meta-analysis of the correlation between bispectral index (BIS) and clinical sedation scales: Toward defining the role of BIS in critically ill patients. Pharmacotherapy. 2022 Aug;42(8):667-676. doi: 10.1002/phar.2712. Epub 2022 Jun 30.
PMID: 35707961BACKGROUNDBilgili B, Montoya JC, Layon AJ, Berger AL, Kirchner HL, Gupta LK, Gloss DS. Utilizing bi-spectral index (BIS) for the monitoring of sedated adult ICU patients: a systematic review. Minerva Anestesiol. 2017 Mar;83(3):288 - 301. doi: 10.23736/S0375-9393.16.10886-7. Epub 2016 Jun 17.
PMID: 27314595BACKGROUNDGu Y, Hao J, Wang J, Liang P, Peng X, Qin X, Zhang Y, He D. Effectiveness Assessment of Bispectral Index Monitoring Compared with Conventional Monitoring in General Anesthesia: A Systematic Review and Meta-Analysis. Anesthesiol Res Pract. 2024 Aug 7;2024:5555481. doi: 10.1155/2024/5555481. eCollection 2024.
PMID: 39149130BACKGROUNDPunjasawadwong Y, Phongchiewboon A, Bunchungmongkol N. Bispectral index for improving anaesthetic delivery and postoperative recovery. Cochrane Database Syst Rev. 2014 Jun 17;2014(6):CD003843. doi: 10.1002/14651858.CD003843.pub3.
PMID: 24937564BACKGROUNDRosow C, Manberg PJ. Bispectral index monitoring. Anesthesiol Clin North Am. 2001 Dec;19(4):947-66, xi. doi: 10.1016/s0889-8537(01)80018-3.
PMID: 11778388BACKGROUNDTakabatake K, Kunii N, Nakatomi H, Shimada S, Yanai K, Takasago M, Saito N. Musical Auditory Alpha Wave Neurofeedback: Validation and Cognitive Perspectives. Appl Psychophysiol Biofeedback. 2021 Dec;46(4):323-334. doi: 10.1007/s10484-021-09507-1. Epub 2021 Apr 30.
PMID: 33929674BACKGROUNDYang Z, Su Q, Xie J, Su H, Huang T, Han C, Zhang S, Zhang K, Xu G. Music tempo modulates emotional states as revealed through EEG insights. Sci Rep. 2025 Mar 10;15(1):8276. doi: 10.1038/s41598-025-92679-1.
PMID: 40065030BACKGROUNDKucikiene D, Praninskiene R. The impact of music on the bioelectrical oscillations of the brain. Acta Med Litu. 2018;25(2):101-106. doi: 10.6001/actamedica.v25i2.3763.
PMID: 30210244BACKGROUNDIwaki T, Hayashi M, Hori T. Changes in alpha band EEG activity in the frontal area after stimulation with music of different affective content. Percept Mot Skills. 1997 Apr;84(2):515-26. doi: 10.2466/pms.1997.84.2.515.
PMID: 9106843BACKGROUNDCartocci G, Inguscio BMS, Giorgi A, Vozzi A, Leone CA, Grassia R, Di Nardo W, Di Cesare T, Fetoni AR, Freni F, Ciodaro F, Galletti F, Albera R, Canale A, Piccioni LO, Babiloni F. Music in noise recognition: An EEG study of listening effort in cochlear implant users and normal hearing controls. PLoS One. 2023 Aug 10;18(8):e0288461. doi: 10.1371/journal.pone.0288461. eCollection 2023.
PMID: 37561758BACKGROUNDDunham CM, Ransom KJ, McAuley CE, Gruber BS, Mangalat D, Flowers LL. Severe brain injury ICU outcomes are associated with Cranial-Arterial Pressure Index and noninvasive Bispectral Index and transcranial oxygen saturation: a prospective, preliminary study. Crit Care. 2006;10(6):R159. doi: 10.1186/cc5097.
PMID: 17105656BACKGROUNDDunham CM, Katradis DA, Williams MD. The bispectral index, a useful adjunct for the timely diagnosis of brain death in the comatose trauma patient. Am J Surg. 2009 Dec;198(6):846-51. doi: 10.1016/j.amjsurg.2009.05.032.
PMID: 19969140BACKGROUNDAlkhachroum A, Flo E, Manolovitz B, Cohan H, Shammassian B, Bass D, Aklepi G, Monexe E, Ghamasaee P, Sobczak E, Samano D, Saavedra AB, Massad N, Kottapally M, Merenda A, Cordeiro JG, Jagid J, Kanner AM, Rundek T, O'Phelan K, Claassen J, Sitt JD. Resting-State EEG Signature of Early Consciousness Recovery in Comatose Patients with Traumatic Brain Injury. Neurocrit Care. 2024 Dec;41(3):855-865. doi: 10.1007/s12028-024-02005-2. Epub 2024 May 29.
PMID: 38811512BACKGROUNDTolonen A, Sarkela MOK, Takala RSK, Katila A, Frantzen J, Posti JP, Muller M, van Gils M, Tenovuo O. Quantitative EEG Parameters for Prediction of Outcome in Severe Traumatic Brain Injury: Development Study. Clin EEG Neurosci. 2018 Jul;49(4):248-257. doi: 10.1177/1550059417742232. Epub 2017 Nov 27.
PMID: 29172703BACKGROUNDSchnakers C, Lutkenhoff ES, Bio BJ, McArthur DL, Vespa PM, Monti MM. Acute EEG spectra characteristics predict thalamic atrophy after severe TBI. J Neurol Neurosurg Psychiatry. 2019 May;90(5):617-619. doi: 10.1136/jnnp-2017-317829. Epub 2018 Jun 28. No abstract available.
PMID: 29954872BACKGROUNDO'Donnell A, Pauli R, Banellis L, Sokoliuk R, Hayton T, Sturman S, Veenith T, Yakoub KM, Belli A, Chennu S, Cruse D. The prognostic value of resting-state EEG in acute post-traumatic unresponsive states. Brain Commun. 2021 Mar 17;3(2):fcab017. doi: 10.1093/braincomms/fcab017. eCollection 2021.
PMID: 33855295BACKGROUNDWang J, Huang L, Ma X, Zhao C, Liu J, Xu D. Role of Quantitative EEG and EEG Reactivity in Traumatic Brain Injury. Clin EEG Neurosci. 2022 Sep;53(5):452-459. doi: 10.1177/1550059420984934. Epub 2021 Jan 6.
PMID: 33405972BACKGROUNDMoulton RJ, Marmarou A, Ronen J, Ward JD, Choi S, Lutz HA, Byrd S, Desalles A, Maset A, Muizelarr JP, et al. Spectral analysis of the EEG in craniocerebral trauma. Can J Neurol Sci. 1988 Feb;15(1):82-6. doi: 10.1017/s0317167100027244.
PMID: 3345464BACKGROUNDThatcher RW, Cantor DS, McAlaster R, Geisler F, Krause P. Comprehensive predictions of outcome in closed head-injured patients. The development of prognostic equations. Ann N Y Acad Sci. 1991;620:82-101. doi: 10.1111/j.1749-6632.1991.tb51576.x.
PMID: 2035948BACKGROUNDHaveman ME, Van Putten MJAM, Hom HW, Eertman-Meyer CJ, Beishuizen A, Tjepkema-Cloostermans MC. Predicting outcome in patients with moderate to severe traumatic brain injury using electroencephalography. Crit Care. 2019 Dec 11;23(1):401. doi: 10.1186/s13054-019-2656-6.
PMID: 31829226BACKGROUNDCleri NA, Saadon JR, Zheng X, Swarna SA, Zhang J, Vagal V, Wang C, Kleyner RS, Mikell CB, Mofakham S. Predicting traumatic brain injury outcomes using a posterior dominant rhythm. J Neurosurg. 2023 Jun 9;139(6):1523-1533. doi: 10.3171/2023.4.JNS23569. Print 2023 Dec 1.
PMID: 37329521BACKGROUNDLee H, Mizrahi MA, Hartings JA, Sharma S, Pahren L, Ngwenya LB, Moseley BD, Privitera M, Tortella FC, Foreman B. Continuous Electroencephalography After Moderate to Severe Traumatic Brain Injury. Crit Care Med. 2019 Apr;47(4):574-582. doi: 10.1097/CCM.0000000000003639.
PMID: 30624278BACKGROUNDMurtaugh B, Morrissey AM, Fager S, Knight HE, Rushing J, Weaver J. Music, occupational, physical, and speech therapy interventions for patients in disorders of consciousness: An umbrella review. NeuroRehabilitation. 2024;54(1):109-127. doi: 10.3233/NRE-230149.
PMID: 38277314BACKGROUNDLi X, Li C, Hu N, Wang T. Music Interventions for Disorders of Consciousness: A Systematic Review and Meta-analysis. J Neurosci Nurs. 2020 Aug;52(4):146-151. doi: 10.1097/JNN.0000000000000511.
PMID: 32404771BACKGROUNDGrimm T, Kreutz G. Music interventions in disorders of consciousness (DOC) - a systematic review. Brain Inj. 2018;32(6):704-714. doi: 10.1080/02699052.2018.1451657. Epub 2018 Mar 22.
PMID: 29565697BACKGROUNDThaut MH, Gardiner JC, Holmberg D, Horwitz J, Kent L, Andrews G, Donelan B, McIntosh GR. Neurologic music therapy improves executive function and emotional adjustment in traumatic brain injury rehabilitation. Ann N Y Acad Sci. 2009 Jul;1169:406-16. doi: 10.1111/j.1749-6632.2009.04585.x.
PMID: 19673815BACKGROUNDGu J, Long W, Zeng S, Qin L, Dong Y, Fang C, Zhang X. The effect of musical sensory orientation training in improving consciousness level in patients with disorders of consciousness: a pilot study. Front Neurosci. 2025 Jul 24;19:1610811. doi: 10.3389/fnins.2025.1610811. eCollection 2025.
PMID: 40778352BACKGROUNDXiao X, Chen W, Zhang X. The effect and mechanisms of music therapy on the autonomic nervous system and brain networks of patients of minimal conscious states: a randomized controlled trial. Front Neurosci. 2023 May 12;17:1182181. doi: 10.3389/fnins.2023.1182181. eCollection 2023.
PMID: 37250411BACKGROUNDLiu ZB, Liu YS, Zhao L, Li MY, Liu CH, Zhang CX, Li HL. Short-term efficacy of music therapy combined with alpha binaural beat therapy in disorders of consciousness. Front Psychol. 2022 Sep 6;13:947861. doi: 10.3389/fpsyg.2022.947861. eCollection 2022.
PMID: 36148124BACKGROUNDMoumdjian L, Sarkamo T, Leone C, Leman M, Feys P. Effectiveness of music-based interventions on motricity or cognitive functioning in neurological populations: a systematic review. Eur J Phys Rehabil Med. 2017 Jun;53(3):466-482. doi: 10.23736/S1973-9087.16.04429-4. Epub 2016 Nov 23.
PMID: 27879960BACKGROUNDSihvonen AJ, Sarkamo T, Leo V, Tervaniemi M, Altenmuller E, Soinila S. Music-based interventions in neurological rehabilitation. Lancet Neurol. 2017 Aug;16(8):648-660. doi: 10.1016/S1474-4422(17)30168-0. Epub 2017 Jun 26.
PMID: 28663005BACKGROUNDLin TH, Liao YC, Tam KW, Chan L, Hsu TH. Effects of music therapy on cognition, quality of life, and neuropsychiatric symptoms of patients with dementia: A systematic review and meta-analysis of randomized controlled trials. Psychiatry Res. 2023 Nov;329:115498. doi: 10.1016/j.psychres.2023.115498. Epub 2023 Sep 27.
PMID: 37783097BACKGROUNDSaville P, Kinney C, Heiderscheit A, Himmerich H. Exploring the Intersection of ADHD and Music: A Systematic Review. Behav Sci (Basel). 2025 Jan 13;15(1):65. doi: 10.3390/bs15010065.
PMID: 39851869BACKGROUNDRaz S. Enhancing cognitive abilities in young adults with ADHD through instrumental music training: a comparative analysis of musicians and non-musicians. Psychol Res. 2024 Nov 13;89(1):9. doi: 10.1007/s00426-024-02048-2.
PMID: 39535620BACKGROUNDLuo Z, Zhang DW. Rhythms of relief: perspectives on neurocognitive mechanisms of music interventions in ADHD. Front Psychol. 2025 Mar 3;16:1476928. doi: 10.3389/fpsyg.2025.1476928. eCollection 2025.
PMID: 40099022BACKGROUNDTrost W, Fruhholz S, Schon D, Labbe C, Pichon S, Grandjean D, Vuilleumier P. Getting the beat: entrainment of brain activity by musical rhythm and pleasantness. Neuroimage. 2014 Dec;103:55-64. doi: 10.1016/j.neuroimage.2014.09.009. Epub 2014 Sep 16.
PMID: 25224999BACKGROUNDVuilleumier P, Trost W. Music and emotions: from enchantment to entrainment. Ann N Y Acad Sci. 2015 Mar;1337:212-22. doi: 10.1111/nyas.12676.
PMID: 25773637BACKGROUNDThaut MH, McIntosh GC, Hoemberg V. Neurobiological foundations of neurologic music therapy: rhythmic entrainment and the motor system. Front Psychol. 2015 Feb 18;5:1185. doi: 10.3389/fpsyg.2014.01185. eCollection 2014.
PMID: 25774137BACKGROUNDJiao D. Advancing personalized digital therapeutics: integrating music therapy, brainwave entrainment methods, and AI-driven biofeedback. Front Digit Health. 2025 Feb 25;7:1552396. doi: 10.3389/fdgth.2025.1552396. eCollection 2025.
PMID: 40070544BACKGROUNDT Zaatar M, Alhakim K, Enayeh M, Tamer R. The transformative power of music: Insights into neuroplasticity, health, and disease. Brain Behav Immun Health. 2023 Dec 12;35:100716. doi: 10.1016/j.bbih.2023.100716. eCollection 2024 Feb.
PMID: 38178844BACKGROUNDChen WG, Iversen JR, Kao MH, Loui P, Patel AD, Zatorre RJ, Edwards E. Music and Brain Circuitry: Strategies for Strengthening Evidence-Based Research for Music-Based Interventions. J Neurosci. 2022 Nov 9;42(45):8498-8507. doi: 10.1523/JNEUROSCI.1135-22.2022.
PMID: 36351825BACKGROUNDToader C, Tataru CP, Florian IA, Covache-Busuioc RA, Bratu BG, Glavan LA, Bordeianu A, Dumitrascu DI, Ciurea AV. Cognitive Crescendo: How Music Shapes the Brain's Structure and Function. Brain Sci. 2023 Sep 29;13(10):1390. doi: 10.3390/brainsci13101390.
PMID: 37891759BACKGROUNDWeaver JA, Cogan AM, Watters K. Sensory Stimulation for Patients With Disorders of Consciousness Following a Traumatic Brain Injury (June 2013-October 2020). Am J Occup Ther. 2022 Sep 1;76(Suppl 2):7613393040. doi: 10.5014/ajot.2022/76S2004.
PMID: 36165891BACKGROUNDVahedian-Azimi A, Ebadi A, Asghari Jafarabadi M, Saadat S, Ahmadi F. Effect of Massage Therapy on Vital Signs and GCS Scores of ICU Patients: A Randomized Controlled Clinical Trial. Trauma Mon. 2014 Aug;19(3):e17031. doi: 10.5812/traumamon.17031. Epub 2014 Aug 1.
PMID: 25337518BACKGROUNDFroutan R, Eghbali M, Hoseini SH, Mazloom SR, Yekaninejad MS, Boostani R. The effect of music therapy on physiological parameters of patients with traumatic brain injury: A triple-blind randomized controlled clinical trial. Complement Ther Clin Pract. 2020 Aug;40:101216. doi: 10.1016/j.ctcp.2020.101216. Epub 2020 Jun 30.
PMID: 32891292BACKGROUNDCidral-Filho FJ, Porter P, Donatello NN. An Integrative Review of Brainwave Entrainment Benefits for Human Health. Appl Psychophysiol Biofeedback. 2025 Mar;50(1):3-9. doi: 10.1007/s10484-024-09682-x. Epub 2024 Dec 19.
PMID: 39699823BACKGROUNDGorji MA, Araghiyansc F, Jafari H, Gorgi AM, Yazdani J. Effect of auditory stimulation on traumatic coma duration in intensive care unit of Medical Sciences University of Mazandarn, Iran. Saudi J Anaesth. 2014 Jan;8(1):69-72. doi: 10.4103/1658-354X.125940.
PMID: 24665243BACKGROUNDAdineh M, Elahi N, Molavynejad S, Jahani S, Savaie M. Impact of a sensory stimulation program conducted by family members on the consciousness and pain levels of ICU patients: A mixed method study. Front Med (Lausanne). 2022 Sep 20;9:931304. doi: 10.3389/fmed.2022.931304. eCollection 2022.
PMID: 36203763BACKGROUNDDavis AE, Gimenez A. Cognitive-behavioral recovery in comatose patients following auditory sensory stimulation. J Neurosci Nurs. 2003 Aug;35(4):202-9, 214. doi: 10.1097/01376517-200308000-00006.
PMID: 12942654BACKGROUNDSalmani F, Mohammadi E, Rezvani M, Kazemnezhad A. The effects of family-centered affective stimulation on brain-injured comatose patients' level of consciousness: A randomized controlled trial. Int J Nurs Stud. 2017 Sep;74:44-52. doi: 10.1016/j.ijnurstu.2017.05.014. Epub 2017 Jun 4.
PMID: 28601692BACKGROUNDMoattari M, Alizadeh Shirazi F, Sharifi N, Zareh N. Effects of a Sensory Stimulation by Nurses and Families on Level of Cognitive Function, and Basic Cognitive Sensory Recovery of Comatose Patients With Severe Traumatic Brain Injury: A Randomized Control Trial. Trauma Mon. 2016 Apr 25;21(4):e23531. doi: 10.5812/traumamon.23531. eCollection 2016 Sep.
PMID: 28180120BACKGROUNDTavangar H, Shahriary-Kalantary M, Salimi T, Jarahzadeh M, Sarebanhassanabadi M. Effect of family members' voice on level of consciousness of comatose patients admitted to the intensive care unit: A single-blind randomized controlled trial. Adv Biomed Res. 2015 May 29;4:106. doi: 10.4103/2277-9175.157806. eCollection 2015.
PMID: 26261808BACKGROUNDZuo J, Tao Y, Liu M, Feng L, Yang Y, Liao L. The effect of family-centered sensory and affective stimulation on comatose patients with traumatic brain injury: A systematic review and meta-analysis. Int J Nurs Stud. 2021 Mar;115:103846. doi: 10.1016/j.ijnurstu.2020.103846. Epub 2020 Dec 7.
PMID: 33485101BACKGROUNDLi J, Cheng Q, Liu FK, Huang Z, Feng SS. Sensory stimulation to improve arousal in comatose patients after traumatic brain injury: a systematic review of the literature. Neurol Sci. 2020 Sep;41(9):2367-2376. doi: 10.1007/s10072-020-04410-9. Epub 2020 Apr 22.
PMID: 32323082BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
C. Michael Dunham, MD
St. Elizabeth Youngstown Hospital
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Target Duration
- 7 Days
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Research Investigator
Study Record Dates
First Submitted
April 2, 2026
First Posted
April 22, 2026
Study Start
April 7, 2026
Primary Completion (Estimated)
April 7, 2028
Study Completion (Estimated)
April 7, 2028
Last Updated
April 22, 2026
Record last verified: 2026-04
Data Sharing
- IPD Sharing
- Will not share
Protected Health Information will not be reused or disclosed except as required by law, for authorized oversight of the research.