Time course of motor gains induced by music-supported therapy after stroke: An exploratory case study.

Grau-Sánchez, Jennifer; Ramos, Neus; Duarte, Esther; Särkämö, Teppo; Rodrı́guez-Fornells, Antoni

doi:10.1037/neu0000355

Cited by 9 publications

(12 citation statements)

References 47 publications

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“…The potential impact of music in stroke recovery fits with the recent findings of the EVREST trial, in which it was observed that recreational activities can be as effective as other sophisticated motor rehabilitation programs . Future studies should consider the intensity and duration of the standard rehabilitation program to which the MST is added, as well as the dose–response of MST . Moreover, aspects influencing the overall recovery process, such as the lesion location, white matter damage, and the extent of deficits, should be taken into account.…”

Section: Discussionsupporting

confidence: 63%

“…66 Future studies should consider the intensity and duration of the standard rehabilitation program to which the MST is added, as well as the dose-response of MST. 67 Moreover, aspects influencing the overall recovery process, such as the lesion location, white matter damage, and the extent of deficits, should be taken into account. The MST program could be modified by introducing new components, such as the self-selection of songs or musical styles, improvization, music sonification, 68 and other types of feedback that are in line with the most advanced motor learning paradigms.…”

Section: Discussionmentioning

confidence: 99%

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Music‐supported therapy in the rehabilitation of subacute stroke patients: a randomized controlled trial

Grau-Sánchez

Duarte

Ramos-Escobar

et al. 2018

Annals of the New York Academy of Sciences

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The effect of music-supported therapy (MST) as a tool to restore hemiparesis of the upper extremity after a stroke has not been appropriately contrasted with conventional therapy. The aim of this trial was to test the effectiveness of adding MST to a standard rehabilitation program in subacute stroke patients. A randomized controlled trial was conducted in which patients were randomized to MST or conventional therapy in addition to the rehabilitation program. The intensity and duration of the interventions were equated in both groups. Before and after 4 weeks of treatment, motor and cognitive functions, mood, and quality of life (QoL) of participants were evaluated. A follow-up at 3 months was conducted to examine the retention of motor gains. Both groups significantly improved their motor function, and no differences between groups were found. The only difference between groups was observed in the language domain for QoL. Importantly, an association was encountered between the capacity to experience pleasure from music activities and the motor improvement in the MST group. MST as an add-on treatment showed no superiority to conventional therapies for motor recovery. Importantly, patient's intrinsic motivation to engage in musical activities was associated with better motor improvement.

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Section: Discussionsupporting

confidence: 63%

Section: Discussionmentioning

confidence: 99%

Music‐supported therapy in the rehabilitation of subacute stroke patients: a randomized controlled trial

Grau-Sánchez

Duarte

Ramos-Escobar

et al. 2018

Annals of the New York Academy of Sciences

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“…Recently, studies examining the progression and retention of motor gains with music-supported therapy have shown that movement velocity, accuracy, and force are rapidly improved within the first training sessions involving simple movement sequences on the piano ( Grau-Sánchez et al, 2017 ). However, functional gains and transfer to everyday tasks are observed after at least 4 weeks of intervention and are even more noticeable after a second training period, thus suggesting progressive improvements ( Grau-Sánchez et al, 2018 , 2020 ).…”

Section: Clinical Applicationsmentioning

confidence: 99%

Rhythm and Music-Based Interventions in Motor Rehabilitation: Current Evidence and Future Perspectives

Janzen

Koshimori

Richard

et al. 2022

Front. Hum. Neurosci.

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Research in basic and clinical neuroscience of music conducted over the past decades has begun to uncover music’s high potential as a tool for rehabilitation. Advances in our understanding of how music engages parallel brain networks underpinning sensory and motor processes, arousal, reward, and affective regulation, have laid a sound neuroscientific foundation for the development of theory-driven music interventions that have been systematically tested in clinical settings. Of particular significance in the context of motor rehabilitation is the notion that musical rhythms can entrain movement patterns in patients with movement-related disorders, serving as a continuous time reference that can help regulate movement timing and pace. To date, a significant number of clinical and experimental studies have tested the application of rhythm- and music-based interventions to improve motor functions following central nervous injury and/or degeneration. The goal of this review is to appraise the current state of knowledge on the effectiveness of music and rhythm to modulate movement spatiotemporal patterns and restore motor function. By organizing and providing a critical appraisal of a large body of research, we hope to provide a revised framework for future research on the effectiveness of rhythm- and music-based interventions to restore and (re)train motor function.

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“…In that sense, the MST‐based intervention is still under development, aiming to integrate the complementary characteristics of both approaches into a realistic program that can support patients’ quality of life, participation, and motor functions. A recent single chronic case showed encouraging results of motor improvements during repeated MST even after a withdrawal period . Furthermore, home‐practice of the GRASP protocol in chronic‐stage patients for 6 days/week for 5 weeks resulted in ARAT score improvement of about 10% .…”

Section: Discussionmentioning

confidence: 96%

“…A recent single chronic case showed encouraging results of motor improvements during repeated MST even after a withdrawal period. 55 Furthermore, homepractice of the GRASP protocol in chronic-stage patients for 6 days/week for 5 weeks resulted in ARAT score improvement of about 10%. 56 Thus, it seems a promising approach to use the MST principle combined with well-designed physical therapy for developing tele-rehab or community programs without certified therapists.…”

Section: Discussionmentioning

confidence: 98%

The effects of music‐supported therapy on motor, cognitive, and psychosocial functions in chronic stroke

Fujioka

Dawson

Wright

et al. 2018

Annals of the New York Academy of Sciences

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Neuroplasticity accompanying learning is a key mediator of stroke rehabilitation. Training in playing music in healthy populations and patients with movement disorders requires resources within motor, sensory, cognitive, and affective systems, and coordination among these systems. We investigated effects of music-supported therapy (MST) in chronic stroke on motor, cognitive, and psychosocial functions compared to conventional physical training (GRASP). Twenty-eight adults with unilateral arm and hand impairment were randomly assigned to MST (n = 14) and GRASP (n = 14) and received 30 h of training over a 10-week period. The assessment was conducted at four time points: before intervention, after 5 weeks, after 10 weeks, and 3 months after training completion. As for two of our three primary outcome measures concerning motor function, all patients slightly improved in Chedoke-McMaster Stroke Assessment hand score, while the time to complete Action Research Arm Test became shorter in the MST group. The third primary outcome measure for well-being, Stroke Impact Scale, was improved for emotion and social communication earlier in MST and coincided with the improved executive function for task switching and music rhythm perception. The results confirmed previous findings and expanded the potential usage of MST for enhancing quality of life in community-dwelling chronic-stage survivors.

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Time course of motor gains induced by music-supported therapy after stroke: An exploratory case study.

Cited by 9 publications

References 47 publications

Music‐supported therapy in the rehabilitation of subacute stroke patients: a randomized controlled trial

Music‐supported therapy in the rehabilitation of subacute stroke patients: a randomized controlled trial

Rhythm and Music-Based Interventions in Motor Rehabilitation: Current Evidence and Future Perspectives

The effects of music‐supported therapy on motor, cognitive, and psychosocial functions in chronic stroke

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