Improvement in Stroke-induced Motor Dysfunction by Music-supported Therapy: A Systematic Review and Meta-analysis

Abstract

To conduct a meta-analysis of clinical trials that examined the effect of music-supported therapy on stroke-induced motor dysfunction, comprehensive literature searches of PubMed, Embase and the Cochrane Library from their inception to April 2016 were performed. A total of 10 studies (13 analyses, 358 subjects) were included; all had acceptable quality according to PEDro scale score. The baseline differences between the two groups were confirmed to be comparable. Compared with the control group, the standardized mean difference of 9-Hole Peg Test was 0.28 (−0.01, 0.57), 0.64 (0.31, 0.97) in Box and Block Test, 0.47 (0.08, 0.87) in Arm Paresis Score and 0.35 (−0.04, 0.75) in Action Research Arm Test for upper-limb motor function, 0.11 (−0.24, 0.46) in Berg Balance Scale score, 0.09 (−0.36, 0.54) in Fugl-Meyer Assessment score, 0.30 (−0.15, 0.74) in Wolf Motor Function Test, 0.30 (−0.15, 0.74) in Wolf Motor Function time, 0.65 (0.14, 1.16) in Stride length and 0.62 (0.01, 1.24) in Gait Velocity for total motor function, and 1.75 (0.94, 2.56) in Frontal Assessment Battery score for executive function. There was evidence of a positive effect of music-supported therapy, supporting its use for the treatment of stroke-induced motor dysfunction. This study was registered at PRESPERO (CRD42016037106).

Long-Term Improvements After Multimodal Rehabilitation in Late Phase After Stroke

“…[5][6][7][8][9][10][11][12][13] These interventions share important core components but differ from each other with respect to their combinations of Background and Purpose-Treatments that improve function in late phase after stroke are urgently needed. We assessed whether multimodal interventions based on rhythm-and-music therapy or horse-riding therapy could lead to increased perceived recovery and functional improvement in a mixed population of individuals in late phase after stroke.…”

“…Individually, or in combination, these components have all shown promise for treating individuals with brain disorders, including stroke, 10 and a recent meta-analyses provide evidence for positive effects of music-supported therapy and rhythmic auditory cueing in stroke rehabilitation. 7,9,14 There is an urgent unmet need to evaluate multimodal interventions applied to late-phase stroke survivors who often do not receive further rehabilitation after the subacute phase. We designed a 3-armed, single-blind, randomized controlled trial to evaluate whether a heterogeneous group of late-phase stroke survivors (10 months to 5 years post-stroke) benefit from 2 different multimodal group-based interventions: R-MT and H-RT.…”

Five Phases Music Therapy (FPMT) in Chinese Medicine: Fundamentals and Application

“…Music therapy is found to have positive effects on decreasing state anxiety score (Dai, 2016). There is evidence of a positive effect of music-supported therapy, supporting its use for the treatment of stroke-induced motor dysfunction (Zhang 2016). (Linnemann et al,2015) reported that music listening in daily life improved perceived control over pain in female FMS patients.…”

Music‐supported therapy for stroke motor recovery: theoretical and practical considerations

“…I refer the reader to several literature reviews that have evaluated and discussed the results of these studies . Thus, I will not repeat what has already been synthesized, but instead provide a discussion about the results of these studies in the context of recent systematic reviews with meta‐analyses …”