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

Chen, Joyce L.

doi:10.1111/nyas.13726

Cited by 10 publications

(8 citation statements)

References 78 publications

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“…Motor deficits of the upper extremity are common in patients with stroke and have a relevant impact on patients’ activities of daily living, independence, and quality of life ( Morris et al, 2013 ). Motor function recovery for this population relies primarily on motor rehabilitation ( Langhorne et al, 2011 ), thus music-based therapies have received ample research attention in the past years (for discussion, see Thaut and McIntosh, 2014 ; Zhang et al, 2016 ; Moumdjian et al, 2017 ; Chen, 2018 ; Altenmüller and James, 2020 ; Grau-Sánchez et al, 2020 ; Huang et al, 2021 ).…”

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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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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“…Positive effects have also been found on communication-related and quality-of-life outcomes (3). Chen provided an overview of three meta-analyses discussing the effectiveness of music interventions after stroke and highlighted a gap in the literature (5)—the author concluded that although music interventions seem to be promising for enhancing clinical motor recovery after stroke, the quality of evidence is still rather low. It was suggested that more phase I and II studies are necessary as underlying mechanisms, and the nature (true motor recovery or compensation) of these improvements is still unclear (5).…”

Section: Introductionmentioning

confidence: 99%

“…Chen provided an overview of three meta-analyses discussing the effectiveness of music interventions after stroke and highlighted a gap in the literature (5)—the author concluded that although music interventions seem to be promising for enhancing clinical motor recovery after stroke, the quality of evidence is still rather low. It was suggested that more phase I and II studies are necessary as underlying mechanisms, and the nature (true motor recovery or compensation) of these improvements is still unclear (5). Indeed, without taking into account the movement quality of a certain task, it is impossible to discriminate between “true recovery” and “compensation” of motor patterns (7).…”

Section: Introductionmentioning

confidence: 99%

The Influence of Sound-Based Interventions on Motor Behavior After Stroke: A Systematic Review

et al. 2019

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Objective: To investigate the effects of sound-based interventions (SBIs) on biomechanical parameters in stroke patients.Methods: PubMed/Medline, Web of Science, the Physiotherapy Evidence Database (PEDro), and the Cochrane Library were searched until September 2019. Studies examining the effect of SBIs on kinematic, kinetic, and electromyographic outcome measures were included. Two independent reviewers performed the screening, and data extraction and risk-of-bias assessment were conducted with the PEDro and Newcastle–Ottawa scale. Disagreements were resolved by a third independent reviewer.Results: Of the 858 studies obtained from all databases, 12 studies and 240 participants met the inclusion and exclusion criteria. Six studies investigated the effect of SBI on upper limb motor tasks, while six examined walking. Concerning quality assessment (Newcastle–Ottawa Quality Assessment Scale and PEDro), the nine cross-sectional studies had a median score of seven, while the randomized controlled trials had a median score of five (fair to good quality). In relation to upper limb motor tasks, only one study found improvements in cortical reorganization and increased central excitability and motor control during reaching after SBI (results of the other five studies were too diverse and lacked quality to substantiate their findings). In relation to walking, results were clearer: SBI led to improvements in knee flexion and gastrocnemius muscle activity.Conclusion: Despite of the heterogeneity of the included studies, evidence was found demonstrating that SBI can induce biomechanical changes in motor behavior during walking in stroke patients. No conclusions could be formulated regarding reaching tasks. Additionally, directions for future research for understanding the underlying mechanism of the clinical improvements after SBI are: (1) using actual music pieces instead of rhythmic sound sequences and (2) examining sub-acute stroke rather than chronic stroke patients.

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“…Thus, while well-powered Phase III and IV RCTs are the ultimate aim, Phase I and II studies on the mechanisms underlying music-based interventions remain crucial for the design of better interventions. While this need has been discussed previously in the context of stroke recovery (Chen, 2018), the current article generalizes the reviewed literature to neurodegenerative diseases, including Alzheimer's Disease and Parkinson's Disease. From there, a few possible underlying mechanisms are described through which music can target specific brain networks.…”

Section: Music-based Interventions As Complex Interventionsmentioning

confidence: 86%

Neuroscientific Insights for Improved Outcomes in Music-based Interventions

Loui

2020

Music & Science

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Music therapy is an evidence-based practice, but the needs and constraints of various stakeholders pose challenges towards providing the highest standards of evidence for each clinical application. First, what is the best path from clinical need to multi-site, widely adopted intervention for a given disease or disorder? Secondly, how can we inform policy makers that what we do matters for public health––what evidence do we have, and what evidence do we need? This article will review the multiple forms of evidence for music-based interventions in the context of neurological disorders, from large-scale randomized controlled trials (RCT) to smaller-scale experimental studies, and make the case that evidence at multiple levels continues to be necessary for informing the selection of active ingredients of interest in effective musical interventions. The current article reviews some of the existing literature on music-based interventions for neurodegenerative disorders, with particular focus on neural structures and networks that are targeted by specific therapies for disorders including Alzheimer’s Disease, Parkinson’s Disease, and aphasia. This is followed by a focused discussion of principles that are gleaned from studies in cognitive and clinical neuroscience, which may inform the active ingredients of music-based interventions. Therapies that are driven by a deeper understanding of the musical elements that target specific disease mechanisms are more likely to succeed, and to increase the chances of widespread adoption. The article closes with some recommendations for future research.

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

Cited by 10 publications

References 78 publications

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

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

The Influence of Sound-Based Interventions on Motor Behavior After Stroke: A Systematic Review

Neuroscientific Insights for Improved Outcomes in Music-based Interventions

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