Neurologic music therapy in multidisciplinary acute stroke rehabilitation: Could it be feasible and helpful?

Abstract

Background: There is increasing evidence for music-based interventions in neurorehabilitation, improving mood and functional outcomes. In response, there is growing interest from health-care providers in setting up Neurologic Music Therapy (NMT) services. This paper presents some preliminary data on the feasibility and acceptability of NMT in the acute stroke, multidisciplinary team setting, about which little is known. Objectives: To assess the feasibility and acceptability of a two-day per-week NMT service over 24 months. Methods: Data were collected on the number of referrals received, sessions attended, sessions declined and reasons why. Staff completed questionnaires, and collected them from patients and their relatives, rating interventions: 1. Not helpful, 2. Quite helpful, 3. Helpful, 4. Very helpful. Patients completed the Visual Analogue Mood Scale (VAMS) pre-/post-a single session. Results: Of 201 patients referred, 177 received treatment and 675 sessions were delivered. Twenty-four patients were discharged before sessions were scheduled and 28 sessions were declined, predominantly due to fatigue. Mean scores (SD) from questionnaire data were: patients (n = 99) 3.34 (0.825), relatives (n = 13) 3.83 (0.372), staff (n = 27) 3.85 (0.388). Mean, post-session VAMS data (n = 52) showed a non-significant reduction in 'Sad' (7.5, p = .007, CI = 2.1, 12.9) and an increase in 'Happy' (+ 6.2, p = .013, CI = −11.0, −1.4). Conclusions: Data suggest the service was feasible and helpful, particularly for patient mood, possibly improving engagement in rehabilitation. Research to determine generalizability in different stroke environments and treatment effects within them is warranted.

Development and evaluation of a novel music-based therapeutic device for upper extremity movement training: A pre-clinical, single-arm trial

“…Clinical studies indicate that motor improvements can be achieved already during the first training sessions with observable changes in movement velocity, key pressure, and note accuracy [30]. Music-based exercises, such as those requiring finger dexterity using electronic keyboards [34], might be adapted to touchscreen devices [29].…”

“…Functional restoration of the upper extremity is thought to be achieved through a combination of neurophysiological and learning-dependent processes that involve targeted training to restore, substitute, and compensate the weakened functions [13,14]. Frequently reported neurorehabilitation approaches for upper limb movement in cerebral palsy [15,16], stroke [13,17], and Parkinson's Disease [18,19] include standard treatment methods such as general physiotherapy (i.e., muscle strengthening and stretching), constraint-induced movement therapy and bimanual training, as well as technology-based approaches (i.e., virtual reality, games, and robot-assisted training) [20][21][22][23][24][25][26] and music-based interventions [27][28][29].…”

The evidence for the influence of musical compositions during pregnancy to the structure and functions of the offsprings’ brain

“…This question also make us use "stimulation" term not "therapy" because we use it for healthy fetus. [47][48][49][50][51][52][53][54][55]…”

Development and Evaluation of a Novel Music-based Therapeutic Device for Upper Extremity Movement Training

“…Functional restoration of the upper extremity is thought to be achieved through a combination of neurophysiological and learning-dependent processes that involve targeted training to restore, substitute, and compensate the weakened functions [13,14]. Frequently reported neurorehabilitation approaches for upper limb movement in cerebral palsy [15,16], post-stroke [13,17] and Parkinson's Disease [18,19] include standard treatment methods such as general physiotherapy (i.e., muscle strengthening and stretching), constraint-induced movement therapy and bimanual training, as well as technology-based approaches (i.e., virtual reality, games, and robot-assisted training) [20][21][22][23][24][25][26], and music-based interventions [27][28][29].…”

“…Recently, studies have acknowledged the relevance of music technology to increase the availability and accessibility of music-based therapy for patients with neurological disorders in different settings, including hospitals, communities, and home environment [29,[66][67][68]. For example, the use of programmable devices can help patients to exercise independently in addition to scheduled caregiverguided sessions, thus increasing treatment intensity [68].…”