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

Criekinge, Tamaya Van; D’Août, Kristiaan; O'Brien, Jonathon; Coutinho, Eduardo

doi:10.3389/fneur.2019.01141

Cited by 6 publications

(7 citation statements)

References 51 publications

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“…Although previous studies on the effect of acoustic feedback have shown positive effects (Thaut et al, 1996;Aruin et al, 2003;Schmitz et al, 2014;Bella et al, 2015Bella et al, , 2018Park et al, 2015;Shin et al, 2015;Young et al, 2016;Dotov et al, 2017;Ghai et al, 2018;Chang et al, 2019;van Criekinge et al, 2019), clear evidence in patients undergoing gait rehabilitation with orthopedic diseases or (neurologically) healthy individuals is still lacking at the current time. In this context, (Yang et al, 2012) investigated the influence of acoustic error feedback during walking on three unilateral transtibial amputated patients.…”

Section: Discussionmentioning

confidence: 98%

Acoustic Feedback in Gait Rehabilitation—Pre-Post Effects in Patients With Unilateral Hip Arthroplasty

Reh

Schmitz

Hwang

et al. 2021

Front. Sports Act. Living

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It is known that patients after unilateral hip arthroplasty still suffer from a deficient gait pattern compared to healthy individuals one year after surgery. Through the method of gait sonification, it may be possible to achieve a more efficient training and a more physiological gait pattern. Increased loads on the musculoskeletal system could thus be reduced and rehabilitation times shortened. In a previous investigation with this patient group, we found immediate gait pattern changes during training with dual mode acoustic feedback [real-time feedback (RTF) and instructive model sequences (IMS)]. To determine whether an effect persists without the immediate use of acoustic feedback, we analyze data from four times of testing. Following unilateral hip arthroplasty 22 patients participated in an intervention of ten gait training sessions of 20 min each. During gait training the sonification group (SG) (n = 11) received an acoustic feedback consisting of RTF and IMS compared to a control group (CG) (n = 11). Pre-test, intermediate test, post-test, and re-test were conducted using an inertial sensor-based motion analysis system. We found significant effects (α = 0.05) regarding step length and range of motion (RoM) of the hip joint. Step length of the affected leg increased in the SG from intermediate test to post-test but decreased in the CG [intermediate test: (SG) 0.63 m ± 0.12 m, (CG) 0.63 m ± 0.09 m; post-test: (SG) 0.66 m ± 0.11 m, (CG) 0.60 m ± 0.09 m]. However, from the post-test to the re-test a reverse development was observed [re-test: (SG) 0.63 m ± 0.10 m, (CG) 0.65 m ± 0.09 m]. Also, from post-test to re-test a decrease in the RoM of the unaffected hip for the SG but an increase for the CG could be observed [post-test: (SG) 44.10° ± 7.86°, (CG) 37.05° ± 7.21°; re-test: (SG) 41.73° ± 7.38°, (CG) 40.85° ± 9.28°]. Regarding further parameters, significant interactions in step duration as well as increases in stride length, gait speed, cadence, and a decrease in ground contact time from pre-test to re-test were observed for both groups.Clinical Trial Registration:https://www.drks.de/drks_web/, identifier DRKS00022570.

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Section: Discussionmentioning

confidence: 98%

Acoustic Feedback in Gait Rehabilitation—Pre-Post Effects in Patients With Unilateral Hip Arthroplasty

Reh

Schmitz

Hwang

et al. 2021

Front. Sports Act. Living

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“…Despite potential differences in the mechanism of action for music-based rhythmic auditory stimulation and conventional physiotherapy [ 15 , 28 , 29 ], the goal of music-based RAS alone and in combination remained the same: to improve gait and balance after stroke [ 8 , 14 , 28 , 30 ]. A possible explanation might be related to the lack of precision in the Tinetti test to measure gait parameters and the quality of walking in the aftermath of stroke [ 14 , 31 ].…”

Section: Discussionmentioning

confidence: 99%

“…It should be taken into account that the control group also attended an intensive rehabilitation unit, performing 11 h of physiotherapy and 7 h of occupational therapy per week, compared with control groups of other studies that only received an average of 3–5 h/week. This undoubtedly has value for rehabilitation but possibly reduces the comparative effect with the intervention group [ 10 , 15 , 34 ]. Another possible cause could be that we could not evaluate the Timed Up&Go and Tinetti scores in those participants who were unable to walk at baseline (more than 80% in each group).…”

Section: Discussionmentioning

confidence: 99%

“…Studies into supraspinal feedback errors with a music-based rhythmic auditory stimulation should be planned in future research. As suggested by Van Criekinge et al in 2019, our research was with people in a subacute stroke phase rather than a chronic phase and used actual pieces of music besides a metronome [ 15 ]. Future research needs to investigate the cost-effectiveness and the persistence of treatment effects over time and at people’s homes with larger cohorts.…”

Section: Discussionmentioning

confidence: 99%

“…Most trials have investigated rhythmic auditory stimulation on gait parameters, such as gait speed and cadence, in subacute and chronic phase after stroke. [ 10 , 15 ] Very little attention has been paid to the role of music-based RAS on walking ability in a subacute phase within the three weeks after stroke onset [ 15 ]. After stroke, not only gait parameters but also walking ability has been shown to have an impact on perceived participation after stroke [ 16 ].…”

Section: Introductionmentioning

confidence: 99%

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Effects of a Music-Based Rhythmic Auditory Stimulation on Gait and Balance in Subacute Stroke

Gonzalez-Hoelling

Bertrán-Noguer

Reig‐Garcia

et al. 2021

IJERPH

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Gait and balance impairments are common after stroke. This study aimed to evaluate the effect of a music-based rhythmic auditory stimulation (RAS) in combination with conventional physiotherapy on gait parameters and walking ability in subacute stroke. This single-blind, historical controlled trial, included 55 patients who had suffered a stroke within the three weeks prior to enrolment. Patients from 2018 (n = 27) were assigned as the historical control group whereas 2019 patients (n = 28) received music-based RAS three times a week. Both groups received 11 h of conventional physiotherapy per week during hospitalization. Primary outcomes were gait and balance parameters (Tinetti test and Timed Up&Go test) and walking ability (Functional Ambulation Category scale). Secondary outcomes were trunk control, assistive devices, functional independence (Functional Independence Measure, Barthel index), and stroke severity and disability (modified Rankin scale, National Institutes of Health Stroke Scale). Results: No between-group differences were identified for gait and balance parameters nor for secondary outcomes. Significant between-group differences were observed in the Functional Ambulation Category: the intervention group (Δmean ± SD; 3.43 ± 1.17) showed greater improvement (p = 0.002) than the control group (Δmean ± SD; 2.48 ± 1.09). Compared with conventional physiotherapy alone, our results suggest that the walking ability of subacute stroke patients might be improved with music-based RAS combined with conventional physiotherapy, but this treatment is not more effective than conventional physiotherapy in obtaining gait and balance gains.

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The effects of rhythmic auditory stimulation on functional ambulation after stroke: a systematic review

Gonzalez-Hoelling,

Reig-García,

Bertran-Noguer

et al. 2024

BMC Complement Med Ther

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Background Several studies have reported the effect of rhythmic auditory stimulation (RAS) on functional ambulation in stroke patients, yet no systematic overview has yet been published. This study aims to synthesize the available evidence describing changes in stroke patients after RAS intervention for functional ambulation and the use of walking assistive devices, and to find out if the effect of RAS and music-based RAS differs depending on the lesioned area. Methods The PubMed, PEDro, Cochrane Central Register of Controlled Trials, Web of Science, Scopus and CINAHL electronic databases were searched for reports evaluating the effect of RAS on walking in stroke patients, applying the PICOS criteria for the inclusion of studies. Results Twenty one articles were included (948 stroke survivors). Most studies were of good methodological quality according to the PEDro scale, but they had a high risk of bias. The most consistent finding was that RAS improves walking and balance parameters in stroke patients in all phases compared to baseline and versus control groups with conventional treatment. Functional ambulation and the use of walking assistive devices were inconsistently reported. Several studies also suggest that RAS may be as good as other complementary therapies (horse-riding and visual cueing). Conclusions Despite the beneficial effects of RAS, the question remains as to whether it is better than other complementary therapies. Given the heterogeneity of the interventions, the interventions in control groups, the varied durations, and the different outcome measures, we suggest that care should be taken in interpreting and generalizing findings. PROSPERO Registration CRD42021277940.

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

Cited by 6 publications

References 51 publications

Acoustic Feedback in Gait Rehabilitation—Pre-Post Effects in Patients With Unilateral Hip Arthroplasty

Acoustic Feedback in Gait Rehabilitation—Pre-Post Effects in Patients With Unilateral Hip Arthroplasty

Effects of a Music-Based Rhythmic Auditory Stimulation on Gait and Balance in Subacute Stroke

The effects of rhythmic auditory stimulation on functional ambulation after stroke: a systematic review

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