Emerging Limb Rehabilitation Therapy After Post-stroke Motor Recovery

Xiong, Fei; Liao, Xiaofeng; Xiao, Jie; Bai, Xiangzhi; Huang, Jia‐Qi; Zhang, Bi; Li, Fang; Li, Pengfei

doi:10.3389/fnagi.2022.863379

Cited by 24 publications

(8 citation statements)

References 112 publications

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“…Motor dysfunction is one of the most common complications following stroke, which manifests as numbness and weakness of the limbs and even paralysis or spasms [ 13 , 52 ]. Motor dysfunction can seriously affect the quality of life and social participation of stroke patients.…”

Section: The Role Of Music Therapy In the Rehabilitation Poststrokementioning

confidence: 99%

“…Music therapy is a systematic treatment method that utilizes music elements as an intervention to improve patients' neurological function and mood status [ 11 , 12 ]. Many studies have applied music therapy during rehabilitation of stroke, which has led to the achievement of a good effect [ 13 , 14 ]. Due to its safety, it is low cost, convenient, simple, and easy to implement.…”

Section: Introductionmentioning

confidence: 99%

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Potential Benefits of Music Therapy on Stroke Rehabilitation

Shen

et al. 2022

Oxidative Medicine and Cellular Longevity

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Stroke is associated with a high rate of disability and mortality, and survivors are usually accompanied with dysphagia, aphasia, motor dysfunction, cognitive impairment, depression, and other complications. In the past decades, many studies have been conducted to reveal the pathogenesis and pathological mechanisms of stroke. Furthermore, treatment methods have been developed that contribute to the elevated survival rate of stroke patients. Early rehabilitation poststroke is starting to be recognized as important and has been receiving increasing attention in order to further improve the quality of life of the patients. As an emerging method of poststroke rehabilitation, music therapy can help attenuate dysphagia and aphasia, improve cognition and motor function, alleviate negative moods, and accelerate neurological recovery in stroke patients. This review helps summarize the recent progress that has been made using music therapy in stroke rehabilitation and is aimed at providing clinical evidence for the treatment of stroke patients.

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Section: The Role Of Music Therapy In the Rehabilitation Poststrokementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Potential Benefits of Music Therapy on Stroke Rehabilitation

Shen

et al. 2022

Oxidative Medicine and Cellular Longevity

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“…According to the statistics, 55%−75% of poststroke patients suffer from upper limb (UL) motor impairments (2). Despite receiving intensive rehabilitative therapies, many patients post-stroke retained motor dysfunction at variable degrees (3)(4)(5), which decreased health-related quality of life (6). Recently, many studies have suggested that repetitive transcranial magnetic stimulation (rTMS) may be a promising therapy for promoting recovery of the upper limb after stroke (7)(8)(9)(10), possibly through modulating cortical excitability and inducing neural plasticity (11)(12)(13)(14)(15).…”

Section: Introductionmentioning

confidence: 99%

Excitatory Repetitive Transcranial Magnetic Stimulation Over the Ipsilesional Hemisphere for Upper Limb Motor Function After Stroke: A Systematic Review and Meta-Analysis

et al. 2022

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BackgroundRepetitive transcranial magnetic stimulation (rTMS) is a promising therapy to promote recovery of the upper limb after stroke. According to the regulation of cortical excitability, rTMS can be divided into excitatory rTMS and inhibitory rTMS, and excitatory rTMS includes high-frequency rTMS (HF-rTMS) or intermittent theta-burst stimulation (iTBS). We aimed to evaluate the effects of excitatory rTMS over the ipsilesional hemisphere on upper limb motor recovery after stroke.MethodsDatabases of PubMed, Embase, ISI Web of Science, and the Cochrane Library were searched for randomized controlled trials published before 31 December 2021. RCTs on the effects of HF-rTMS or iTBS on upper limb function in patients diagnosed with stroke were included. Two researchers independently screened the literature, extracted the data, and assessed quality. The meta-analysis was performed by using Review Manager Version 5.4 software.ResultsFifteen studies with 449 participants were included in this meta-analysis. This meta-analysis found that excitatory rTMS had significant efficacy on upper limb motor function (MD = 5.88, 95% CI, 3.32–8.43, P < 0.001), hand strength (SMD = 0.53, 95% CI, 0.04–1.01, P = 0.03), and hand dexterity (SMD = 0.76, 95% CI, 0.39–1.14, P < 0.001). Subgroup analyses based on different types of rTMS showed that both iTBS and HF-rTMS significantly promoted upper limb motor function (iTBS, P < 0.001; HF-rTMS, P < 0.001) and hand dexterity (iTBS, P = 0.01; HF-rTMS, P < 0.001) but not hand strength (iTBS, P = 0.07; HF-rTMS, P = 0.12). Further subgroup analysis based on the duration of illness demonstrated that applying excitatory rTMS during the first 3 months (<1 month, P = 0.01; 1–3 months, P = 0.001) after stroke brought significant improvement in upper limb motor function but not in the patients with a duration longer than 3 months (P = 0.06). We found that HF-rTMS significantly enhanced the motor evoked potential (MEP) amplitude of affected hemisphere (SMD = 0.82, 95% CI, 0.32–1.33, P = 0.001).ConclusionOur study demonstrated that excitatory rTMS over the ipsilesional hemisphere could significantly improve upper limb motor function, hand strength, and hand dexterity in patients diagnosed with stroke. Both iTBS and HF-rTMS which could significantly promote upper limb motor function and hand dexterity, and excitatory rTMS were beneficial to upper limb motor function recovery only when applied in the first 3 months after stroke. HF-rTMS could significantly enhance the MEP amplitude of the affected hemisphere. High-quality and large-scale randomized controlled trials in the future are required to confirm our conclusions.Clinical Trial Registrationwww.crd.york.ac.uk/prospero/, identifier: CRD42022312288.

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“…Exploring music in its various forms can be a vital part of holistic nurses' efforts to rehabilitate and comfort patients dealing with adversities such as stroke. 25,26 Moreover, like love and sorrow, music has the power to change the way the patient perceives the world; in this way, music and mood are linked. The use of guided imagery music serves as an example in this regard.…”

Section: Musicmentioning

confidence: 99%

Consolation Management Aesthetics Within Holistic Nursing

Nilsson

2023

Holistic Nursing Practice

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The aim of this article is to elaborate on consolation management aesthetics in terms of literature, art, and music. This article will be centered on holistic nurses who come in daily contact with vulnerable patients in need of both medical treatment and consolation, as they continue their journey toward one or another outcome. Consolation management aesthetics enables the patients to shift their attention from something that appears intractable to something that motivates, bolsters existential resilience, and offers hope and optimism for the future. Holistic nursing aesthetics, involving psychological healing through literature, art, and music, can help anxious, troubled patients to once again find beauty and balance in their lives.

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Emerging Limb Rehabilitation Therapy After Post-stroke Motor Recovery

Cited by 24 publications

References 112 publications

Potential Benefits of Music Therapy on Stroke Rehabilitation

Potential Benefits of Music Therapy on Stroke Rehabilitation

Excitatory Repetitive Transcranial Magnetic Stimulation Over the Ipsilesional Hemisphere for Upper Limb Motor Function After Stroke: A Systematic Review and Meta-Analysis

Consolation Management Aesthetics Within Holistic Nursing

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