Music-supported therapy in the rehabilitation of subacute stroke patients: A randomized controlled trial

Grau-Sánchez, Jennifer; Duarte, Esther; Ramos-Escobar, Neus; Sierpowska, J.; Rueda, Nohora; Redon, S.; Heras, Misericordia Veciana de las; Pedro, Josep; Särkämö, Teppo; Rodrı́guez-Fornells, Antoni

doi:10.1016/j.rehab.2018.05.438

Cited by 14 publications

(29 citation statements)

References 33 publications

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“…Therefore, the use of music in neurological disorders may be beneficial precisely because the ability to enjoy music is relatively resistant to neurological damage. Prior work using music therapy in stroke patients has suggested that this may be the case; for example, recent work investigated the relationship between musical reward and outcomes of music‐supported therapy in patients with subacute stroke . Patients who experienced greater musical reward (as measured on the sensorimotor component of the BMRQ) showed more improvement in motor symptoms after receiving music‐supported therapy than patients who had less of a capacity to experience pleasure from music.…”

Section: Experimental Findingsmentioning

confidence: 99%

Musical anhedonia and rewards of music listening: current advances and a proposed model

Belfi

Loui

2019

Annals of the New York Academy of Sciences

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Music frequently elicits intense emotional responses, a phenomenon that has been scrutinized from multiple disciplines that span the sciences and arts. While most people enjoy music and find it rewarding, there is substantial individual variability in the experience and degree of music‐induced reward. Here, we review current work on the neural substrates of hedonic responses to music. In particular, we focus the present review on specific musical anhedonia, a selective lack of pleasure from music. Based on evidence from neuroimaging, neuropsychology, and brain stimulation studies, we derive a neuroanatomical model of the experience of pleasure during music listening. Our model posits that hedonic responses to music are the result of connectivity between structures involved in auditory perception as a predictive process, and those involved in the brain's dopaminergic reward system. We conclude with open questions and implications of this model for future research on why humans appreciate music.

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Section: Experimental Findingsmentioning

confidence: 99%

Musical anhedonia and rewards of music listening: current advances and a proposed model

Belfi

Loui

2019

Annals of the New York Academy of Sciences

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“…In a rehabilitative context, auditory–motor coupling in the framework of upper extremity rehabilitation has been explored in persons with stroke, where interventions, such as music‐supported therapy, have been shown to improve motor functions, and more so for participants with intrinsic motivation to engage in musical activities . This is also true within the framework of lower extremity rehabilitation, and more specifically, for gait rehabilitation, where rhythmic auditory stimulation—a neurological music therapy technique—has been shown to be effective in improving gait of persons with neurological conditions such as stroke and Parkinson disease (PD) .…”

Section: Introductionmentioning

confidence: 99%

A model of different cognitive processes during spontaneous and intentional coupling to music in multiple sclerosis

Moumdjian

Moens

Vanzeir³

et al. 2019

Annals of the New York Academy of Sciences

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Evidence for using auditory–motor coupling in neurological rehabilitation to facilitate walking is increasing. However, the distinction between spontaneous and intended coupling and its underlying mechanisms is yet to be investigated. In this study, we include 30 persons with multiple sclerosis and 30 healthy controls (HCs) in an experiment with two sessions in which participants were asked to walk to music with various tempi, matching their preferred walking cadence (PWC) up to 10% above in incremental steps of 2%. In the first session, no instructions were given to synchronize. In the second, participants were instructed to synchronize steps to the beats. Spontaneous synchronization was possible at 0% and +2% of the PWC, and fewer persons with multiple sclerosis were able to do so compared with HCs. Instruction was needed to synchronize at above +2% tempo in all participants. In the instructed session, the +6% condition marked a cutoff for cognitively impaired persons, as they were no longer able to synchronize. Based on our findings, we constructed a model illustrating that spontaneous entrainment is limited, operating during spontaneous coupling at only 0% and +2% of the PWC, and that at a higher tempo, entrainment requires intentional synchronization, with an active cognitive control mechanism.

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“…The impact of these residual motor deficits on function coupled with low levels of physical activity can lead to poor emotional well-being, life satisfaction and quality of life [ 12 , 38 ]. There is increasing interest in developing home and community-based interventions for chronic stroke patients to address their needs and improve their autonomy, participation and overall well-being [ 13 , 34 ].…”

Section: Discussionmentioning

confidence: 99%

“…However, recovery has been shown to continue well into the chronic stage and depends on dose and intensity of the interventions provided [ 20 ]. Several studies have demonstrated that home and community-based interventions can increase functional independence, participation and emotional well-being in chronic stroke patients [ 13 , 29 , 34 , 78 ]. In this vein, there is increasing interest in developing and validating interventions for chronic stroke patients aimed at enhancing physical and psychological well-being [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

Enriched Music-supported Therapy for chronic stroke patients: a study protocol of a randomised controlled trial

et al. 2021

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Background Residual motor deficits of the upper limb in patients with chronic stroke are common and have a negative impact on autonomy, participation and quality of life. Music-Supported Therapy (MST) is an effective intervention to enhance motor and cognitive function, emotional well-being and quality of life in chronic stroke patients. We have adapted the original MST training protocol to a home-based intervention, which incorporates increased training intensity and variability, group sessions, and optimisation of learning to promote autonomy and motivation. Methods A randomised controlled trial will be conducted to test the effectiveness of this enriched MST (eMST) protocol in improving motor functions, cognition, emotional well-being and quality of life of chronic stroke patients when compared to a program of home-based exercises utilizing the Graded Repetitive Arm Supplementary Program (GRASP). Sixty stroke patients will be recruited and randomly allocated to an eMST group (n = 30) or a control GRASP intervention group (n = 30). Patients will be evaluated before and after a 10-week intervention, as well as at 3-month follow-up. The primary outcome of the study is the functionality of the paretic upper limb measured with the Action Research Arm Test. Secondary outcomes include other motor and cognitive functions, emotional well-being and quality of life measures as well as self-regulation and self-efficacy outcomes. Discussion We hypothesize that patients treated with eMST will show larger improvements in their motor and cognitive functions, emotional well-being and quality of life than patients treated with a home-based GRASP intervention. Trial registration The trial has been registered at ClinicalTrials.gov and identified as NCT04507542 on 8 August 2020.

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Music-supported therapy in the rehabilitation of subacute stroke patients: A randomized controlled trial

Cited by 14 publications

References 33 publications

Musical anhedonia and rewards of music listening: current advances and a proposed model

Musical anhedonia and rewards of music listening: current advances and a proposed model

A model of different cognitive processes during spontaneous and intentional coupling to music in multiple sclerosis

Enriched Music-supported Therapy for chronic stroke patients: a study protocol of a randomised controlled trial

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