A Tailored Music-Motor Therapy and Real-Time Biofeedback Mobile Phone App ('GotRhythm') to Promote Rehabilitation Following Stroke: A Pilot Study.
Stroke
music-motor therapy
rehabilitation
Journal
Neuroscience insights
ISSN: 2633-1055
Titre abrégé: Neurosci Insights
Pays: United States
ID NLM: 101760670
Informations de publication
Date de publication:
2022
2022
Historique:
received:
29
08
2021
accepted:
25
04
2022
entrez:
26
5
2022
pubmed:
27
5
2022
medline:
27
5
2022
Statut:
epublish
Résumé
Stroke persists as an important cause of long-term disability world-wide with the need for rehabilitation strategies to facilitate plasticity and improve motor function in stroke survivors. Rhythm-based interventions can improve motor function in clinical populations. This study tested a novel music-motor software application 'GotRhythm' on motor function after stroke. Participants were 22 stroke survivors undergoing inpatient rehabilitation in a subacute stroke ward. Participants were randomised to the GotRhythm intervention (combining individualised music and augmented auditory feedback along with wearable sensors to deliver a personalised rhythmic auditory stimulation training protocol) or usual care. Intervention group participants were offered 6-weeks of the GotRhythm intervention, consisting of a supervised 20-minute music-motor therapy session using GotRhythm conducted 3 times a week for 6 weeks. The primary feasibility outcomes were adherence to the intervention and physical function (change in the Fugl-Meyer Assessment of Motor Recovery score) measured at baseline, after 3-weeks and at end of the intervention period (6-weeks). Three of 10 participants randomised to the intervention did not receive any of the GotRhythym music-motor therapy. Of the remaining 7 intervention group participants, only 5 completed the 3-week mid-intervention assessment and only 2 completed the 6-week post-intervention assessment. Participants who used the intervention completed 5 (IQR 4,7) sessions with total 'dose' of the intervention of 70 (40, 201) minutes. Overall, adherence to the intervention was poor, highlighting that application of technology assisted music-based interventions for stroke survivors in clinical environments is challenging along with usual care, recovery, and the additional clinical load.
Sections du résumé
Background
UNASSIGNED
Stroke persists as an important cause of long-term disability world-wide with the need for rehabilitation strategies to facilitate plasticity and improve motor function in stroke survivors. Rhythm-based interventions can improve motor function in clinical populations. This study tested a novel music-motor software application 'GotRhythm' on motor function after stroke.
Methods
UNASSIGNED
Participants were 22 stroke survivors undergoing inpatient rehabilitation in a subacute stroke ward. Participants were randomised to the GotRhythm intervention (combining individualised music and augmented auditory feedback along with wearable sensors to deliver a personalised rhythmic auditory stimulation training protocol) or usual care. Intervention group participants were offered 6-weeks of the GotRhythm intervention, consisting of a supervised 20-minute music-motor therapy session using GotRhythm conducted 3 times a week for 6 weeks. The primary feasibility outcomes were adherence to the intervention and physical function (change in the Fugl-Meyer Assessment of Motor Recovery score) measured at baseline, after 3-weeks and at end of the intervention period (6-weeks).
Results
UNASSIGNED
Three of 10 participants randomised to the intervention did not receive any of the GotRhythym music-motor therapy. Of the remaining 7 intervention group participants, only 5 completed the 3-week mid-intervention assessment and only 2 completed the 6-week post-intervention assessment. Participants who used the intervention completed 5 (IQR 4,7) sessions with total 'dose' of the intervention of 70 (40, 201) minutes.
Conclusion
UNASSIGNED
Overall, adherence to the intervention was poor, highlighting that application of technology assisted music-based interventions for stroke survivors in clinical environments is challenging along with usual care, recovery, and the additional clinical load.
Identifiants
pubmed: 35615116
doi: 10.1177/26331055221100587
pii: 10.1177_26331055221100587
pmc: PMC9125048
doi:
Types de publication
Journal Article
Langues
eng
Pagination
26331055221100587Informations de copyright
© The Author(s) 2022.
Déclaration de conflit d'intérêts
Declaration of Conflicting Interests: The author declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Références
Front Hum Neurosci. 2015 Sep 23;9:480
pubmed: 26441586
Restor Neurol Neurosci. 2011;29(6):395-409
pubmed: 22124033
Cereb Cortex. 2008 Dec;18(12):2844-54
pubmed: 18388350
Ann Neurol. 2016 Sep;80(3):342-54
pubmed: 27447365
Ann N Y Acad Sci. 2009 Jul;1169:395-405
pubmed: 19673814
Hum Mov Sci. 2014 Oct;37:147-56
pubmed: 25215623
NeuroRehabilitation. 2014;34(1):193-9
pubmed: 24284453
Phys Ther. 1983 Oct;63(10):1606-10
pubmed: 6622535
J Music Ther. 2016 Summer;53(2):149-77
pubmed: 27084833
Physiology (Bethesda). 2015 Sep;30(5):358-70
pubmed: 26328881
Brain Sci. 2018 Aug 31;8(9):
pubmed: 30200282
Top Stroke Rehabil. 2009 Jan-Feb;16(1):69-79
pubmed: 19443349
Restor Neurol Neurosci. 2016 Nov 22;34(6):915-923
pubmed: 27689549
Neural Plast. 2016;2016:1686414
pubmed: 27738524
Phys Ther. 2007 Aug;87(8):1009-22
pubmed: 17553922
Phys Ther. 1993 Jul;73(7):447-54
pubmed: 8316578
Front Neurol. 2018 Jul 13;9:488
pubmed: 30057563
Cochrane Database Syst Rev. 2017 Jan 20;1:CD006787
pubmed: 28103638
J Cogn Neurosci. 2007 May;19(5):893-906
pubmed: 17488212
Neurorehabil Neural Repair. 2020 Nov;34(11):986-996
pubmed: 33040685
PLoS One. 2013 Apr 17;8(4):e61883
pubmed: 23613966
Appl Nurs Res. 2007 Aug;20(3):125-31
pubmed: 17693215
J Neurol Neurosurg Psychiatry. 2007 Feb;78(2):134-40
pubmed: 17229744
Postgrad Med J. 2005 Aug;81(958):510-4
pubmed: 16085742
Neuroimage. 2006 Oct 1;32(4):1771-81
pubmed: 16777432
Sci Rep. 2019 Feb 18;9(1):2183
pubmed: 30778101
Neurorehabil Neural Repair. 2007 Sep-Oct;21(5):455-9
pubmed: 17426347
Neuropsychologia. 2018 Aug;117:102-112
pubmed: 29792887
Neuropsychologia. 2002;40(7):1073-81
pubmed: 11900758
Front Hum Neurosci. 2014 Feb 04;8:35
pubmed: 24550812
Neurorehabil Neural Repair. 2011 Feb;25(2):118-29
pubmed: 20930212
Prog Brain Res. 2015;217:253-66
pubmed: 25725919
Man Ther. 2010 Jun;15(3):220-8
pubmed: 20163979
Clin Rehabil. 2003 Nov;17(7):713-22
pubmed: 14606736
J Rehabil Med. 2019 Oct 4;51(9):652-659
pubmed: 31448807
Stroke. 2011 Feb;42(2):427-32
pubmed: 21164120
NeuroRx. 2006 Oct;3(4):420-7
pubmed: 17012055
Ther Clin Risk Manag. 2008 Feb;4(1):269-86
pubmed: 18728716
Restor Neurol Neurosci. 2013;31(6):681-91
pubmed: 23963340
Brain Inj. 2011;25(7-8):787-93
pubmed: 21561296
J Cogn Neurosci. 2008 Feb;20(2):226-39
pubmed: 18275331
Med Sci Sports Exerc. 2015 May;47(5):1052-60
pubmed: 25202850
BMJ. 2000 Oct 28;321(7268):1051-4
pubmed: 11053175
Front Neurol. 2018 Sep 14;9:755
pubmed: 30271375
J Neuroeng Rehabil. 2012 Aug 21;9:58
pubmed: 22909032
Cortex. 2009 Jan;45(1):62-71
pubmed: 19041965
J Phys Ther Sci. 2016 May;28(5):1538-43
pubmed: 27313366
Brain Stimul. 2015 May-Jun;8(3):561-6
pubmed: 25736569
Wiley Interdiscip Rev Cogn Sci. 2013 Jul;4(4):441-451
pubmed: 26304229
J Neurol Neurosurg Psychiatry. 2015 Aug;86(8):824
pubmed: 25935889
J Phys Ther Sci. 2016 Sep;28(9):2441-2444
pubmed: 27799666
Brain. 2008 Mar;131(Pt 3):866-76
pubmed: 18287122
Arch Phys Med Rehabil. 2019 Jan;100(1):115-127
pubmed: 30171827
Lancet Neurol. 2017 Aug;16(8):648-660
pubmed: 28663005
NeuroRehabilitation. 2014;35(4):681-8
pubmed: 25318784
Nat Rev Neurol. 2011 Feb;7(2):76-85
pubmed: 21243015
J Neurol Sci. 1997 Oct 22;151(2):207-12
pubmed: 9349677
Curr Opin Neurol. 2006 Feb;19(1):84-90
pubmed: 16415682