Active music therapy approach for stroke patients in the post-acute rehabilitation

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Guidelines in stroke rehabilitation recommend the use of a multidisciplinary approach. Different approaches and techniques with music are used in the stroke rehabilitation to improve motor and cognitive functions but also psychological outcomes. In this randomized controlled pilot trial, relational active music therapy approaches were tested in the post-acute phase of disease. Thirty-eight hospitalized patients with ischemic and hemorrhagic stroke were recruited and allocated in two groups. The experimental group underwent the standard of care (physiotherapy and occupational therapy daily sessions) and relational active music therapy treatments. The control group underwent the standard of care only. Motor functions and psychological aspects were assessed before and after treatments. Music therapy process was also evaluated using a specific rating scale. All groups showed a positive trend in quality of life, functional and disability levels, and gross mobility. The experimental group showed a decrease of anxiety and, in particular, of depression (p = 0.016). In addition, the strength of non-dominant hand (grip) significantly increased in the experimental group (p = 0.041). Music therapy assessment showed a significant improvement over time of non-verbal and sonorous-music relationships. Future studies, including a greater number of patients and follow-up evaluations, are needed to confirm promising results of this study.

Original languageEnglish
Pages (from-to)893-897
Number of pages5
JournalNeurological Sciences
DOIs
Publication statusPublished - May 2017

Fingerprint

Music Therapy
Rehabilitation
Stroke
Standard of Care
Music
Psychology
Occupational Therapy
Hand Strength
Acute Disease
Cognition
Anxiety
Randomized Controlled Trials
Hand
Quality of Life
Guidelines
Depression
Control Groups
Therapeutics
Stroke Rehabilitation

Keywords

  • Communication
  • Motor outcomes
  • Music therapy
  • Psychological outcomes
  • Rehabilitation
  • Stroke

ASJC Scopus subject areas

  • Dermatology
  • Clinical Neurology
  • Psychiatry and Mental health

Cite this

@article{66a71c4efced49699c905d08cfb2a6f9,
title = "Active music therapy approach for stroke patients in the post-acute rehabilitation",
abstract = "Guidelines in stroke rehabilitation recommend the use of a multidisciplinary approach. Different approaches and techniques with music are used in the stroke rehabilitation to improve motor and cognitive functions but also psychological outcomes. In this randomized controlled pilot trial, relational active music therapy approaches were tested in the post-acute phase of disease. Thirty-eight hospitalized patients with ischemic and hemorrhagic stroke were recruited and allocated in two groups. The experimental group underwent the standard of care (physiotherapy and occupational therapy daily sessions) and relational active music therapy treatments. The control group underwent the standard of care only. Motor functions and psychological aspects were assessed before and after treatments. Music therapy process was also evaluated using a specific rating scale. All groups showed a positive trend in quality of life, functional and disability levels, and gross mobility. The experimental group showed a decrease of anxiety and, in particular, of depression (p = 0.016). In addition, the strength of non-dominant hand (grip) significantly increased in the experimental group (p = 0.041). Music therapy assessment showed a significant improvement over time of non-verbal and sonorous-music relationships. Future studies, including a greater number of patients and follow-up evaluations, are needed to confirm promising results of this study.",
keywords = "Communication, Motor outcomes, Music therapy, Psychological outcomes, Rehabilitation, Stroke",
author = "Alfredo Raglio and Alberto Zaliani and Paola Baiardi and Daniela Bossi and Cinzia Sguazzin and Edda Capodaglio and Chiara Imbriani and Giulia Gontero and Marcello Imbriani",
year = "2017",
month = "5",
doi = "10.1007/s10072-017-2827-7",
language = "English",
pages = "893--897",
journal = "Neurological Sciences",
issn = "1590-1874",
publisher = "Springer-Verlag Italia s.r.l.",

}

TY - JOUR

T1 - Active music therapy approach for stroke patients in the post-acute rehabilitation

AU - Raglio, Alfredo

AU - Zaliani, Alberto

AU - Baiardi, Paola

AU - Bossi, Daniela

AU - Sguazzin, Cinzia

AU - Capodaglio, Edda

AU - Imbriani, Chiara

AU - Gontero, Giulia

AU - Imbriani, Marcello

PY - 2017/5

Y1 - 2017/5

N2 - Guidelines in stroke rehabilitation recommend the use of a multidisciplinary approach. Different approaches and techniques with music are used in the stroke rehabilitation to improve motor and cognitive functions but also psychological outcomes. In this randomized controlled pilot trial, relational active music therapy approaches were tested in the post-acute phase of disease. Thirty-eight hospitalized patients with ischemic and hemorrhagic stroke were recruited and allocated in two groups. The experimental group underwent the standard of care (physiotherapy and occupational therapy daily sessions) and relational active music therapy treatments. The control group underwent the standard of care only. Motor functions and psychological aspects were assessed before and after treatments. Music therapy process was also evaluated using a specific rating scale. All groups showed a positive trend in quality of life, functional and disability levels, and gross mobility. The experimental group showed a decrease of anxiety and, in particular, of depression (p = 0.016). In addition, the strength of non-dominant hand (grip) significantly increased in the experimental group (p = 0.041). Music therapy assessment showed a significant improvement over time of non-verbal and sonorous-music relationships. Future studies, including a greater number of patients and follow-up evaluations, are needed to confirm promising results of this study.

AB - Guidelines in stroke rehabilitation recommend the use of a multidisciplinary approach. Different approaches and techniques with music are used in the stroke rehabilitation to improve motor and cognitive functions but also psychological outcomes. In this randomized controlled pilot trial, relational active music therapy approaches were tested in the post-acute phase of disease. Thirty-eight hospitalized patients with ischemic and hemorrhagic stroke were recruited and allocated in two groups. The experimental group underwent the standard of care (physiotherapy and occupational therapy daily sessions) and relational active music therapy treatments. The control group underwent the standard of care only. Motor functions and psychological aspects were assessed before and after treatments. Music therapy process was also evaluated using a specific rating scale. All groups showed a positive trend in quality of life, functional and disability levels, and gross mobility. The experimental group showed a decrease of anxiety and, in particular, of depression (p = 0.016). In addition, the strength of non-dominant hand (grip) significantly increased in the experimental group (p = 0.041). Music therapy assessment showed a significant improvement over time of non-verbal and sonorous-music relationships. Future studies, including a greater number of patients and follow-up evaluations, are needed to confirm promising results of this study.

KW - Communication

KW - Motor outcomes

KW - Music therapy

KW - Psychological outcomes

KW - Rehabilitation

KW - Stroke

UR - http://www.scopus.com/inward/record.url?scp=85010934210&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85010934210&partnerID=8YFLogxK

U2 - 10.1007/s10072-017-2827-7

DO - 10.1007/s10072-017-2827-7

M3 - Article

AN - SCOPUS:85010934210

SP - 893

EP - 897

JO - Neurological Sciences

JF - Neurological Sciences

SN - 1590-1874

ER -