The Involvement of Audio-motor Coupling in the Music-supported Therapy Applied to Stroke Patients

Journal

Annals of the New York Academy of Sciences

Year

2012

Abstract

Music-supported therapy (MST) has been developed recently to improve the use of the affected upper extremity after stroke. MST uses musical instruments, an electronic piano and an electronic drum set emitting piano sounds, to retrain fine and gross movements of the paretic upper extremity. In this paper, we first describe the rationale underlying MST, and we review the previous studies conducted on acute and chronic stroke patients using this new neurorehabilitation approach. Second, we address the neural mechanisms involved in the motor movement improvements observed in acute and chronic stroke patients. Third, we provide some recent studies on the involvement of auditory-motor coupling in the MST in chronic stroke patients using functional neuroimaging. Finally, these ideas are discussed and focused on understanding the dynamics involved in the neural circuit underlying audio-motor coupling and how functional connectivity could help to explain the neuroplastic changes observed after therapy in stroke patients.

Music and Health Institute Terms

Functional Status; Mobility; Music Medicine; Stroke

Indexed Terms

Auditory Cortex; Auditory Perception; Brain; Feedback, Sensory; Magnetic Resonance Imaging; Models, Neurological; Models, Psychological; Motor Cortex; Motor Skills; Nerve Net; Neuronal Plasticity; Neurosciences; Stroke Rehabilitation; Stroke

Study Type

Editorial, Opinions, Position Papers

Document Type

Article

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