Multidisciplinary Clinical Rehabilitation the Effect of Music and Rhythmic Auditory Stimulation on Upper Motor Strength Rehabilitation of Hemiparetic Stroke Patients in a Tertiary Hospital: A Randomized Controlled Study

L. Oiga

Journal

International Journal of Stroke

Year

2014

Abstract

Objective: This research paper aims to demonstrate the effect of music and rhythmic auditory stimulation through improvement in upper extremity motor strength after at least 6 sessions of rehabilitation in hemiparetic poststroke patients in a tertiary medical center. Methodology: This is a randomized controlled study that included stroke inpatients in a tertiary medical center from July 2011 to July 2012. A total of 16 patients were randomized to the Control group (white noise background), the Rhythm group (metronome beat of 100 beats/minute), or the Music group (” Pomp and Circumstance“). Scores in the hand dynamometer and Functional Independence Measure tests were gathered and recorded at 0, 2, 4, 6 and 12 sessions. Results: The Friedman's test results showed statistically significant difference in the FIM scores in the Rhythm (p = 0.044) and Music groups (p = 0.002). Post hoc analysis with Wilcoxon Signed Rank Test showed significant difference in the FIM scores from baseline until the 6th session in the Music group (p = 0.020). Conclusion: Music and rhythm might be beneficial to upper motor strength rehabilitation among hemiparetic stroke patients after at least 6 sessions. A trial with a bigger population and longer duration is recommended to support the findings of this study.

Music and Health Institute Terms

Functional Status; Hospital Setting; Music Medicine; Recreative Music Methods; Rehabilitation Exercises; Rhythmic Auditory Stimulation; Stroke

Indexed Terms

auditory stimulation; cerebrovascular accident; human; randomized controlled trial; rehabilitation; stroke patient; tertiary care center; arm; control group; dynamometer; EMBASE keywords; Friedman test; Functional Independence Measure; hospital patient; methodology; patient; population; post hoc analysis; rhythm; white noise; Wilcoxon signed ranks test

Study Type

Randomized Controlled; Trial; Quantitative Methods

Document Type

Article

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