Functional Electrical Stimulation+ipad-based Music Therapy on Arm Recovery After Stroke: Protocol for a Randomised Control Trial

Journal

International Journal of Stroke

Year

2019

Abstract

Background: Literature suggests the need for innovative ways to motivate stroke survivors to engage in task-specific and repetitive exercise during upper limb rehabilitation. Music therapy has a unique role in stroke rehabilitation through its ability to address multiple goals simultaneously. Previous research suggests that stroke survivors referred to music therapy for upper limb rehabilitation must have some level of functional activity in order to participate in instrument playing. Therefore, it is important to find a way in which to include stroke survivors with a very weak upper limb in therapeutic music making. Aim: This randomised control trial (RCT) will examine the effect of Functional Electrical Stimulation (FES) with iPad-based music therapy on the upper limb recovery of stroke survivors. This RCT seeks to identify changes in functional outcomes of the paretic upper limb as well as wellbeing outcomes. Methods: In this multi-site trial, 40 participants will be block randomised to usual care only or usual care plus FES+iPad-based music therapy for four weeks. Upper limb functional measures (motor assessment scale, manual muscle tests and the nine-hole peg test) and self-reported wellbeing questionnaires (depression, anxiety and stress scale, and stroke self-efficacy questionnaire) will be administered at three time points (pre and post intervention and at three months follow up) by a blinded assessor. Results: Ethics approval has been granted and data collection is underway. Discussion: This combined approach has the potential to engage stroke survivors in more selfdirected upper limb rehabilitation and further their opportunity to engage in non-verbal selfexpression.

Music and Health Institute Terms

Mobility; Music Therapy; Observational Measures; Rehabilitation Exercises; Stroke

Indexed Terms

remission; stroke survivor; tablet computer; clinical article; conference abstract; controlled study; Depression Anxiety Stress Scale; EMBASE keywords; ethics; follow up; functional electrical stimulation; human; multicenter study; muscle; questionnaire; randomized controlled trial; self concept; upper limb; wellbeing

Study Type

Randomized Controlled; Trial; Quantitative Methods

Document Type

Article

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