http://jmt.oxfordjournals.org/content/early/2016/04/14/jmt.thw003.abstract
- Ga Eul Yoo, MME, MT-BC and
- Soo Ji Kim, PhD
+ Author Affiliations
- Address correspondence concerning this article to Soo Ji Kim, PhD, Department of Music Therapy Education, Graduate School of Education, Ewha Womans University, 52 Ewhayeodae-gil, Seodaemungu, Seoul, 120–750, Korea. E-mail: specare@ewha.ac.kr
- Received May 27, 2015.
- Revision received January 9, 2016.
- Accepted January 14, 2016.
Abstract
Background: Given the
increasing evidence demonstrating the effects of rhythmic auditory
cueing for motor rehabilitation of stroke patients,
this synthesized analysis is needed in order to
improve rehabilitative practice and maximize clinical effectiveness.
Objective: This study aimed to systematically analyze the literature on rhythmic auditory cueing for motor rehabilitation of stroke
patients by highlighting the outcome variables, type of cueing, and stage of stroke.
Methods: A systematic
review with meta-analysis of randomized controlled or clinically
controlled trials was conducted. Electronic
databases and music therapy journals were
searched for studies including stroke, the use of rhythmic auditory
cueing, and
motor outcomes, such as gait and upper-extremity
function.
Results: A total of 10
studies (RCT or CCT) with 356 individuals were included for
meta-analysis. There were large effect sizes (Hedges’s
g = 0.984 for walking velocity; Hedges’s g = 0.840 for cadence; Hedges’s g = 0.760 for stride length; and Hedges’s g
= 0.456 for Fugl-Meyer test scores) in the use of rhythmic auditory
cueing. Additional subgroup analysis demonstrated that
although the type of rhythmic cueing and stage
of stroke did not lead to statistically substantial group differences,
the
effect sizes and heterogeneity values in each
subgroup implied possible differences in treatment effect.
Conclusions: This
study corroborates the beneficial effects of rhythmic auditory cueing,
supporting its expanded application to broadened
areas of rehabilitation for stroke patients.
Also, it suggests the future investigation of the differential outcomes
depending
on how rhythmic auditory cueing is provided in
terms of type and intensity implemented.
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