Deans' stroke musings

Changing stroke rehab and research worldwide now.Time is Brain!Just think of all the trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 493 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It's quite disgusting that this information is not available from every stroke association and doctors group.
My back ground story is here:http://oc1dean.blogspot.com/2010/11/my-background-story_8.html

Saturday, February 4, 2017

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

How many articles on music therapy have to be written before your doctor creates a music protocol for your rehabilitation? 16 references in here back to 1996. So your fucking doctor is 20 years out-of-date already, even if just graduated.
http://link.springer.com/article/10.1007/s10072-017-2827-7
  • Alfredo Raglio
  • Alberto Zaliani
  • Paola Baiardi
  • Daniela Bossi
  • Cinzia Sguazzin
  • Edda Capodaglio
  • Chiara Imbriani
  • Giulia Gontero
  • Marcello Imbriani
  • Alfredo Raglio
    • 1
  • Alberto Zaliani
    • 1
  • Paola Baiardi
    • 1
  • Daniela Bossi
    • 1
  • Cinzia Sguazzin
    • 1
  • Edda Capodaglio
    • 1
  • Chiara Imbriani
    • 1
  • Giulia Gontero
    • 1
  • Marcello Imbriani
    • 1
    • 2
  1. 1.Istituti Clinici Scientifici MaugeriScientific Institute of PaviaPaviaItaly
  2. 2.Department of Public Health, Experimental ad Forensic Medicine, Section of Occupational HealthUniversity of PaviaPaviaItaly
Brief Communication
DOI: 10.1007/s10072-017-2827-7
Cite this article as:
Raglio, A., Zaliani, A., Baiardi, P. et al. Neurol Sci (2017). doi:10.1007/s10072-017-2827-7

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.

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