http://link.springer.com/article/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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