Deans' stroke musings: Home-based neurologic music therapy for upper limb rehabilitation with stroke patients at community rehabilitation stage

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 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:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. 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 lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Monday, December 20, 2021

Home-based neurologic music therapy for upper limb rehabilitation with stroke patients at community rehabilitation stage—a feasibility study protocol

Did your doctors and hospital create protocols on music therapy when this earlier research came out 8 years ago? Or are they still completely incompetent having done nothing? If they have done nothing you don't have a functioning stroke hospital.

Plasticity in the sensorimotor cortex induced by Music-supported therapy in stroke patients: a TMS study

Front. Hum. Neurosci., 03 September 2013

The latest here:

Home-based neurologic music therapy for upper limb rehabilitation with stroke patients at community rehabilitation stage—a feasibility study protocol

METHODS
published: 23 September 2015doi: 10.3389/fnhum.2015.00480Frontiers in Human Neuroscience | www.frontiersin.org
1
September 2015 | Volume 9 | Article 480
Edited by:
Lutz Jäncke,University of Zurich, Switzerland
Reviewed by:
Julià L. Amengual,Institut du Cerveau et de la MoelleÉpinière, FranceMichael Thaut,Colorado State University, USA
*Correspondence:
Jorg C. Fachner, Anglia Ruskin University, East Road,Cambridge CB1 1PT, UK jorg.fachner@anglia.ac.uk
Received:
23 March 2015
Accepted:
17 August 2015
Published:
23 September 2015
Citation:
Street AJ, Magee WL, Odell-Miller H,Bateman A and Fachner JC (2015)Home-based neurologic musictherapy for upper limb rehabilitationwith stroke patients at community rehabilitation stage—a feasibility study protocol.Front. Hum. Neurosci. 9:480.doi: 10.3389/fnhum.2015.00480
Home-based neurologic musictherapy for upper limb rehabilitationwith stroke patients at community rehabilitation stage—a feasibility study protocol
Alexander J. Street
1
, Wendy L. Magee
2
, Helen Odell-Miller
1
, Andrew Bateman
3,4, 5, 6
and Jorg C. Fachner
1
*
1
Music and Performing Arts, Music for Health Research Centre, Anglia Ruskin University, Cambridge, UK,
2
Music Therapy Program, Boyer College of Music and Dance, Temple University, Philadelphia, PA, USA,
3
Department of Psychiatry,University of Cambridge, Cambridge, UK,
4
National Institute for Health Research, Collaborations for Leadership in Applied Health Research and Care, Cambridgeshire and Peterborough NHS Trust, Cambridge, UK,
5
Oliver Zangwill Centre for Neuropsychological Rehabilitation, Ely, UK,
6
Cambridgeshire Community Services NHS Trust, St Ives, UK

Background:

Impairment of upper limb function following stroke is more common than lower limb impairment and is also more resistant to treatment. Several lab-based studies with stroke patients have produced statistically signiﬁcant gains in upper limb function when using musical instrument playing and techniques where rhythm acts as an external time-keeper for the priming and timing of upper limb movements.

Methods:

For this feasibility study a small sample size of 14 participants (3–60 months post stroke) has been determined through clinical discussion between the researcher and study host in order to test for management, feasibility and effects, before planning a larger trial determined through power analysis. A cross over design with ﬁve repeated measures will be used, whereby participants will be randomized into either a treatment (n=7) or wait list control (n=7) group. Intervention will take place twice weekly over 6 weeks. The ARAT and 9HPT will be used to measure for quantitative gains in arm function and ﬁngerdexterity, pre/post treatment interviews will serve to investigate treatment compliance and tolerance. A lab based EEG case comparison study will be undertaken to explore audio-motor coupling, brain connectivity and neural reorganization with this intervention,as evidenced in similar studies.

Discussion:

Before evaluating the effectiveness of a home-based intervention in a larger scale study, it is important to assess whether implementation of the trial methodology is feasible. This study investigates the feasibility, efﬁcacy and patient experience of a music therapy treatment protocol comprising a chart of 12 different instrumental exercises and variations, which aims at promoting measurable changes in upper limb function in hemiparetic stroke patients. The study proposes to examine several new aspects including home-based treatment and dosage, and will provide data on recruitment,adherence and variability of outcomes.