Background:
Stroke can result in disabling impairments, affecting functional
mobility, balance, and gait. Individualized in-patient rehabilitation
interventions improve balance and gait in patients with stroke. Rhythmic
pairing of personally-selected music with rehabilitation interventions
can be a practical form of personalized therapy that could improve
functional outcomes.
Objective:
To describe an in-patient rehabilitation intervention that rhythmically
paired patient-selected music with rehabilitative interventions for a
patient with acute stroke.
Case Description:
The patient was a 48-year old male who sustained a right thalamic
hemorrhagic stroke eight days prior to admittance to the in-patient
rehabilitation facility. The Berg Balance Scale (BBS) (Balance),
Performance Oriented Mobility Assessment-Gait portion (POMA-G) (Gait),
and Functional Independence Measure® (FIM) Motor were completed on Day
1, Day 4, and Day 16 (Discharge) during the patient’s in-patient
rehabilitation stay.
Outcomes:
From intake to discharge, balance, gait and functional mobility
significantly increased by 35, 9, and 31 points, respectively. Likewise,
the patient reported positive attitudes toward the novel intervention.
Conclusion:
Incorporating patient-selected music with in-patient physical
rehabilitation may be a feasible intervention for patients with acute
stroke. Further research with an adequate sample size that randomly
assigns patients to music and control conditions is necessary to confirm
the promising findings from this case report.
Additional information
Acknowledgments
The
authors would like to thank the College of Health and Human Service at
Western Kentucky University for providing graduate assistant resources
and facilitating the collaboration with Southern Kentucky Rehabilitation
Hospital for providing iPod Shuffles, headphones, and access to the
staff needed to provide exceptional care to our patient; Kristen Herner,
Natalie West, Jennifer Willis, Sarah Wallace, Lanie Rudisill, Peter
Schultz, Danny Chon, Colin Stipe, Meredith Stewart, and Victoria Connor
for their dedication as research assistants; and our patient detailed in
this case report whose phenomenal progress made this research
incredibly rewarding.
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