Neurologic music therapy in multidisciplinary acute stroke rehabilitation: Could it be feasible and helpful?

And just what the fuck was the point of this research? Proving that you have been out-of-date for years? And then you have the gall to ask for followup research. All we need is simple stroke protocols. How often and how long? Maybe even the type of music. And then distribute the protocols to each one of the 10 million yearly stroke survivors.

• music (80 posts back to March 2011)

• music therapy (49 posts back to October 2014)

• musical training (13 posts back to June 2014)

Neurologic music therapy in multidisciplinary acute stroke rehabilitation: Could it be feasible and helpful?

Alexander Street, Jufen Zhang, Susan Pethers, Lydia Wiffen, Katie Bond & Helen Palmer

Received 19 Dec 2019, Accepted 09 Feb 2020, Published online: 04 Mar 2020

• Download citation
• https://doi.org/10.1080/10749357.2020.1729585
• CrossMark

In this articleClose

• ABSTRACT
• Introduction
• Methods
• Statistical analysis
• Music interventions
• Use of ipads with touch screen instruments
• Results
• Use of iPads and touch screen instruments
• Discussion
• The potential use of apps in acute stroke rehabilitation
• The added value of NMT in acute stroke rehabilitation
• Conclusion
• References

• 
  

ABSTRACT

Background: There is increasing evidence for music-based interventions in neurorehabilitation, improving mood and functional outcomes. In response, there is growing interest from health-care providers in setting up Neurologic Music Therapy (NMT) services. This paper presents some preliminary data on the feasibility and acceptability of NMT in the acute stroke, multidisciplinary team setting, about which little is known.
Objectives: To assess the feasibility and acceptability of a two-day per-week NMT service over 24 months.
Methods: Data were collected on the number of referrals received, sessions attended, sessions declined and reasons why. Staff completed questionnaires, and collected them from patients and their relatives, rating interventions: 1. Not helpful, 2. Quite helpful, 3. Helpful, 4. Very helpful. Patients completed the Visual Analogue Mood Scale (VAMS) pre-/post- a single session.
Results: Of 201 patients referred, 177 received treatment and 675 sessions were delivered. Twenty-four patients were discharged before sessions were scheduled and 28 sessions were declined, predominantly due to fatigue. Mean scores (SD) from questionnaire data were: patients (n = 99) 3.34 (0.825), relatives (n = 13) 3.83 (0.372), staff (n = 27) 3.85 (0.388). Mean, post-session VAMS data (n = 52) showed a non-significant reduction in ‘Sad’ (7.5, p = .007, CI = 2.1, 12.9) and an increase in ‘Happy’ (+ 6.2, p = .013, CI = −11.0, −1.4).
Conclusions: Data suggest the service was feasible and helpful, particularly for patient mood, possibly improving engagement in rehabilitation. Research to determine generalizability in different stroke environments and treatment effects within them is warranted.