Objective
After
completing formal stroke rehabilitation programs, most patients do not
achieve full upper limb motor function recovery. Music-supported Therapy
(MST) can improve motor functionality post stroke through musical
training. We designed a home-based enriched Music-supported Therapy
(eMST) program to provide patients with chronic stroke the opportunity
of continuing rehabilitation by themselves. We developed an app to
conduct the eMST sessions at home with a MIDI-piano and percussion
instruments. Here, we tested the feasibility of the eMST intervention
using the novel app.
Method
This
is a pilot study where five patients with chronic stroke underwent a
10-week intervention of 3 sessions per week. Patients answered
feasibility questionnaires throughout the intervention to modify aspects
of the rehabilitation program and the app according to their feedback.
Upper limb motor functions were evaluated pre- and post-intervention as
well as speed and force tapping during daily piano performance.
Results
Patients
clinically improved in upper limb motor function achieving the Minimal
Detectable Change (MDC) or Minimal Clinically Important Difference
(MCID) in most of motor tests. The app received high usability ratings
post-intervention.
Conclusion
The
eMST program is a feasible intervention for patients with chronic
stroke and its efficacy should be assessed in a clinical trial.
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