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, October 11, 2021

Therapeutic Instrumental Music Training and Motor Imagery in Post-Stroke Upper-Extremity Rehabilitation: A Randomized-Controlled Pilot Study

Why was this research needed?  Much earlier research already exists. 

Therapeutic Instrumental Music Training and Motor Imagery in Post-Stroke Upper-Extremity Rehabilitation: A Randomized-Controlled Pilot Study

https://doi.org/10.1016/j.arrct.2021.100162Get rights and content
Under a Creative Commons license
open access

Abstract

Objective

To investigate the potential benefits of three Therapeutic Instrumental Music Performance (TIMP)-based interventions in rehabilitation of the affected upper-extremity [UE] for adults with chronic post-stroke hemiparesis.

Design

Randomized-controlled pilot study

Setting

University research facility

Participants

Thirty community-dwelling volunteers [16 male/14 female; ages 33-76; mean age =55.9] began and completed the protocol. All participants had sustained a unilateral stroke > 6 months prior to enrollment [mean time post-stroke =66.9 months].

Interventions

Two baseline assessments, a minimum of one week apart; nine intervention sessions (3x/wk for 3 wks), in which rhythmically-cued, functional arm movements were mapped onto musical instruments; one post-test following the final intervention. Participants were block-randomized to one of three conditions: Group 1 - 45 minutes TIMP; Group 2 - 30 minutes TIMP, 15 minutes metronome-cued motor imagery (TIMP+cMI); Group 3 - 30 minutes TIMP, 15 minutes motor imagery without cues (TIMP+MI). Assessors and investigators were blinded to group assignment.

Main Outcome Measures

Fugl-Meyer Upper-Extremity (FM-UE); Wolf Motor Function Test- Functional Ability Scale (WMFT-FAS)

Secondary Measures

Motor Activity Log (MAL) – Amount of Use Scale; Trunk Impairment Scale.

Results

All groups made statistically significant gains on the FM-UE (TIMP, p=.005, r=.63; TIMP+cMI, p=.007, r=.63; TIMP+MI, p=.007, r=.61) and the WMFT-FAS (TIMP, p=.024, r=.53; TIMP+cMI, p=.008, r=.60; TIMP+MI, p=.008, r=.63). Comparing between-group percent change differences, on the FM-UE, TIMP scored significantly higher than TIMP+cMI (p=.032, r=.57), but not TIMP+MI. There were no differences in improvement on WMFT-FAS across conditions. On the MAL, gains were significant for TIMP (p=.030, r=.54) and TIMP+MI (p =.007, r=.63).

Conclusion

TIMP-based techniques, with and without motor imagery, led to significant improvements in paretic arm control on primary outcomes. Replacing a physical training segment with imagery-based training resulted in similar improvements; however, synchronizing internal and external cues during auditory-cued motor imagery may pose additional sensorimotor integration challenges.

 

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