Use the labels in the right column to find what you want. Or you can go thru them one by one, there are only 29,372 posts. Searching is done in the search box in upper left corner. I blog on anything to do with stroke. DO NOT DO ANYTHING SUGGESTED HERE AS I AM NOT MEDICALLY TRAINED, YOUR DOCTOR IS, LISTEN TO THEM. BUT I BET THEY DON'T KNOW HOW TO GET YOU 100% RECOVERED. I DON'T EITHER BUT HAVE PLENTY OF QUESTIONS FOR YOUR DOCTOR TO ANSWER.
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.
Randomized-controlled pilot study
University research facility
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].
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.
Fugl-Meyer Upper-Extremity (FM-UE); Wolf Motor Function Test- Functional Ability Scale (WMFT-FAS)
Motor Activity Log (MAL) – Amount of Use Scale; Trunk Impairment Scale.
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).
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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