Enriched Music-supported Therapy for chronic stroke patients: a study protocol of a randomised controlled trial

Background Residual motor deficits of the upper limb in patients with chronic stroke are common and have a negative impact on autonomy, participation and quality of life. Music-Supported Therapy (MST) is an effective intervention to enhance motor and cognitive function, emotional well-being and qual...

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Detalles Bibliográficos
Autores: Grau-Sánchez, Jennifer, Segura González, Emma, Sanchez Pinsach, David, Raghavan, Preeti, Münte, Thomas F., Palumbo, Anna Marie, Turry, Alan, Duarte, Esther, Särkämö, Teppo, Cerquides Bueno, Jesús, Arcos, Josep Lluis, Rodríguez Fornells, Antoni
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2021
País:España
Institución:Universidad de Barcelona
Repositorio:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/174093
Acceso en línea:https://hdl.handle.net/2445/174093
Access Level:acceso abierto
Palabra clave:Assaigs clínics
Rehabilitació
Musicoteràpia
Malalties cerebrovasculars
Clinical trials
Rehabilitation
Music therapy
Cerebrovascular disease
Descripción
Sumario:Background Residual motor deficits of the upper limb in patients with chronic stroke are common and have a negative impact on autonomy, participation and quality of life. Music-Supported Therapy (MST) is an effective intervention to enhance motor and cognitive function, emotional well-being and quality of life in chronic stroke patients. We have adapted the original MST training protocol to a home-based intervention, which incorporates increased training intensity and variability, group sessions, and optimisation of learning to promote autonomy and motivation. Methods A randomised controlled trial will be conducted to test the effectiveness of this enriched MST (eMST) protocol in improving motor functions, cognition, emotional well-being and quality of life of chronic stroke patients when compared to a program of home-based exercises utilizing the Graded Repetitive Arm Supplementary Program (GRASP). Sixty stroke patients will be recruited and randomly allocated to an eMST group (n = 30) or a control GRASP intervention group (n = 30). Patients will be evaluated before and after a 10-week intervention, as well as at 3-month follow-up. The primary outcome of the study is the functionality of the paretic upper limb measured with the Action Research Arm Test. Secondary outcomes include other motor and cognitive functions, emotional well-being and quality of life measures as well as self-regulation and self-efficacy outcomes. Discussion We hypothesize that patients treated with eMST will show larger improvements in their motor and cognitive functions, emotional well-being and quality of life than patients treated with a home-based GRASP intervention.