Designing an app for home-based enriched Music-supported Therapy in the rehabilitation of patients with chronic stroke : a pilot feasibility study /

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)...

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Detalhes bibliográficos
Autores: Segura, Emma,, 0000-0002-0797-3011, Grau-Sánchez, Jennifer,, 0000-0002-8123-1745, Sanchez-Pinsach, David,, 0000-0001-9277-8351, De la Cruz-Puebla, Myriam,, 0000-0002-8878-0974, Duarte, Esther,, 0000-0002-4058-1802, Arcos, Josep Lluís,, 0000-0001-7751-1210, Rodríguez-Fornells, Antoni,, 0000-0002-3249-6931, EUIT
Tipo de documento: artigo
Data de publicação:2021
País:España
Repositório:DDEUIT. Dipòsit Digital de l'Escola Universitària d'Infermeria i Teràpia Ocupacional de Terrassa
OAI Identifier:DIPOSIT-EUIT:61548
Acesso em linha:https://biblioteca.euit.fdsll.cat/cgi-bin/koha/opac-detail.pl?biblionumber=61548
Access Level:Acceso aberto
Palavra-chave:Musicoteràpia
Ictus
Rehabilitació motora
Salut en línia
Professors
Chronic stroke
Stroke
Telerehabilitation
Music-supported therapy
Motor function
Accidente cerebrovascular crónico
Telerehabilitación
Musicoterapia
Función motora
Descrição
Resumo: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.