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Palumbo A, Balagula C, Turry A, Aluru V, Raghavan P. Music Upper Limb Therapy - Integrated (MULT-I) supports a positive transformation in sense of self post stroke: a thematic analysis. Disabil Rehabil 2024:1-13. [PMID: 38682830 DOI: 10.1080/09638288.2024.2346240] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2023] [Accepted: 04/17/2024] [Indexed: 05/01/2024]
Abstract
PURPOSE To understand how the experience of Music Upper Limb Therapy - Integrated (MULT-I) interconnects with the experience of stroke. METHODS Thematic analysis of semi-structured interviews and video-recorded MULT-I sessions from a larger mixed-methods study. Thirty adults with post-stroke hemiparesis completed pre-intervention interviews, of whom fifteen participated in MULT-I. Thirteen of the participants in MULT-I completed post-intervention interviews. RESULTS The experience of stroke was characterized by five themes: (1) sudden loss of functional abilities, (2) disrupted participation, (3) desire for independence, (4) emotional distress and the need for support, and (5) difficulty negotiating changes in sense of self. The experience of MULT-I was characterized by three themes: (1) MULT-I activated movement and empowered personal choice, (2) MULT-I created a safe place to process emotional distress and take on challenges, and (3) MULT-I fostered a sense of belonging and a positive transformation in sense of self. These themes combined create a framework which illustrates the process by which MULT-I addressed each challenge described by survivors of stroke, facilitating a positive transformation in sense of self. CONCLUSION MULT-I promotes physical, emotional, and social wellbeing following a stroke. This integrated approach supports a positive transformation in sense of self. These findings have implications for improving psychosocial well-being post stroke.
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Affiliation(s)
- Anna Palumbo
- Rehabilitation Sciences Program, NYU Steinhardt School of Culture, Education, and Human Development, New York, NY, USA
- Nordoff Robbins Center for Music Therapy, NYU Steinhardt School of Culture, Education and Human Development, New York, NY, USA
| | - Caitlin Balagula
- Department of Rehabilitation Medicine, NYU Grossman School of Medicine, New York, NY, USA
| | - Alan Turry
- Nordoff Robbins Center for Music Therapy, NYU Steinhardt School of Culture, Education and Human Development, New York, NY, USA
- Department of Music and Performing Arts Professions, NYU Steinhardt School of Culture, Education and Human Development, New York, NY, USA
| | - Viswanath Aluru
- Department of Rehabilitation Medicine, NYU Grossman School of Medicine, New York, NY, USA
- Department of Physical Medicine & Rehabilitation, Ochsner Clinic Foundation, New Orleans, LA, USA
| | - Preeti Raghavan
- Department of Rehabilitation Medicine, NYU Grossman School of Medicine, New York, NY, USA
- Department of Physical Medicine and Rehabilitation and Neurology, Johns Hopkins University School of Medicine, Baltimore, MD, USA
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MacDonald-Prégent A, Saiyed F, Hyde K, Sharda M, Nadig A. Response to Music-Mediated Intervention in Autistic Children with Limited Spoken Language Ability. J Autism Dev Disord 2024; 54:1438-1452. [PMID: 36637597 DOI: 10.1007/s10803-022-05872-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/12/2022] [Indexed: 01/14/2023]
Abstract
PURPOSE Autistic children with limited spoken language ability (LSLA) often do not respond to traditional interventions, reducing their social inclusion. It is essential to identify effective interventions, and sensitive measures to track their intervention response. METHODS Using data from an RCT comparing music-mediated and play-based interventions, we investigated the impact of spoken language ability on outcomes, and measured response to intervention through natural language sample measures. RESULTS Children with lower verbal IQ, relative to higher verbal IQ, made some greater gains over the course of music-mediated intervention. Natural language samples were helpful in characterizing communication and tracking change. CONCLUSION Music-mediated interventions hold promise as effective interventions for autistic children with LSLA. Natural language samples are robust in characterizing this subgroup.
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Affiliation(s)
- Angela MacDonald-Prégent
- School of Communication Sciences and Disorders, McGill University, 2001 Av. McGill College #8, H3A 1G1, Montréal, QC, Canada.
| | - Fauzia Saiyed
- Department of Psychology, McGill University, 2001 Av. McGill College #4, H3A 1G1, Montréal, QC, Canada
| | - Krista Hyde
- International Laboratory for Brain, Music and Sound Research (BRAMS), University of Montréal, Pavillon Marie-Victorin/ Local A-108, 90 Vincent-d'Indy Av, H2V, Outremont, QC, Canada
| | - Megha Sharda
- International Laboratory for Brain, Music and Sound Research (BRAMS), University of Montréal, Pavillon Marie-Victorin/ Local A-108, 90 Vincent-d'Indy Av, H2V, Outremont, QC, Canada
| | - Aparna Nadig
- School of Communication Sciences and Disorders, McGill University, 2001 Av. McGill College #8, H3A 1G1, Montréal, QC, Canada
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3
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Palumbo A, Aluru V, Battaglia J, Geller D, Turry A, Ross M, Cristian A, Balagula C, Ogedegbe G, Khatri L, Chao MV, Froemke RC, Urbanek JK, Raghavan P. Music Upper Limb Therapy-Integrated Provides a Feasible Enriched Environment and Reduces Post-stroke Depression: A Pilot Randomized Controlled Trial. Am J Phys Med Rehabil 2022; 101:937-946. [PMID: 34864768 PMCID: PMC9163211 DOI: 10.1097/phm.0000000000001938] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Abstract
OBJECTIVE This study's aims were to refine Music Upper Limb Therapy-Integrated (MULT-I) to create a feasible enriched environment for stroke rehabilitation and compare its biologic and behavioral effects with that of a home exercise program (HEP). DESIGN This was a randomized mixed-methods study of 30 adults with post-stroke hemiparesis. Serum brain-derived neurotrophic factor and oxytocin levels measured biologic effects, and upper limb function, disability, quality of life, and emotional well-being were assessed as behavioral outcomes. Participant experiences were explored using semistructured interviews. RESULTS MULT-I participants showed reduced depression from preintervention to postintervention as compared with HEP participants. Brain-derived neurotrophic factor levels significantly increased for MULT-I participants but decreased for HEP participants, with a significant difference between groups after excluding those with post-stroke depression. MULT-I participants additionally improved quality of life and self-perceived physical strength, mobility, activity, participation, and recovery from preintervention to postintervention. HEP participants improved upper limb function. Qualitatively, MULT-I provided psychosocial support and enjoyment, whereas HEP supported self-management of rehabilitation. CONCLUSIONS Implementation of a music-enriched environment is feasible, reduces post-stroke depression, and may enhance the neural environment for recovery via increases in brain-derived neurotrophic factor levels. Self-management of rehabilitation through an HEP may further improve upper limb function.
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Affiliation(s)
- Anna Palumbo
- Rehabilitation Science Program, Department of Occupational Therapy, NYU Steinhardt School of Culture, Education, and Human Development, New York, NY 10003
- Nordoff Robbins Center for Music Therapy, NYU Steinhardt School of Culture, Education and Human Development, New York, NY 10003
| | - Viswanath Aluru
- Department of Rehabilitation Medicine, NYU Langone School of Medicine, New York, NY, 10016
- Department of Physical Medicine and Rehabilitation, Kingsbrook Jewish Medical Center, Brooklyn, NY 11203
| | - Jessica Battaglia
- Department of Physical Medicine and Rehabilitation, Kingsbrook Jewish Medical Center, Brooklyn, NY 11203
| | - Daniel Geller
- Department of Rehabilitation Medicine, NYU Langone School of Medicine, New York, NY, 10016
- Department of Rehabilitation and Regenerative Medicine, Columbia University Irving Medical Center, New York, NY 10032
| | - Alan Turry
- Nordoff Robbins Center for Music Therapy, NYU Steinhardt School of Culture, Education and Human Development, New York, NY 10003
| | - Marc Ross
- Department of Physical Medicine and Rehabilitation, Kingsbrook Jewish Medical Center, Brooklyn, NY 11203
| | - Adrian Cristian
- Department of Physical Medicine and Rehabilitation, Miami Cancer Institute, Baptist Health South Florida, Miami, FL 33176
| | - Caitlin Balagula
- Department of Rehabilitation Medicine, NYU Langone School of Medicine, New York, NY, 10016
| | - Gbenga Ogedegbe
- Department of Population Health, NYU Langone School of Medicine, New York, NY 10016
| | - Latika Khatri
- Skirball Institute, NYU Langone School of Medicine, New York, NY 10016
| | - Moses V. Chao
- Skirball Institute, NYU Langone School of Medicine, New York, NY 10016
| | - Robert C. Froemke
- Skirball Institute, NYU Langone School of Medicine, New York, NY 10016
| | - Jacek K. Urbanek
- Division of Geriatric Medicine and Gerontology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD 21287
| | - Preeti Raghavan
- Department of Rehabilitation Medicine, NYU Langone School of Medicine, New York, NY, 10016
- Department of Physical Medicine and Rehabilitation and Neurology, Johns Hopkins University School of Medicine, Baltimore, MD 21287
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Castro-Kemp S, Samuels A. Working together: A review of cross-sector collaborative practices in provision for children with special educational needs and disabilities. RESEARCH IN DEVELOPMENTAL DISABILITIES 2022; 120:104127. [PMID: 34814076 DOI: 10.1016/j.ridd.2021.104127] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/11/2021] [Revised: 10/05/2021] [Accepted: 11/15/2021] [Indexed: 06/13/2023]
Abstract
It is widely recognised that cross-sector partnerships are key to improve outcomes for children with special educational needs and disabilities (SEND). However, evidence-based strategies fostering these partnerships have not been systematically identified, and terms designating different forms of collaboration are used interchangeably. This study aims to contribute to systematically identify practices for cross-sector collaboration for children with SEND, critically positioning these within collaborative traditions (multidisciplinarity, interdisciplinarity and transdisciplinarity). A scoping review of the international literature of the past 10 years was conducted, following Arksey and O'Malley's methodology and considering type of SEND studied, country of origin, approach to collaboration portrayed and study design. Only papers describing empirical applications of collaborative strategies were included in the final review (n = 8). Practices identified ranged from multidisciplinary to transdisciplinary and included: partnerships between higher education and healthcare organisations, implementation of school clinics, schools as interdisciplinary hubs, management's own partnerships and networks, assessment in person with the whole team, videoconferencing, periodic meetings with key professionals, informal on-site discussions and transdisciplinary play-based assessment. Implications for practice are considered, in particular the need to examine how these strategies are implemented in a variety of settings and the need to develop the skills that elicit transdisciplinary work.
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Affiliation(s)
- Susana Castro-Kemp
- Roehampton University, School of Education, Roehampton Lane, London, SW155PJ, United Kingdom; Pretoria University, Centre for Augmentative and Alternative Communication, South Africa.
| | - Alecia Samuels
- Pretoria University, Centre for Augmentative and Alternative Communication, University of Pretoria, Private Bag x 20, Hatfield, 0028, South Africa.
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5
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Latif N, Di Francesco C, Custo-Blanch M, Hyde K, Sharda M, Nadig A. Joint engagement and movement: Active ingredients of a music-based intervention with school-age children with autism. NeuroRehabilitation 2021; 48:167-185. [PMID: 33664155 DOI: 10.3233/nre-208012] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
BACKGROUND The effectiveness of music-based interventions (MI) in autism has been attested for decades. Yet, there has been little empirical investigation of the active ingredients, or processes involved in music-based interventions that differentiate them from other approaches. OBJECTIVES Here, we examined whether two processes, joint engagement and movement, which have previously been studied in isolation, contribute as important active ingredients for the efficacy of music-based interventions. METHODS In two separate analyses, we investigated whether (1) joint engagement with the therapist, measured using a coding scheme verified for reliability, and (2) movement elicited by music-making, measured using a computer-vision technique for quantifying motion, may drive the benefits previously observed in response to MI (but not a controlled non-MI) in children with autism. RESULTS Compared to a non-music control intervention, children and the therapist in MI spent more time in triadic engagement (between child, therapist, and activity) and produced greater movement, with amplitude of motion closely linked to the type of musical instrument. CONCLUSIONS Taken together, these findings provide initial evidence of the active ingredients of music-based interventions in autism.
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Affiliation(s)
- Nida Latif
- School of Communication Sciences and Disorders, McGill University, Montreal, Canada
| | - Cynthia Di Francesco
- School of Communication Sciences and Disorders, McGill University, Montreal, Canada.,Department of Psychology, McGill University, Montreal, Canada
| | - Melanie Custo-Blanch
- School of Communication Sciences and Disorders, McGill University, Montreal, Canada
| | - Krista Hyde
- International Laboratory for Brain, Music and Sound Research (BRAMS), Department of Psychology, Université de Montréal, Pavillon Marie-Victorin, Montreal, Canada
| | - Megha Sharda
- International Laboratory for Brain, Music and Sound Research (BRAMS), Department of Psychology, Université de Montréal, Pavillon Marie-Victorin, Montreal, Canada
| | - Aparna Nadig
- School of Communication Sciences and Disorders, McGill University, Montreal, Canada
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6
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Haire N, MacDonald R. Humour in music therapy: A narrative literature review. NORDIC JOURNAL OF MUSIC THERAPY 2019. [DOI: 10.1080/08098131.2019.1577288] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- Nicky Haire
- Reid School of Music, The University of Edinburgh, Edinburgh, UK
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7
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Sharda M, Tuerk C, Chowdhury R, Jamey K, Foster N, Custo-Blanch M, Tan M, Nadig A, Hyde K. Music improves social communication and auditory-motor connectivity in children with autism. Transl Psychiatry 2018; 8:231. [PMID: 30352997 PMCID: PMC6199253 DOI: 10.1038/s41398-018-0287-3] [Citation(s) in RCA: 72] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/23/2018] [Revised: 08/10/2018] [Accepted: 09/26/2018] [Indexed: 01/04/2023] Open
Abstract
Music has been identified as a strength in people with Autism Spectrum Disorder; however, there is currently no neuroscientific evidence supporting its benefits. Given its universal appeal, intrinsic reward value and ability to modify brain and behaviour, music may be a potential therapeutic aid in autism. Here we evaluated the neurobehavioural outcomes of a music intervention, compared to a non-music control intervention, on social communication and brain connectivity in school-age children (ISRCTN26821793). Fifty-one children aged 6-12 years with autism were randomized to receive 8-12 weeks of music (n = 26) or non-music intervention (n = 25). The music intervention involved use of improvisational approaches through song and rhythm to target social communication. The non-music control was a structurally matched behavioural intervention implemented in a non-musical context. Groups were assessed before and after intervention on social communication and resting-state functional connectivity of fronto-temporal brain networks. Communication scores were higher in the music group post-intervention (difference score = 4.84, P = .01). Associated post-intervention resting-state brain functional connectivity was greater in music vs. non-music groups between auditory and subcortical regions (z = 3.94, P < .0001) and auditory and fronto-motor regions (z = 3.16, P < .0001). Post-intervention brain connectivity was lower between auditory and visual regions in the music compared to the non-music groups, known to be over-connected in autism (z = 4.01, P < .00001). Post-intervention brain connectivity in the music group was related to communication improvement (z = 3.57, P < .0001). This study provides the first evidence that 8-12 weeks of individual music intervention can indeed improve social communication and functional brain connectivity, lending support to further investigations of neurobiologically motivated models of music interventions in autism.
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Affiliation(s)
- Megha Sharda
- International Laboratory for Brain, Music and Sound Research (BRAMS), Department of Psychology, University of Montreal, Pavilion Marie-Victorin, 90 Avenue Vincent D'Indy, Montreal, QC, H2V 2S9, Canada.
- Centre for Research on Brain, Language and Music (CRBLM), Faculty of Medicine, McGill University, Rabinovitch House, 3640 de la Montagne, Montreal, QC, H3G 2A8, Canada.
| | - Carola Tuerk
- International Laboratory for Brain, Music and Sound Research (BRAMS), Department of Psychology, University of Montreal, Pavilion Marie-Victorin, 90 Avenue Vincent D'Indy, Montreal, QC, H2V 2S9, Canada
| | - Rakhee Chowdhury
- International Laboratory for Brain, Music and Sound Research (BRAMS), Department of Psychology, University of Montreal, Pavilion Marie-Victorin, 90 Avenue Vincent D'Indy, Montreal, QC, H2V 2S9, Canada
| | - Kevin Jamey
- International Laboratory for Brain, Music and Sound Research (BRAMS), Department of Psychology, University of Montreal, Pavilion Marie-Victorin, 90 Avenue Vincent D'Indy, Montreal, QC, H2V 2S9, Canada
- Centre for Research on Brain, Language and Music (CRBLM), Faculty of Medicine, McGill University, Rabinovitch House, 3640 de la Montagne, Montreal, QC, H3G 2A8, Canada
| | - Nicholas Foster
- International Laboratory for Brain, Music and Sound Research (BRAMS), Department of Psychology, University of Montreal, Pavilion Marie-Victorin, 90 Avenue Vincent D'Indy, Montreal, QC, H2V 2S9, Canada
- Centre for Research on Brain, Language and Music (CRBLM), Faculty of Medicine, McGill University, Rabinovitch House, 3640 de la Montagne, Montreal, QC, H3G 2A8, Canada
| | - Melanie Custo-Blanch
- International Laboratory for Brain, Music and Sound Research (BRAMS), Department of Psychology, University of Montreal, Pavilion Marie-Victorin, 90 Avenue Vincent D'Indy, Montreal, QC, H2V 2S9, Canada
- Centre for Research on Brain, Language and Music (CRBLM), Faculty of Medicine, McGill University, Rabinovitch House, 3640 de la Montagne, Montreal, QC, H3G 2A8, Canada
| | - Melissa Tan
- Westmount Music Therapy, 4695 Maisonneuve Boulevard West, Westmount, QC, H3Z 1S4, Canada
| | - Aparna Nadig
- Centre for Research on Brain, Language and Music (CRBLM), Faculty of Medicine, McGill University, Rabinovitch House, 3640 de la Montagne, Montreal, QC, H3G 2A8, Canada
- School of Communication Sciences and Disorders, Faculty of Medicine, McGill University, 2001 Avenue McGill College, Montréal, QC, H3A 1G1, Canada
| | - Krista Hyde
- International Laboratory for Brain, Music and Sound Research (BRAMS), Department of Psychology, University of Montreal, Pavilion Marie-Victorin, 90 Avenue Vincent D'Indy, Montreal, QC, H2V 2S9, Canada
- Centre for Research on Brain, Language and Music (CRBLM), Faculty of Medicine, McGill University, Rabinovitch House, 3640 de la Montagne, Montreal, QC, H3G 2A8, Canada
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8
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Lo TLT, Lee JLC, Ho RTH. Creative Arts-Based Therapies for Stroke Survivors: A Qualitative Systematic Review. Front Psychol 2018; 9:1646. [PMID: 30294287 PMCID: PMC6158307 DOI: 10.3389/fpsyg.2018.01646] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2018] [Accepted: 08/16/2018] [Indexed: 12/22/2022] Open
Abstract
Background: Stroke is a life-threating cerebrovascular disease. Without proper and immediate treatment, it can cause long-term disabilities and even death. While current rehabilitation focuses on functional needs, it does not fully address the psychosocial issues. Creative arts-based therapies, however, may have the potential to be of assistance. Methods: A systematic review was conducted to synthesize the qualitative findings of the stroke survivors' positive and negative experiences in participating in creative arts-based therapies. A systematic literature search was conducted across diverse databases. A thematic synthesis was adopted to analyze the results from different qualitative studies and mix-method studies. Results: Among the 367 studies extracted from various databases, 11 studies met the inclusion criteria and were of acceptable quality. The following five analytical themes were identified: functional restoration, psychological support, social engagement, spiritual experience, and short-comings and barriers. Conclusion: Creative arts-based therapies have demonstrated their strengths in addressing psychosocial needs for stroke survivors. Different art modalities are perceived to be useful in achieving different therapeutic goals. Therapies based on a single art modality or combined modalities have different specialties and characteristics. Further research is needed to demonstrate the differential benefits or special advantages of using single or multiple art modalities as well as having qualified therapists in creative arts-based therapies.
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Affiliation(s)
- Temmy Lee Ting Lo
- Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong, Hong Kong
| | - Janet Lok Chun Lee
- Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong, Hong Kong
| | - Rainbow Tin Hung Ho
- Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong, Hong Kong.,Centre on Behavioral Health, The University of Hong Kong, Hong Kong, Hong Kong.,Sau Po Centre on Ageing, The University of Hong Kong, Hong Kong, Hong Kong
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9
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Grau-Sánchez J, Duarte E, Ramos-Escobar N, Sierpowska J, Rueda N, Redón S, Veciana de Las Heras M, Pedro J, Särkämö T, Rodríguez-Fornells A. Music-supported therapy in the rehabilitation of subacute stroke patients: a randomized controlled trial. Ann N Y Acad Sci 2018; 1423:318-328. [PMID: 29607506 DOI: 10.1111/nyas.13590] [Citation(s) in RCA: 42] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2017] [Revised: 12/05/2017] [Accepted: 12/11/2017] [Indexed: 11/28/2022]
Abstract
The effect of music-supported therapy (MST) as a tool to restore hemiparesis of the upper extremity after a stroke has not been appropriately contrasted with conventional therapy. The aim of this trial was to test the effectiveness of adding MST to a standard rehabilitation program in subacute stroke patients. A randomized controlled trial was conducted in which patients were randomized to MST or conventional therapy in addition to the rehabilitation program. The intensity and duration of the interventions were equated in both groups. Before and after 4 weeks of treatment, motor and cognitive functions, mood, and quality of life (QoL) of participants were evaluated. A follow-up at 3 months was conducted to examine the retention of motor gains. Both groups significantly improved their motor function, and no differences between groups were found. The only difference between groups was observed in the language domain for QoL. Importantly, an association was encountered between the capacity to experience pleasure from music activities and the motor improvement in the MST group. MST as an add-on treatment showed no superiority to conventional therapies for motor recovery. Importantly, patient's intrinsic motivation to engage in musical activities was associated with better motor improvement.
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Affiliation(s)
- Jennifer Grau-Sánchez
- Cognition and Brain Plasticity Unit, Department of Cognition, Development and Educational Psychology, University of Barcelona and Bellvitge Biomedical Research Institute (IDIBELL), Barcelona, Spain
| | - Esther Duarte
- Department of Physical Medicine and Rehabilitation, Hospitals del Mar i l'Esperança, Parc de Salut Mar, Barcelona, Spain
| | - Neus Ramos-Escobar
- Cognition and Brain Plasticity Unit, Department of Cognition, Development and Educational Psychology, University of Barcelona and Bellvitge Biomedical Research Institute (IDIBELL), Barcelona, Spain
| | - Joanna Sierpowska
- Cognition and Brain Plasticity Unit, Department of Cognition, Development and Educational Psychology, University of Barcelona and Bellvitge Biomedical Research Institute (IDIBELL), Barcelona, Spain
| | - Nohora Rueda
- Department of Physical Medicine and Rehabilitation, Hospitals del Mar i l'Esperança, Parc de Salut Mar, Barcelona, Spain
| | - Susana Redón
- Department of Physical Medicine and Rehabilitation, Hospitals del Mar i l'Esperança, Parc de Salut Mar, Barcelona, Spain
| | - Misericordia Veciana de Las Heras
- Neurophysiology Section, Department of Neurology, Bellvitge University Hospital and Bellvitge Biomedical Research Institute (IDIBELL), Catalunya, Spain
| | - Jordi Pedro
- Neurophysiology Section, Department of Neurology, Bellvitge University Hospital and Bellvitge Biomedical Research Institute (IDIBELL), Catalunya, Spain
| | - Teppo Särkämö
- Cognitive Brain Research Unit, Department of Psychology and Logopedics, University of Helsinki, Helsinki, Finland
| | - Antoni Rodríguez-Fornells
- Cognition and Brain Plasticity Unit, Department of Cognition, Development and Educational Psychology, University of Barcelona and Bellvitge Biomedical Research Institute (IDIBELL), Barcelona, Spain
- Catalan Institution for Research and Advanced Studies (ICREA), Barcelona, Spain
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10
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Meadows A, Wimpenny K. Core Themes in Music Therapy Clinical Improvisation: An Arts-Informed Qualitative Research Synthesis. J Music Ther 2017; 54:161-195. [PMID: 28838080 DOI: 10.1093/jmt/thx006] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
Background Although clinical improvisation continues to be an important focus of music therapy research and practice, less attention has been given to integrating qualitative research in this area. As a result, this knowledge base tends to be contained within specific areas of practice rather than integrated across practices and approaches. Objective This qualitative research synthesis profiles, integrates, and re-presents qualitative research focused on the ways music therapists and clients engage in, and make meaning from, clinical improvisation. Further, as a conduit for broadening dialogues, opening up this landscape fully, and sharing our response to the analysis and interpretation process, we present an arts-informed re-presentation of this synthesis. Methods Following an eight-step methodological sequence, 13 qualitative studies were synthesized. This included reciprocal and refutational processes associated with synthesizing the primary studies, and additional steps associated with an arts-informed representation. Findings Three themes, professional artistry, performing self, and meaning-making, are presented. Each theme is explored and exemplified through the selected articles, and discussed within a larger theoretical framework. An artistic re-presentation of the data is also presented. Conclusions Music therapists use complex frameworks through which to engage clients in, and make meaning from, improvisational experiences. Artistic representation of the findings offers an added dimension to the synthesis process, challenging our understanding of representation, and thereby advancing synthesis methodology.
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11
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Tsiris G, Spiro N, Pavlicevic M. Repositioning music therapy service evaluation: a case of five Nordoff-Robbins music therapy service evaluations in neuro-rehabilitation. NORDIC JOURNAL OF MUSIC THERAPY 2017. [DOI: 10.1080/08098131.2016.1273966] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- Giorgos Tsiris
- Nordoff Robbins Scotland, Edinburgh, UK
- Queen Margaret University, Edinburgh, UK
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12
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Raghavan P, Geller D, Guerrero N, Aluru V, Eimicke JP, Teresi JA, Ogedegbe G, Palumbo A, Turry A. Music Upper Limb Therapy-Integrated: An Enriched Collaborative Approach for Stroke Rehabilitation. Front Hum Neurosci 2016; 10:498. [PMID: 27774059 PMCID: PMC5053999 DOI: 10.3389/fnhum.2016.00498] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2016] [Accepted: 09/21/2016] [Indexed: 01/09/2023] Open
Abstract
Stroke is a leading cause of disability worldwide. It leads to a sudden and overwhelming disruption in one’s physical body, and alters the stroke survivors’ sense of self. Long-term recovery requires that bodily perception, social participation and sense of self are restored; this is challenging to achieve, particularly with a single intervention. However, rhythmic synchronization of movement to external stimuli facilitates sensorimotor coupling for movement recovery, enhances emotional engagement and has positive effects on interpersonal relationships. In this proof-of-concept study, we designed a group music-making intervention, Music Upper Limb Therapy-Integrated (MULT-I), to address the physical, psychological and social domains of rehabilitation simultaneously, and investigated its effects on long-term post-stroke upper limb recovery. The study used a mixed-method pre-post design with 1-year follow up. Thirteen subjects completed the 45-min intervention twice a week for 6 weeks. The primary outcome was reduced upper limb motor impairment on the Fugl-Meyer Scale (FMS). Secondary outcomes included sensory impairment (two-point discrimination test), activity limitation (Modified Rankin Scale, MRS), well-being (WHO well-being index), and participation (Stroke Impact Scale, SIS). Repeated measures analysis of variance (ANOVA) was used to test for differences between pre- and post-intervention, and 1-year follow up scores. Significant improvement was found in upper limb motor impairment, sensory impairment, activity limitation and well-being immediately post-intervention that persisted at 1 year. Activities of daily living and social participation improved only from post-intervention to 1-year follow up. The improvement in upper limb motor impairment was more pronounced in a subset of lower functioning individuals as determined by their pre-intervention wrist range of motion. Qualitatively, subjects reported new feelings of ownership of their impaired limb, more spontaneous movement, and enhanced emotional engagement. The results suggest that the MULT-I intervention may help stroke survivors re-create their sense of self by integrating sensorimotor, emotional and interoceptive information and facilitate long-term recovery across multiple domains of disability, even in the chronic stage post-stroke. Randomized controlled trials are warranted to confirm the efficacy of this approach. Clinical Trial Registration: National Institutes of Health, clinicaltrials.gov, NCT01586221.
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Affiliation(s)
- Preeti Raghavan
- Department of Rehabilitation Medicine, New York University School of MedicineNew York, NY, USA; Steinhardt School of Culture, Education, and Human Development, New York UniversityNew York, NY, USA
| | - Daniel Geller
- Department of Rehabilitation Medicine, New York University School of Medicine New York, NY, USA
| | - Nina Guerrero
- Steinhardt School of Culture, Education, and Human Development, New York University New York, NY, USA
| | - Viswanath Aluru
- Department of Rehabilitation Medicine, New York University School of Medicine New York, NY, USA
| | - Joseph P Eimicke
- Research Division, Hebrew Home at RiverdaleBronx, NY, USA; Division of Geriatrics and Palliative Medicine, Weill Cornell Medical CollegeNew York, NY, USA
| | - Jeanne A Teresi
- Division of Geriatrics and Palliative Medicine, Weill Cornell Medical CollegeNew York, NY, USA; Columbia University Stroud Center and New York State Psychiatric InstituteNew York, NY, USA
| | - Gbenga Ogedegbe
- Department of Population Health, New York University School of Medicine New York, NY, USA
| | - Anna Palumbo
- Steinhardt School of Culture, Education, and Human Development, New York University New York, NY, USA
| | - Alan Turry
- Steinhardt School of Culture, Education, and Human Development, New York University New York, NY, USA
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