Using musical instruments to improve motor skill recovery following a stroke
Using musical instruments to improve motor skill recovery following a stroke
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DOI：
10.1007/s00415-006-0523-2
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发表时间：
2007-10-01
影响因子：
6
通讯作者：
Muente, T. F.
中科院分区：
文献类型：
--
作者：
Schneider, S.;Schoenle, P. W.;Muente, T. F.
之前的研究表明，需要有效的运动康复方法。为此，我们评估了一项音乐支持的训练计划，该计划旨在诱导 20 名中风患者（10 名左上肢受影响，10 名右上肢受影响）产生听觉-感觉运动共同表征。没有任何音乐经验的患者参加了逐步的强化训练，首先是偏瘫肢体，然后是双肢训练。除常规治疗外，还进行了 3 周内的 15 次训练。通过使用 MIDI 钢琴或电子鼓垫来提高精细和粗大的运动技能。作为对照，招募了 20 名仅接受常规治疗的中风患者（10 名左侧患者和 10 名右侧患者）。训练组和对照组的分配是伪随机的，以使每组中左侧和右侧受影响的患者数量相等。使用计算机运动分析系统（Zebris）和一系列既定的运动测试（例如，动作研究手臂测试、盒子和块测试）来监测治疗前和治疗后的运动功能。 3D 运动分析和临床运动测试显示，治疗后患者的运动速度、精确度和平滑度均得到显着改善。此外，与对照组相比，日常活动的运动控制能力显着改善。总之，这种创新的治疗策略是中风患者运动技能神经康复的有效方法。
In previous studies, it was shown that there is a need for efficient motor rehabilitation approaches. For this purpose, we evaluated a music-supported training program designed to induce an auditory-sensorimotor co-representation of movements in 20 stroke patients (10 affected in the left and 10 in the right upper extremity). Patients without any previous musical experience participated in an intensive step by step training, first of the paretic extremity, followed by training of both extremities. Training was applied 15 times over 3 weeks in addition to conventional treatment. Fine as well as gross motor skills were addressed by using either a MIDI-piano or electronic drum pads. As a control, 20 stroke patients (10 affected left and 10 right) undergoing exclusively conventional therapies were recruited. Assignment to the training and control groups was done pseudo-randomly to achieve an equal number of left- and right-affected patients in each group. Pre- and post-treatment motor functions were monitored using a computerized movement analysis system (Zebris) and an established array of motor tests (e. g., Action Research Arm Test, Box & Block Test). Patients showed significant improvement after treatment with respect to speed, precision and smoothness of movements as shown by 3D movement analysis and clinical motor tests. Furthermore, compared to the control subjects, motor control in everyday activities improved significantly. In conclusion, this innovative therapeutic strategy is an effective approach for the motor skill neurorehabilitation of stroke patients.