Effect of Rhythm of Music Therapy on Gait in Patients with Stroke |
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| Authors: | Yao Wang Wei-Yi Pan Fei Li Jun-Sheng Ge Xiang Zhang Xun Luo Yu-Long Wang |
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| Institution: | 2. Kerry Rehabilitation Medicine Research Institute, Shenzhen, Guangdong 518048, China;3. Shenzhen Sanming Project Group, Spaulding Rehabilitation Hospital, A Teaching Affiliate of Harvard Medical School, Charlestown, MA, USA;4. Department of Rehabilitation Medicine, The First Affiliated Hospital, Shenzhen University, Shenzhen Second People''s Hospital, No. 3002 of West Rood, Futian Distrect, Shenzhen 518035, China;2. Baystate Medical Center, United States;3. Beijing Tiantan Hospital, China;4. Davis School of Medicine, University of California, United States;2. Department of Medical and Surgical Science, University of Bologna, Italy;2. Clearsense, Jacksonville, FL, USA;3. Northwestern University, Chicago, IL, USA;2. Department of Medical Biosciences, Clinical Chemistry, Umeå University, SE-901 81 Umeå, Sweden;2. Section of Neurosurgery, Department of Surgery, University of Chicago Medicine and Biological Sciences, Chicago, IL, USA;2. Department of Neuroradiology, RWTH Aachen University, D-52074 Aachen, Germany;3. JARA-BRAIN Institute Molecular Neuroscience and Neuroimaging, Forschungszentrum Jülich GmbH and RWTH Aachen University, D-52074 Aachen, Germany |
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| Abstract: | AimThis study aims to analyze the effects of rhythm of music therapy on gait in patients with ischemic stroke, and explore the value of music therapy in walking training in stroke.MethodsThe present study is a prospective clinical study. Sixty patients with ischemic stroke, who were admitted to our hospital from October 2017 to December 2018, were enrolled. These patients were divided into two groups, according to the method of the random number table, with thirty patients in each group: control group and study group. Patients in the control group received conventional drug therapy, rehabilitation training and walking training, while the patients in the study group were given music therapy on the basis of the above mentioned therapies for four weeks, during which Sunday was regarded as a rest day, and the music therapy was suspended. The main outcome measures included indexes in evaluating the walking ability of patients in these two groups. At each time point, the Fugl-Meyer Assessment (FMA), Berg Balance Scale (BBS) and stroke rehabilitation treatment satisfaction questionnaire were used.ResultsThe results revealed that the stride length, cadence and maximum velocity were higher in patients in the study group, when compared to patients in the control group, at the second week and end of the therapy, and the difference in step length between the affected side and healthy side was significantly lower in the study group than in the control group. These differences were statistically significant (P < 0.05). In the second week of therapy and at the end of therapy, the FMA and BBS scores were higher in the study group than in the control group, and the difference was statistically significant (P < 0.05). The total satisfaction rate was higher in the study group than in the control group, and the difference was statistically significant (P < 0.05).ConclusionUnder the stimulation of music rhythm, applying music therapy to patients with ischemic stroke can improve their gait, walking ability, lower limb motor function, balance ability and treatment satisfaction. |
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