Home-based neurologic music therapy for arm hemiparesis following stroke: results from a pilot, feasibility randomized controlled trial
Genre
Journal ArticleDate
2018-01-01Author
Street, AJMagee, WL
Bateman, A
Parker, M
Odell-Miller, H
Fachner, J
Subject
Home carearm
feasibility
hemiparesis
music therapy
rehabilitation
stroke
Adult
Aged
Aged, 80 and over
Cross-Over Studies
Feasibility Studies
Female
Home Care Services
Humans
Male
Middle Aged
Music Therapy
Paresis
Pilot Projects
Stroke
Stroke Rehabilitation
Treatment Outcome
Permanent link to this record
http://hdl.handle.net/20.500.12613/4880
Metadata
Show full item recordDOI
10.1177/0269215517717060Abstract
© 2017, © The Author(s) 2017. Objective: To assess the feasibility of a randomized controlled trial to evaluate music therapy as a home-based intervention for arm hemiparesis in stroke. Design: A pilot feasibility randomized controlled trial, with cross-over design. Randomization by statistician using computer-generated, random numbers concealed in opaque envelopes. Setting: Participants’ homes across Cambridgeshire, UK. Subjects: Eleven people with stroke and arm hemiparesis, 3–60 months post stroke, following discharge from community rehabilitation. Interventions: Each participant engaged in therapeutic instrumental music performance in 12 individual clinical contacts, twice weekly for six weeks. Main measures: Feasibility was estimated by recruitment from three community stroke teams over a 12-month period, attrition rates, completion of treatment and successful data collection. Structured interviews were conducted pre and post intervention to establish participant tolerance and preference. Action Research Arm Test and Nine-hole Peg Test data were collected at weeks 1, 6, 9, 15 and 18, pre and post intervention by a blinded assessor. Results: A total of 11 of 14 invited participants were recruited (intervention n = 6, waitlist n = 5). In total, 10 completed treatment and data collection. Conclusion: It cannot be concluded whether a larger trial would be feasible due to unavailable data regarding a number of eligible patients screened. Adherence to treatment, retention and interview responses might suggest that the intervention was motivating for participants. Trial registration: ClinicalTrials.gov identifier NCT 02310438.Citation to related work
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http://dx.doi.org/10.34944/dspace/4862