Experimental feasibility pilot study: Music therapy and rehabilitation care following a stroke




Objective


Music therapy enhances awareness of sound perception and musical sensorial experience often highly impaired following a stroke, confirmed by music’s neurosciences. The study aims to verify its reception and utility in a Physical Medicine and Rehabilitation (PMR) service with professional team and patients.


Material/patients and methods


Eleven hospitalized patients were included after stoke (without regular instrumental practice, speech disorder, severe hearing loss nor psychiatric history). They were followed by a music therapist, twice a week, during 40 minutes’ individual sessions with improvisation and music listening, from October 2015 to April 2016 with an instrumentarium.


The study consisted of analysing self-administered questionnaires, both to patients (after each session) and professionals, on the feeling and the impact on the primary activity of the service.


Results


Thirty-one returned questionnaires among the 47 caregivers indicate that sessions were simple to implement (81%) and carried low restrictive measures (94%). For 90%, music therapy can be easily integrated into the course of the day. For 96%, it did not obstruct the proper functioning of the service. Hundred percent believed that it can be helpful for the patient and can improve practices in PMR. Seventy-three percent noticed an improvement in patients, in particular mood, motivation and self-esteem. Hundred and ten sessions were carried out and appreciated by patients. Ninety-eight percent replied that they felt more relaxed, calm, alert, awake, a feeling of well being and rested.


Discussion – conclusion


Patient compliance and reaction of the team were excellent. Moreover, it was observed that, over the sessions, there had been a progressive development in listening abilities, in creativity and an improvement in rhythmic and melodic skills. Although they were not quantified, it encourages us to continue the study.


Disclosure of interest


The authors have not supplied their declaration of competing interest.

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Apr 20, 2017 | Posted by in PHYSICAL MEDICINE & REHABILITATION | Comments Off on Experimental feasibility pilot study: Music therapy and rehabilitation care following a stroke

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