title: Making music after stroke: using musical activities to enhance arm function.
abstract: A common long-term consequence of stroke is impaired arm function, which affects independence and quality of life in a considerable proportion of stroke survivors. There is a growing need for self-management strategies that enable stroke survivors to continue their recovery after rehabilitation has ceased. Interventions with high-intensity, repetitive task training and feedback are most likely to improve function. Achieving the required amount of self-practice is challenging, however. Innovative approaches are required to translate therapies into rewarding activities that can be undertaken independently. This paper describes the key principles and development of a novel intervention that integrates individuals' preferred music with game technology in upper limb rehabilitation. The "tap tempo" paradigm, which uses rhythmic auditory cueing, provides repetitive upper limb task training, which can be tailored to individual goals and progress (e.g., in terms of movement range and complexity), while providing sensitive quantitative feedback to promote skill acquisition and enhance self-management.
authors.affiliation: Institute for Applied Health Research and School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, United Kingdom. Frederike.vanWijck@gcu.ac.uk
authors.forename: Frederike
authors.initials: F
authors.lastname: van Wijck
authors.forename: Don
authors.initials: D
authors.lastname: Knox
authors.forename: Colin
authors.initials: C
authors.lastname: Dodds
authors.forename: Gianna
authors.initials: G
authors.lastname: Cassidy
authors.forename: Gillian
authors.initials: G
authors.lastname: Alexander
authors.forename: Raymond
authors.initials: R
authors.lastname: MacDonald
mesh_terms: D001132:Arm / Q000503:physiopathology; D056228:Feedback, Sensory / Q000502:physiology; D006801:Humans; D009147:Music Therapy / Q000379:methods*; D009488:Neurosciences; D020521:Stroke / Q000503:physiopathology / Q000523:psychology / Q000628:therapy; D000071939:Stroke Rehabilitation; D018910:Video Games / Q000523:psychology