title: Active music therapy approach for stroke patients in the post-acute rehabilitation.
abstract: Guidelines in stroke rehabilitation recommend the use of a multidisciplinary approach. Different approaches and techniques with music are used in the stroke rehabilitation to improve motor and cognitive functions but also psychological outcomes. In this randomized controlled pilot trial, relational active music therapy approaches were tested in the post-acute phase of disease. Thirty-eight hospitalized patients with ischemic and hemorrhagic stroke were recruited and allocated in two groups. The experimental group underwent the standard of care (physiotherapy and occupational therapy daily sessions) and relational active music therapy treatments. The control group underwent the standard of care only. Motor functions and psychological aspects were assessed before and after treatments. Music therapy process was also evaluated using a specific rating scale. All groups showed a positive trend in quality of life, functional and disability levels, and gross mobility. The experimental group showed a decrease of anxiety and, in particular, of depression (p = 0.016). In addition, the strength of non-dominant hand (grip) significantly increased in the experimental group (p = 0.041). Music therapy assessment showed a significant improvement over time of non-verbal and sonorous-music relationships. Future studies, including a greater number of patients and follow-up evaluations, are needed to confirm promising results of this study.
authors.affiliation: Istituti Clinici Scientifici Maugeri, Scientific Institute of Pavia, Pavia, 27100, Italy. alfredo.raglio@icsmaugeri.it.
authors.forename: Alfredo
authors.initials: A
authors.lastname: Raglio
authors.affiliation: Istituti Clinici Scientifici Maugeri, Scientific Institute of Pavia, Pavia, 27100, Italy.
authors.forename: Alberto
authors.initials: A
authors.lastname: Zaliani
authors.affiliation: Istituti Clinici Scientifici Maugeri, Scientific Institute of Pavia, Pavia, 27100, Italy.
authors.forename: Paola
authors.initials: P
authors.lastname: Baiardi
authors.affiliation: Istituti Clinici Scientifici Maugeri, Scientific Institute of Pavia, Pavia, 27100, Italy.
authors.forename: Daniela
authors.initials: D
authors.lastname: Bossi
authors.affiliation: Istituti Clinici Scientifici Maugeri, Scientific Institute of Pavia, Pavia, 27100, Italy.
authors.forename: Cinzia
authors.initials: C
authors.lastname: Sguazzin
authors.affiliation: Istituti Clinici Scientifici Maugeri, Scientific Institute of Pavia, Pavia, 27100, Italy.
authors.forename: Edda
authors.initials: E
authors.lastname: Capodaglio
authors.affiliation: Istituti Clinici Scientifici Maugeri, Scientific Institute of Pavia, Pavia, 27100, Italy.
authors.forename: Chiara
authors.initials: C
authors.lastname: Imbriani
authors.affiliation: Istituti Clinici Scientifici Maugeri, Scientific Institute of Pavia, Pavia, 27100, Italy.
authors.forename: Giulia
authors.initials: G
authors.lastname: Gontero
authors.affiliation: Istituti Clinici Scientifici Maugeri, Scientific Institute of Pavia, Pavia, 27100, Italy.|Department of Public Health, Experimental ad Forensic Medicine, Section of Occupational Health, University of Pavia, Via Boezio 28, Pavia, 27100, Italy.
authors.forename: Marcello
authors.initials: M
authors.lastname: Imbriani
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000704:Analysis of Variance; D002545:Brain Ischemia / Q000523:psychology / Q000534:rehabilitation*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009147:Music Therapy / Q000379:methods*; D011569:Psychiatric Status Rating Scales; D011788:Quality of Life; D020521:Stroke / Q000523:psychology; D000071939:Stroke Rehabilitation / Q000379:methods*; D011795:Surveys and Questionnaires
keywords: Communication; Motor outcomes; Music therapy; Psychological outcomes; Rehabilitation; Stroke