137
views
0
recommends
+1 Recommend
0 collections
    22
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Music-supported motor training after stroke reveals no superiority of synchronization in group therapy

      research-article

      Read this article at

      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Background: Music-supported therapy has been shown to be an effective tool for rehabilitation of motor deficits after stroke. A unique feature of music performance is that it is inherently social: music can be played together in synchrony.

          Aim: The present study explored the potential of synchronized music playing during therapy, asking whether synchronized playing could improve fine motor rehabilitation and mood.

          Method: Twenty-eight patients in neurological early rehabilitation after stroke with no substantial previous musical training were included. Patients learned to play simple finger exercises and familiar children's songs on the piano for 10 sessions of half an hour. Patients first received three individual therapy sessions and then continued in pairs. The patient pairs were divided into two groups. Patients in one group played synchronously (together group) whereas the patients in the other group played one after the other (in-turn group). To assess fine motor skill recovery the patients performed standard clinical tests such as the nine-hole-pegboard test (9HPT) and index finger-tapping speed and regularity, and metronome-paced finger tapping. Patients' mood was established using the Profile of Mood States (POMS).

          Results: Both groups showed improvements in fine motor control. In metronome-paced finger tapping, patients in both groups improved significantly. Mood tests revealed reductions in depression and fatigue in both groups. During therapy, patients in the in-turn group rated their partner as more sympathetic than the together-group in a visual-analog scale.

          Conclusions: Our results suggest that music-supported stroke rehabilitation can improve fine motor control and mood not only individually but also in patient pairs. Patients who were playing in turn rather than simultaneously tended to reveal greater improvement in fine motor skill. We speculate that patients in the former group may benefit from the opportunity to learn from observation.

          Related collections

          Most cited references35

          • Record: found
          • Abstract: found
          • Article: not found

          Plasticity and primary motor cortex.

          One fundamental function of primary motor cortex (MI) is to control voluntary movements. Recent evidence suggests that this role emerges from distributed networks rather than discrete representations and that in adult mammals these networks are capable of modification. Neuronal recordings and activation patterns revealed with neuroimaging methods have shown considerable plasticity of MI representations and cell properties following pathological or traumatic changes and in relation to everyday experience, including motor-skill learning and cognitive motor actions. The intrinsic horizontal neuronal connections in MI are a strong candidate substrate for map reorganization: They interconnect large regions of MI, they show activity-dependent plasticity, and they modify in association with skill learning. These findings suggest that MI cortex is not simply a static motor control structure. It also contains a dynamic substrate that participates in motor learning and possibly in cognitive events as well.
            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            Neuroplasticity in the context of motor rehabilitation after stroke.

            Approximately one-third of patients with stroke exhibit persistent disability after the initial cerebrovascular episode, with motor impairments accounting for most poststroke disability. Exercise and training have long been used to restore motor function after stroke. Better training strategies and therapies to enhance the effects of these rehabilitative protocols are currently being developed for poststroke disability. The advancement of our understanding of the neuroplastic changes associated with poststroke motor impairment and the innate mechanisms of repair is crucial to this endeavor. Pharmaceutical, biological and electrophysiological treatments that augment neuroplasticity are being explored to further extend the boundaries of poststroke rehabilitation. Potential motor rehabilitation therapies, such as stem cell therapy, exogenous tissue engineering and brain-computer interface technologies, could be integral in helping patients with stroke regain motor control. As the methods for providing motor rehabilitation change, the primary goals of poststroke rehabilitation will be driven by the activity and quality of life needs of individual patients. This Review aims to provide a focused overview of neuroplasticity associated with poststroke motor impairment, and the latest experimental interventions being developed to manipulate neuroplasticity to enhance motor rehabilitation.
              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              Prediction in joint action: what, when, and where.

              Drawing on recent findings in the cognitive and neurosciences, this article discusses how people manage to predict each other's actions, which is fundamental for joint action. We explore how a common coding of perceived and performed actions may allow actors to predict the what, when, and where of others' actions. The "what" aspect refers to predictions about the kind of action the other will perform and to the intention that drives the action. The "when" aspect is critical for all joint actions requiring close temporal coordination. The "where" aspect is important for the online coordination of actions because actors need to effectively distribute a common space. We argue that although common coding of perceived and performed actions alone is not sufficient to enable one to engage in joint action, it provides a representational platform for integrating the actions of self and other. The final part of the paper considers links between lower-level processes like action simulation and higher-level processes like verbal communication and mental state attribution that have previously been at the focus of joint action research. Copyright © 2009 Cognitive Science Society, Inc.
                Bookmark

                Author and article information

                Contributors
                Journal
                Front Hum Neurosci
                Front Hum Neurosci
                Front. Hum. Neurosci.
                Frontiers in Human Neuroscience
                Frontiers Media S.A.
                1662-5161
                20 May 2014
                2014
                : 8
                : 315
                Affiliations
                [1] 1Institute of Music Physiology and Musicians' Medicine, University of Music, Drama, and Media Hanover Hanover, Germany
                [2] 2Lyon Neuroscience Research Center, CNRS-UMR 5292, INSERM U1028, University Claude Bernard Lyon-1 Lyon, France
                [3] 3BDH-Klinik, Institute for Neurorehabilitational Research (InFo), Teaching Hospital of Hanover Medical School Hessisch Oldendorf, Germany
                Author notes

                Edited by: Isabelle Peretz, Université de Montréal, Canada

                Reviewed by: Virginia Penhune, Concordia University, Canada; Alissa Fourkas, National Institutes of Health, USA

                *Correspondence: Floris T. Van Vugt, Institute of Music Physiology and Musicians' Medicine, University of Music, Drama and Media Hanover, Emmichplatz 1, 30175 Hanover, Germany e-mail: f.t.vanvugt@ 123456gmail.com

                This article was submitted to the journal Frontiers in Human Neuroscience.

                †These authors have contributed equally to this work.

                Article
                10.3389/fnhum.2014.00315
                4033001
                2d772658-d732-486c-9441-1b7ab28f00a3
                Copyright © 2014 Van Vugt, Ritter, Rollnik and Altenmüller.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 17 December 2013
                : 28 April 2014
                Page count
                Figures: 5, Tables: 1, Equations: 0, References: 49, Pages: 9, Words: 7645
                Categories
                Neuroscience
                Original Research Article

                Neurosciences
                stroke rehabilitation,music therapy,motor improvement,synchronization,social,shared experience,mood

                Comments

                Comment on this article