Motivating Stroke Rehabilitation Through Music: A Feasibility Study Using Digital Musical Instruments in the Home

Digital approaches to physical rehabilitation are becoming increasingly common and embedding these new technologies within a musical framework may be particularly motivating. The current feasibility study aimed to test if digital musical instruments (DMIs) could aid in the self-management of stroke rehabilitation in the home, focusing on seated forward reach movements of the upper limb. Participants (n=3), all at least 11 months post stroke, participated in 15 researcher-led music making sessions over a 5 week intervention period. The sessions involved them 'drumming' to the beat of self-chosen tunes using bespoke digital drum pads that were synced wirelessly to an iPad App and triggered percussion sounds as feedback. They were encouraged to continue these exercises when the researcher was not present. The results showed significant levels of self-management and significant increases in functional measures with some evidence for transfer into tasks of daily living.

[1]  Gazihan Alankus,et al.  Towards customizable games for stroke rehabilitation , 2010, CHI.

[2]  Eckart Altenmüller,et al.  Annals of the New York Academy of Sciences the Involvement of Audio–motor Coupling in the Music-supported Therapy Applied to Stroke Patients , 2022 .

[3]  W. Magee,et al.  Music therapy for acquired brain injury. , 2010, The Cochrane database of systematic reviews.

[4]  J. Kleim,et al.  Functional reorganization of the rat motor cortex following motor skill learning. , 1998, Journal of neurophysiology.

[5]  Jeehyun Yoo The Role of Therapeutic Instrumental Music Performance in Hemiparetic Arm Rehabilitation , 2009 .

[6]  Antonio J Salazar,et al.  Low-Cost Wearable Data Acquisition for Stroke Rehabilitation: A Proof-of-Concept Study on Accelerometry for Functional Task Assessment , 2014, Topics in stroke rehabilitation.

[7]  R. Zatorre,et al.  Intensely pleasurable responses to music correlate with activity in brain regions implicated in reward and emotion , 2001, Proceedings of the National Academy of Sciences of the United States of America.

[8]  I. Peretz,et al.  Music listening enhances cognitive recovery and mood after middle cerebral artery stroke. , 2008, Brain : a journal of neurology.

[9]  Shyamal Patel,et al.  A review of wearable sensors and systems with application in rehabilitation , 2012, Journal of NeuroEngineering and Rehabilitation.

[10]  R. Shepherd,et al.  Task-related training improves performance of seated reaching tasks after stroke. A randomized controlled trial. , 1997, Stroke.

[11]  Vânia Guimarães,et al.  Gamification of stroke rehabilitation exercises using a smartphone , 2014, PervasiveHealth.

[12]  T. Münte,et al.  Using musical instruments to improve motor skill recovery following a stroke , 2007, Journal of Neurology.

[13]  E. Altenmüller,et al.  Plasticity in the sensorimotor cortex induced by Music-supported therapy in stroke patients: a TMS study , 2013, Front. Hum. Neurosci..

[14]  Kelly E. Flanagan Factors affecting attendance at bowl games during the BCS era. , 2008 .

[15]  Rebecca Fiebrink,et al.  Using Interactive Machine Learning to Support Interface Development Through Workshops with Disabled People , 2015, CHI.

[16]  R. Nudo,et al.  Effects of Repetitive Motor Training on Movement Representations in Adult Squirrel Monkeys: Role of Use versus Learning , 2000, Neurobiology of Learning and Memory.

[17]  Costas I. Karageorghis,et al.  Music in Sport and Exercise: An Update on Research and Application , 2008 .

[18]  C. Wolfe,et al.  Cost of stroke in the United Kingdom. , 2008, Age and ageing.

[19]  Domenico Campolo,et al.  Upper Extremity Proprioception in Healthy Aging and Stroke Populations, and the Effects of Therapist- and Robot-Based Rehabilitation Therapies on Proprioceptive Function , 2015, Front. Hum. Neurosci..

[20]  E. Altenmüller,et al.  Sensorimotor Plasticity after Music-Supported Therapy in Chronic Stroke Patients Revealed by Transcranial Magnetic Stimulation , 2013, PloS one.

[21]  Pedro Kirk,et al.  Can Specialised Electronic Musical Instruments Aid Stroke Rehabilitation? , 2015, CHI Extended Abstracts.

[22]  E. Altenmüller,et al.  Music-Supported Training is More Efficient than Functional Motor Training for Recovery of Fine Motor Skills in Stroke Patients , 2010, Music Perception.