Music therapy in motor rehabilitation. Evaluation of a musico-medical gait training program for hemi-paretic stroke patients

摘要

Background: In order to upgrade hemiparetic motor rehabilitation, a specific music medical intervention, the RAS(Rhythmic-Acoustic Stimulation) was developed [22]. Aim of the present study was to adapt this concept to the German context and evaluate its efficacy.Methods: 40 patients in rehabilitation phase B were included and randomly assigned either to the RAS group(n=20) or the conventional physiotherapy group (n=20). Main outcome were dynamic gait parameters which were.assessed by use of a stride analyzer (SA~IM). Measurements were obtained before and after therapy phase (3 weekswith 30 minutes training sessions on workdays). Results: Analyses revealed a significant improvement in both therapy groups (F[4,73] = 6,82, p = .000). The RAS group outperforms the conventional intervention group in terms of relative improvement on Velocity (F[l ,38]=,05,P=.O89), Cadence (F[l,38]=4,00, p = .053) and Gait Cycle (F( [1,38]=4,19, p = .048).Discussion: RAS proved to be an efficient rehabilitative intervention. Interpretation of results is affected by a significant confoundation of gait parameters.