Musical motor feedback (MMF) in walking hemiparetic stroke patients: randomized trials of gait improvement. Export

@article{citeulike:5017684, abstract = {OBJECTIVE: To demonstrate the effect of rhythmical auditory stimulation in a musical context for gait therapy in hemiparetic stroke patients, when the stimulation is played back measure by measure initiated by the patient's heel-strikes (musical motor feedback). Does this type of musical feedback improve walking more than a less specific gait therapy? DESIGN: The randomized controlled trial considered 23 registered stroke patients. Two groups were created by randomization: the control group received 15 sessions of conventional gait therapy and the test group received 15 therapy sessions with musical motor feedback. SETTING: Inpatient rehabilitation hospital. SUBJECTS: Median post-stroke interval was 44 days and the patients were able to walk without technical aids with a speed of approximately 0.71 m/s. MAIN OUTCOME MEASURES: Gait velocity, step duration, gait symmetry, stride length and foot rollover path length (heel-on-toe-off distance). RESULT: The test group showed more mean improvement than the control group: stride length increased by 18\% versus 0\%, symmetry deviation decreased by 58\% versus 20\%, walking speed increased by 27\% versus 4\% and rollover path length increased by 28\% versus 11\%. CONCLUSION: Musical motor feedback improves the stroke patient's walk in selected parameters more than conventional gait therapy. A fixed memory in the patient's mind about the song and its timing may stimulate the improvement of gait even without the presence of an external pacemaker.}, author = {Schauer, M. and Mauritz, K. H.}, citeulike-article-id = {5017684}, citeulike-linkout-0 = {http://view.ncbi.nlm.nih.gov/pubmed/14606736}, citeulike-linkout-1 = {http://www.hubmed.org/display.cgi?uids=14606736}, issn = {0269-2155}, journal = {Clinical rehabilitation}, keywords = {functional\_activity\_intervention, gait, hemiparesis, intervention, musical\_motor\_feedback, neurology\_physical\_therapy, physical\_therapy, procedural\_interventions, pt\_treatment, randomized\_controlled\_trial, rehabilitation, rhythmic\_auditory\_stimuli, stroke, therapy}, month = {November}, number = {7}, pages = {713--722}, posted-at = {2009-06-30 03:25:47}, priority = {2}, title = {Musical motor feedback (MMF) in walking hemiparetic stroke patients: randomized trials of gait improvement.}, url = {http://view.ncbi.nlm.nih.gov/pubmed/14606736}, volume = {17}, year = {2003} }

TY - JOUR ID - citeulike:5017684 L3 - citeulike-article-id:5017684 N2 - OBJECTIVE: To demonstrate the effect of rhythmical auditory stimulation in a musical context for gait therapy in hemiparetic stroke patients, when the stimulation is played back measure by measure initiated by the patient's heel-strikes (musical motor feedback). Does this type of musical feedback improve walking more than a less specific gait therapy? DESIGN: The randomized controlled trial considered 23 registered stroke patients. Two groups were created by randomization: the control group received 15 sessions of conventional gait therapy and the test group received 15 therapy sessions with musical motor feedback. SETTING: Inpatient rehabilitation hospital. SUBJECTS: Median post-stroke interval was 44 days and the patients were able to walk without technical aids with a speed of approximately 0.71 m/s. MAIN OUTCOME MEASURES: Gait velocity, step duration, gait symmetry, stride length and foot rollover path length (heel-on-toe-off distance). RESULT: The test group showed more mean improvement than the control group: stride length increased by 18% versus 0%, symmetry deviation decreased by 58% versus 20%, walking speed increased by 27% versus 4% and rollover path length increased by 28% versus 11%. CONCLUSION: Musical motor feedback improves the stroke patient's walk in selected parameters more than conventional gait therapy. A fixed memory in the patient's mind about the song and its timing may stimulate the improvement of gait even without the presence of an external pacemaker. IS - 7 JF - Clinical rehabilitation SN - 0269-2155 EP - 722 TI - Musical motor feedback (MMF) in walking hemiparetic stroke patients: randomized trials of gait improvement. VL - 17 SP - 713 KW - functional_activity_intervention KW - gait KW - hemiparesis KW - intervention KW - musical_motor_feedback KW - neurology_physical_therapy KW - physical_therapy KW - procedural_interventions KW - pt_treatment KW - randomized_controlled_trial KW - rehabilitation KW - rhythmic_auditory_stimuli KW - stroke KW - therapy AU - Schauer, M AU - Mauritz, KH PY - 2003/11// UR - http://view.ncbi.nlm.nih.gov/pubmed/14606736 ER -