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Music therapy with adults in the subacute phase after stroke: A study protocol
Theo Dimitriadis1,2, Mohammed A Mudarris1,3,4, Dieuwke S Veldhuijzen1,4
1Health, Medical, and Neuropsychology Unit, Institute of Psychology, Faculty of Social and Behavioural Sciences, Leiden University, P.O. Box 9555, 2300RB, Leiden, the Netherlands.
Contemporary Clinical Trials Communications
|August 27, 2024
Summary
This study explores how Neurologic Music Therapy (NMT) impacts motivation during stroke rehabilitation. Findings suggest NMT may enhance patient motivation, potentially improving adherence and outcomes in stroke recovery.
Area of Science:
- Neuroscience
- Rehabilitation Medicine
- Music Therapy
Background:
- Stroke is a leading cause of disability, necessitating effective rehabilitation strategies.
- Music therapy, particularly Neurologic Music Therapy (NMT), is increasingly used in stroke recovery.
- The motivational role of music in enhancing treatment adherence and mood during rehabilitation is a key area of interest.
Purpose of the Study:
- To investigate changes in motivation associated with NMT techniques during subacute stroke rehabilitation.
- To examine the effects of two specific NMT techniques on motivational indices.
- To understand the underlying mechanisms of music therapy in stroke recovery, focusing on motivation.
Main Methods:
- A randomized within-subjects cross-over design was employed.
- Data were collected at three time points (baseline, post-intervention 1, post-intervention 2) to allow for within-subject comparisons.
- Twenty adult participants with supratentorial stroke and upper-limb/cognitive deficits were included, with behavioral and self-reported motivation measures.
Main Results:
- The study design facilitates robust analysis by controlling for order and time effects.
- Single-subject comparisons are enabled within a heterogeneous sample.
- Behavioral measures of motor function, cognition, and quality of life, alongside motivation indices, were collected.
Conclusions:
- This research will contribute to understanding the mechanisms of music therapy in stroke recovery.
- The findings are expected to highlight the relevance of motivational states in neurorehabilitation.
- Implications for optimizing music therapy interventions for stroke patients are anticipated.

