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Effects of a Music-Based Rhythmic Auditory Stimulation on Gait and Balance in Subacute Stroke

Author

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  • Samira Gonzalez-Hoelling

    (Neurorehabilitation Department, Hospital Sociosanitari Mutuam Girona, 17007 Girona, Spain)

  • Carme Bertran-Noguer

    (Health and Health Care Research Group, University of Girona, 17003 Girona, Spain
    Department of Nursing, Faculty of Nursing, University of Girona, 17003 Girona, Spain)

  • Gloria Reig-Garcia

    (Department of Nursing, Faculty of Nursing, University of Girona, 17003 Girona, Spain)

  • Rosa Suñer-Soler

    (Health and Health Care Research Group, University of Girona, 17003 Girona, Spain
    Department of Nursing, Faculty of Nursing, University of Girona, 17003 Girona, Spain)

Abstract

Gait and balance impairments are common after stroke. This study aimed to evaluate the effect of a music-based rhythmic auditory stimulation (RAS) in combination with conventional physiotherapy on gait parameters and walking ability in subacute stroke. This single-blind, historical controlled trial, included 55 patients who had suffered a stroke within the three weeks prior to enrolment. Patients from 2018 ( n = 27) were assigned as the historical control group whereas 2019 patients ( n = 28) received music-based RAS three times a week. Both groups received 11 h of conventional physiotherapy per week during hospitalization. Primary outcomes were gait and balance parameters (Tinetti test and Timed Up&Go test) and walking ability (Functional Ambulation Category scale). Secondary outcomes were trunk control, assistive devices, functional independence (Functional Independence Measure, Barthel index), and stroke severity and disability (modified Rankin scale, National Institutes of Health Stroke Scale). Results: No between-group differences were identified for gait and balance parameters nor for secondary outcomes. Significant between-group differences were observed in the Functional Ambulation Category: the intervention group (Δmean ± SD; 3.43 ± 1.17) showed greater improvement ( p = 0.002) than the control group (Δmean ± SD; 2.48 ± 1.09). Compared with conventional physiotherapy alone, our results suggest that the walking ability of subacute stroke patients might be improved with music-based RAS combined with conventional physiotherapy, but this treatment is not more effective than conventional physiotherapy in obtaining gait and balance gains.

Suggested Citation

  • Samira Gonzalez-Hoelling & Carme Bertran-Noguer & Gloria Reig-Garcia & Rosa Suñer-Soler, 2021. "Effects of a Music-Based Rhythmic Auditory Stimulation on Gait and Balance in Subacute Stroke," IJERPH, MDPI, vol. 18(4), pages 1-14, February.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:4:p:2032-:d:502091
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    References listed on IDEAS

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    1. Lifeng Lin, 2018. "Bias caused by sampling error in meta-analysis with small sample sizes," PLOS ONE, Public Library of Science, vol. 13(9), pages 1-19, September.
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    Cited by:

    1. María Gómez-Gallego & Juan Cándido Gómez-Gallego & María Gallego-Mellado & Javier García-García, 2021. "Comparative Efficacy of Active Group Music Intervention versus Group Music Listening in Alzheimer’s Disease," IJERPH, MDPI, vol. 18(15), pages 1-11, July.

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