[Efficacy of Music Therapy in Functional Recovery of the Upper Limb After a Stroke: a Systematic Review and Meta-Analysis].
Identifieur interne : 000416 ( Main/Exploration ); précédent : 000415; suivant : 000417[Efficacy of Music Therapy in Functional Recovery of the Upper Limb After a Stroke: a Systematic Review and Meta-Analysis].
Auteurs : J C Roche Bueno [Espagne] ; E. Mincholé Lapuente [Espagne]Source :
- Rehabilitacion [ 1578-3278 ]
Descripteurs français
- KwdFr :
- MESH :
- méthodes : Réadaptation après un accident vasculaire cérébral.
- physiologie : Membre supérieur.
- rééducation et réadaptation : Parésie.
- Essais contrôlés randomisés comme sujet, Humains, Musicothérapie, Récupération fonctionnelle, Résultat thérapeutique.
English descriptors
- KwdEn :
- MESH :
- methods : Stroke Rehabilitation.
- physiology : Upper Extremity.
- rehabilitation : Paresis.
- Humans, Music Therapy, Randomized Controlled Trials as Topic, Recovery of Function, Treatment Outcome.
Abstract
INTRODUCTION
Formal therapeutic interventions based on music have been used in rehabilitation to stimulate the brain functions involved in movement.
OBJECTIVE
The objective of this study was to conduct a systematic review and meta-analysis following the PRISMA recommendations on the effectiveness of music therapy in improving the functionality of the upper limb in patients with hemiparesis secondary to stroke.
METHODS
A search of the Pubmed, clinicaltrials.gov and Cochrane databases was performed in September 2018. The articles included in this review had to meet the following criteria: randomised controlled trials with therapeutic interventions that evaluated improvement in manual dexterity, measured with the box and block test in patients older than 18 years with a residual deficit secondary to an ischaemic or haemorrhagic stroke in the previous months.
RESULTS
Of 371 studies analysed, six were included in the study and subsequent meta-analysis with a total of 149 patients. The musical interventions improved the functionality of the parietal limb in patients with stroke compared with that in controls who received conventional treatment. This effect was statistically significant in the meta-analysis, with a difference in the standardised mean in the box and block test of 0.40 (95% CI 0.09 - 0.72).
CONCLUSIONS
Musical interventions could be beneficial for the functional recovery of the upper extremity. These results are encouraging but a greater number of clinical trials are required to confirm these findings before their subsequent implementation in clinical practice.
DOI: 10.1016/j.rh.2019.02.002
PubMed: 31370945
Affiliations:
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Mincholé Lapuente</name><affiliation wicri:level="1"><nlm:affiliation>Servicio de Neumología, Hospital Univesitario Miguel Servet, Zaragoza, España.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Servicio de Neumología, Hospital Univesitario Miguel Servet, Zaragoza</wicri:regionArea><wicri:noRegion>Zaragoza</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2019">2019 Jul - Sep</date><idno type="RBID">pubmed:31370945</idno><idno type="pmid">31370945</idno><idno type="doi">10.1016/j.rh.2019.02.002</idno><idno type="wicri:Area/Main/Corpus">000459</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000459</idno><idno type="wicri:Area/Main/Curation">000459</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000459</idno><idno type="wicri:Area/Main/Exploration">000459</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">[Efficacy of Music Therapy in Functional Recovery of the Upper Limb After a Stroke: a Systematic Review and Meta-Analysis].</title><author><name sortKey="Roche Bueno, J C" sort="Roche Bueno, J C" uniqKey="Roche Bueno J" first="J C" last="Roche Bueno">J C Roche Bueno</name><affiliation wicri:level="1"><nlm:affiliation>Servicio de Neurología, Hospital Universitario Clínico Lozano Blesa, Zaragoza, España. Electronic address: jcrochebueno@gmail.com.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Servicio de Neurología, Hospital Universitario Clínico Lozano Blesa, Zaragoza</wicri:regionArea><wicri:noRegion>Zaragoza</wicri:noRegion></affiliation></author><author><name sortKey="Minchole Lapuente, E" sort="Minchole Lapuente, E" uniqKey="Minchole Lapuente E" first="E" last="Mincholé Lapuente">E. Mincholé Lapuente</name><affiliation wicri:level="1"><nlm:affiliation>Servicio de Neumología, Hospital Univesitario Miguel Servet, Zaragoza, España.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Servicio de Neumología, Hospital Univesitario Miguel Servet, Zaragoza</wicri:regionArea><wicri:noRegion>Zaragoza</wicri:noRegion></affiliation></author></analytic><series><title level="j">Rehabilitacion</title><idno type="eISSN">1578-3278</idno></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Humans (MeSH)</term><term>Music Therapy (MeSH)</term><term>Paresis (rehabilitation)</term><term>Randomized Controlled Trials as Topic (MeSH)</term><term>Recovery of Function (MeSH)</term><term>Stroke Rehabilitation (methods)</term><term>Treatment Outcome (MeSH)</term><term>Upper Extremity (physiology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Essais contrôlés randomisés comme sujet (MeSH)</term><term>Humains (MeSH)</term><term>Membre supérieur (physiologie)</term><term>Musicothérapie (MeSH)</term><term>Parésie (rééducation et réadaptation)</term><term>Réadaptation après un accident vasculaire cérébral (méthodes)</term><term>Récupération fonctionnelle (MeSH)</term><term>Résultat thérapeutique (MeSH)</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Stroke Rehabilitation</term></keywords><keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Réadaptation après un accident vasculaire cérébral</term></keywords><keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Membre supérieur</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Upper Extremity</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Paresis</term></keywords><keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Parésie</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Humans</term><term>Music Therapy</term><term>Randomized Controlled Trials as Topic</term><term>Recovery of Function</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Essais contrôlés randomisés comme sujet</term><term>Humains</term><term>Musicothérapie</term><term>Récupération fonctionnelle</term><term>Résultat thérapeutique</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>INTRODUCTION</b></p><p>Formal therapeutic interventions based on music have been used in rehabilitation to stimulate the brain functions involved in movement.</p></div><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>The objective of this study was to conduct a systematic review and meta-analysis following the PRISMA recommendations on the effectiveness of music therapy in improving the functionality of the upper limb in patients with hemiparesis secondary to stroke.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>A search of the Pubmed, clinicaltrials.gov and Cochrane databases was performed in September 2018. The articles included in this review had to meet the following criteria: randomised controlled trials with therapeutic interventions that evaluated improvement in manual dexterity, measured with the box and block test in patients older than 18 years with a residual deficit secondary to an ischaemic or haemorrhagic stroke in the previous months.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Of 371 studies analysed, six were included in the study and subsequent meta-analysis with a total of 149 patients. The musical interventions improved the functionality of the parietal limb in patients with stroke compared with that in controls who received conventional treatment. This effect was statistically significant in the meta-analysis, with a difference in the standardised mean in the box and block test of 0.40 (95% CI 0.09 - 0.72).</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Musical interventions could be beneficial for the functional recovery of the upper extremity. These results are encouraging but a greater number of clinical trials are required to confirm these findings before their subsequent implementation in clinical practice.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">31370945</PMID><DateCompleted><Year>2020</Year><Month>04</Month><Day>30</Day></DateCompleted><DateRevised><Year>2020</Year><Month>04</Month><Day>30</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1578-3278</ISSN><JournalIssue CitedMedium="Internet"><Volume>53</Volume><Issue>3</Issue><PubDate><MedlineDate>2019 Jul - Sep</MedlineDate></PubDate></JournalIssue><Title>Rehabilitacion</Title><ISOAbbreviation>Rehabilitacion (Madr)</ISOAbbreviation></Journal><ArticleTitle>[Efficacy of Music Therapy in Functional Recovery of the Upper Limb After a Stroke: a Systematic Review and Meta-Analysis].</ArticleTitle><Pagination><MedlinePgn>181-188</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S0048-7120(19)30013-1</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.rh.2019.02.002</ELocationID><Abstract><AbstractText Label="INTRODUCTION">Formal therapeutic interventions based on music have been used in rehabilitation to stimulate the brain functions involved in movement.</AbstractText><AbstractText Label="OBJECTIVE">The objective of this study was to conduct a systematic review and meta-analysis following the PRISMA recommendations on the effectiveness of music therapy in improving the functionality of the upper limb in patients with hemiparesis secondary to stroke.</AbstractText><AbstractText Label="METHODS">A search of the Pubmed, clinicaltrials.gov and Cochrane databases was performed in September 2018. The articles included in this review had to meet the following criteria: randomised controlled trials with therapeutic interventions that evaluated improvement in manual dexterity, measured with the box and block test in patients older than 18 years with a residual deficit secondary to an ischaemic or haemorrhagic stroke in the previous months.</AbstractText><AbstractText Label="RESULTS">Of 371 studies analysed, six were included in the study and subsequent meta-analysis with a total of 149 patients. The musical interventions improved the functionality of the parietal limb in patients with stroke compared with that in controls who received conventional treatment. This effect was statistically significant in the meta-analysis, with a difference in the standardised mean in the box and block test of 0.40 (95% CI 0.09 - 0.72).</AbstractText><AbstractText Label="CONCLUSIONS">Musical interventions could be beneficial for the functional recovery of the upper extremity. These results are encouraging but a greater number of clinical trials are required to confirm these findings before their subsequent implementation in clinical practice.</AbstractText><CopyrightInformation>Copyright © 2019 Sociedad Española de Rehabilitación y Medicina Física. Publicado por Elsevier España, S.L.U. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Roche Bueno</LastName><ForeName>J C</ForeName><Initials>JC</Initials><AffiliationInfo><Affiliation>Servicio de Neurología, Hospital Universitario Clínico Lozano Blesa, Zaragoza, España. Electronic address: jcrochebueno@gmail.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mincholé Lapuente</LastName><ForeName>E</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Servicio de Neumología, Hospital Univesitario Miguel Servet, Zaragoza, España.</Affiliation></AffiliationInfo></Author></AuthorList><Language>spa</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D017418">Meta-Analysis</PublicationType><PublicationType UI="D000078182">Systematic Review</PublicationType></PublicationTypeList><VernacularTitle>Eficacia de la terapia musical en la recuperación funcional del miembro superior después de un ictus: una revisión sistemática y meta-análisis.</VernacularTitle><ArticleDate DateType="Electronic"><Year>2019</Year><Month>07</Month><Day>04</Day></ArticleDate></Article><MedlineJournalInfo><Country>Spain</Country><MedlineTA>Rehabilitacion (Madr)</MedlineTA><NlmUniqueID>7802471</NlmUniqueID><ISSNLinking>0048-7120</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009147" MajorTopicYN="Y">Music Therapy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010291" MajorTopicYN="N">Paresis</DescriptorName><QualifierName UI="Q000534" MajorTopicYN="Y">rehabilitation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016032" MajorTopicYN="N">Randomized Controlled Trials as Topic</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D020127" MajorTopicYN="Y">Recovery of Function</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000071939" MajorTopicYN="N">Stroke Rehabilitation</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D034941" MajorTopicYN="N">Upper Extremity</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="Y">physiology</QualifierName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">Ictus</Keyword><Keyword MajorTopicYN="Y">Meta-analysis</Keyword><Keyword MajorTopicYN="Y">Meta-análisis</Keyword><Keyword MajorTopicYN="Y">Music therapy</Keyword><Keyword MajorTopicYN="Y">Neurorehabilitación</Keyword><Keyword MajorTopicYN="Y">Neurorehabilitation</Keyword><Keyword MajorTopicYN="Y">Plasticidad</Keyword><Keyword MajorTopicYN="Y">Plasticity</Keyword><Keyword MajorTopicYN="Y">Stroke</Keyword><Keyword MajorTopicYN="Y">Terapia musical</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2018</Year><Month>11</Month><Day>09</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2019</Year><Month>01</Month><Day>12</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2019</Year><Month>02</Month><Day>02</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2019</Year><Month>8</Month><Day>3</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2019</Year><Month>8</Month><Day>3</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>5</Month><Day>1</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">31370945</ArticleId><ArticleId IdType="pii">S0048-7120(19)30013-1</ArticleId><ArticleId IdType="doi">10.1016/j.rh.2019.02.002</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Espagne</li></country></list><tree><country name="Espagne"><noRegion><name sortKey="Roche Bueno, J C" sort="Roche Bueno, J C" uniqKey="Roche Bueno J" first="J C" last="Roche Bueno">J C Roche Bueno</name></noRegion><name sortKey="Minchole Lapuente, E" sort="Minchole Lapuente, E" uniqKey="Minchole Lapuente E" first="E" last="Mincholé Lapuente">E. 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