Reminiscent music therapy combined with robot-assisted rehabilitation for elderly stroke patients: a pilot study
Abstract Background Although some studies suggest that robot-assisted technology can significantly improve upper limb function in stroke patients compared to traditional rehabilitation training, it is still necessary to incorporate an auxiliary intervention to alleviate negative emotions, thereby al...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2024-01-01
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| Series: | Journal of NeuroEngineering and Rehabilitation |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12984-024-01315-y |
| _version_ | 1797275620025040896 |
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| author | Qian Liu Li Liu Zuoyan Liu Yang Xu Fang Wang Hong Cheng Xiuying Hu |
| author_facet | Qian Liu Li Liu Zuoyan Liu Yang Xu Fang Wang Hong Cheng Xiuying Hu |
| author_sort | Qian Liu |
| collection | DOAJ |
| description | Abstract Background Although some studies suggest that robot-assisted technology can significantly improve upper limb function in stroke patients compared to traditional rehabilitation training, it is still necessary to incorporate an auxiliary intervention to alleviate negative emotions, thereby alleviating the post-stroke fatigue and encouraging patients to actively respond to rehabilitation. However, the effect of the auxiliary intervention is unknown. Objective To evaluate the effect of reminiscent music therapy combined with robot-assisted rehabilitation in elderly patients with upper limb dysfunction. Methods From November 2022 to March 2023, elderly patients with upper limb dysfunction after stroke were assigned to one of three groups, with group A receiving usual rehabilitation treatment and care plus robot-assisted rehabilitation and reminiscent music therapy, group B receiving usual rehabilitation treatment and care plus robot-assisted rehabilitation, and group C receiving only usual rehabilitation treatment and care. Thirty patients completed this study, with 10 participants in each group. Activities of daily living, self-esteem, rehabilitation self-efficacy, positive emotion and upper limb function were measured before and after the intervention. One-way analysis of variance, paired-sample t-test, Kruskal-Wallis H test, Wilcoxon signed rank sum test and Chi-square test were used to analyze the data. Results According to the intragroup comparisons, in the three groups, all outcome measurements were significantly higher than those at baseline (all P < 0.05). After the intervention, the differences in the self-management effectiveness, rehabilitation self-efficacy, and positive emotion score were statistically significant among the three groups (all P < 0.05). In accordance with the results of Bonferroni analysis, the self-management effectiveness score of group A was significantly higher than that of Group B and Group C (all P < 0.05). The rehabilitation self-efficacy score of group A was significantly higher than that of Group B and Group C (P < 0.05). The positive emotion score of group A was significantly higher than that of Group B and Group C (P < 0.05). Conclusion Reminiscent music therapy combined with robot-assisted rehabilitation is a promising approach to improve rehabilitation self-efficacy and positive emotion, which is evidence that reminiscent music therapy may be an effective auxiliary intervention to improve rehabilitation outcomes. |
| first_indexed | 2024-03-07T15:16:07Z |
| format | Article |
| id | doaj.art-7540338d320f435fbe19906903922e16 |
| institution | Directory Open Access Journal |
| issn | 1743-0003 |
| language | English |
| last_indexed | 2024-03-07T15:16:07Z |
| publishDate | 2024-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of NeuroEngineering and Rehabilitation |
| spelling | doaj.art-7540338d320f435fbe19906903922e162024-03-05T17:53:44ZengBMCJournal of NeuroEngineering and Rehabilitation1743-00032024-01-012111910.1186/s12984-024-01315-yReminiscent music therapy combined with robot-assisted rehabilitation for elderly stroke patients: a pilot studyQian Liu0Li Liu1Zuoyan Liu2Yang Xu3Fang Wang4Hong Cheng5Xiuying Hu6Innovation Center of Nursing Research, Nursing Key Laboratory of Sichuan Province, West China Hospital, West China School of Nursing, Sichuan University, Sichuan UniversityInnovation Center of Nursing Research, Nursing Key Laboratory of Sichuan Province, West China Hospital, West China School of Nursing, Sichuan University, Sichuan UniversityDepartment of Rehabilitation Medicine Center, West China Hospital, School of Nursing, Sichuan University/West, Sichuan UniversityDepartment of Rehabilitation Medicine Center, West China Hospital, Sichuan UniversityInnovation Center of Nursing Research, Nursing Key Laboratory of Sichuan Province, West China Hospital, West China School of Nursing, Sichuan University, Sichuan UniversitySchool of Automation Engineering, University of Electronic Science and Technology of ChinaInnovation Center of Nursing Research, Nursing Key Laboratory of Sichuan Province, West China Hospital, West China School of Nursing, Sichuan University, Sichuan UniversityAbstract Background Although some studies suggest that robot-assisted technology can significantly improve upper limb function in stroke patients compared to traditional rehabilitation training, it is still necessary to incorporate an auxiliary intervention to alleviate negative emotions, thereby alleviating the post-stroke fatigue and encouraging patients to actively respond to rehabilitation. However, the effect of the auxiliary intervention is unknown. Objective To evaluate the effect of reminiscent music therapy combined with robot-assisted rehabilitation in elderly patients with upper limb dysfunction. Methods From November 2022 to March 2023, elderly patients with upper limb dysfunction after stroke were assigned to one of three groups, with group A receiving usual rehabilitation treatment and care plus robot-assisted rehabilitation and reminiscent music therapy, group B receiving usual rehabilitation treatment and care plus robot-assisted rehabilitation, and group C receiving only usual rehabilitation treatment and care. Thirty patients completed this study, with 10 participants in each group. Activities of daily living, self-esteem, rehabilitation self-efficacy, positive emotion and upper limb function were measured before and after the intervention. One-way analysis of variance, paired-sample t-test, Kruskal-Wallis H test, Wilcoxon signed rank sum test and Chi-square test were used to analyze the data. Results According to the intragroup comparisons, in the three groups, all outcome measurements were significantly higher than those at baseline (all P < 0.05). After the intervention, the differences in the self-management effectiveness, rehabilitation self-efficacy, and positive emotion score were statistically significant among the three groups (all P < 0.05). In accordance with the results of Bonferroni analysis, the self-management effectiveness score of group A was significantly higher than that of Group B and Group C (all P < 0.05). The rehabilitation self-efficacy score of group A was significantly higher than that of Group B and Group C (P < 0.05). The positive emotion score of group A was significantly higher than that of Group B and Group C (P < 0.05). Conclusion Reminiscent music therapy combined with robot-assisted rehabilitation is a promising approach to improve rehabilitation self-efficacy and positive emotion, which is evidence that reminiscent music therapy may be an effective auxiliary intervention to improve rehabilitation outcomes.https://doi.org/10.1186/s12984-024-01315-yStrokeMusic therapyReminiscence therapyRoboticsRehabilitation |
| spellingShingle | Qian Liu Li Liu Zuoyan Liu Yang Xu Fang Wang Hong Cheng Xiuying Hu Reminiscent music therapy combined with robot-assisted rehabilitation for elderly stroke patients: a pilot study Journal of NeuroEngineering and Rehabilitation Stroke Music therapy Reminiscence therapy Robotics Rehabilitation |
| title | Reminiscent music therapy combined with robot-assisted rehabilitation for elderly stroke patients: a pilot study |
| title_full | Reminiscent music therapy combined with robot-assisted rehabilitation for elderly stroke patients: a pilot study |
| title_fullStr | Reminiscent music therapy combined with robot-assisted rehabilitation for elderly stroke patients: a pilot study |
| title_full_unstemmed | Reminiscent music therapy combined with robot-assisted rehabilitation for elderly stroke patients: a pilot study |
| title_short | Reminiscent music therapy combined with robot-assisted rehabilitation for elderly stroke patients: a pilot study |
| title_sort | reminiscent music therapy combined with robot assisted rehabilitation for elderly stroke patients a pilot study |
| topic | Stroke Music therapy Reminiscence therapy Robotics Rehabilitation |
| url | https://doi.org/10.1186/s12984-024-01315-y |
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