TY - JOUR
T1 - Inpatient stroke survivors with low gait functioning benefit from music interventions during cardiorespiratory exercise
T2 - A randomized cross-over trial
AU - Mazhari-Jensen, Daniel S.
AU - Jacobsen, Stine Lindahl
AU - Jespersen, Kira Vibe
PY - 2023
Y1 - 2023
N2 - Introduction: Stroke survivors struggle to meet clinical recommendations for physical exercise duration and intensity. During the past two decades, emerging evidence has shown effectiveness of music interventions for several motor tasks in stroke rehabilitation. Additionally, music has been found effective for increasing exercise performance in athletes and clinical populations. It is postulated that the therapeutic effects of music in physical exercise are modulated by preference and task-specificity of the music. Methods: We tested this hypothesis in a pilot study using a three-arm randomized cross-over design comprising the following auditory conditions during cycle ergometry cardiorespiratory exercise sessions: (a) a group-tailored music playlist, (b) radio music, and (c) a non-music control condition. Participants (n = 19) were inpatient stroke survivors undergoing rehabilitation between 2 and 12 weeks post infarct. Results: Our results demonstrate that clinical characteristics are an important determinant for identifying patients who can benefit from music. Specifically, participants with a higher level of gait functioning experienced no benefit, whereas participants with a low level of gait functioning showed an increase in both exercise duration (M = 4.46 minutes) and time spent in the recommended heart rate intensity (M = 6.39 and M = 2.49 minutes for the playlist and radio condition, respectively). Discussion: The findings suggest a beneficial role of music in rehabilitation of stroke patients with low gait functioning. Future studies should ultimately disentangle which musical parameters are more likely to induce the putative ergogenic effects. Trial registry number: NCT05398575.
AB - Introduction: Stroke survivors struggle to meet clinical recommendations for physical exercise duration and intensity. During the past two decades, emerging evidence has shown effectiveness of music interventions for several motor tasks in stroke rehabilitation. Additionally, music has been found effective for increasing exercise performance in athletes and clinical populations. It is postulated that the therapeutic effects of music in physical exercise are modulated by preference and task-specificity of the music. Methods: We tested this hypothesis in a pilot study using a three-arm randomized cross-over design comprising the following auditory conditions during cycle ergometry cardiorespiratory exercise sessions: (a) a group-tailored music playlist, (b) radio music, and (c) a non-music control condition. Participants (n = 19) were inpatient stroke survivors undergoing rehabilitation between 2 and 12 weeks post infarct. Results: Our results demonstrate that clinical characteristics are an important determinant for identifying patients who can benefit from music. Specifically, participants with a higher level of gait functioning experienced no benefit, whereas participants with a low level of gait functioning showed an increase in both exercise duration (M = 4.46 minutes) and time spent in the recommended heart rate intensity (M = 6.39 and M = 2.49 minutes for the playlist and radio condition, respectively). Discussion: The findings suggest a beneficial role of music in rehabilitation of stroke patients with low gait functioning. Future studies should ultimately disentangle which musical parameters are more likely to induce the putative ergogenic effects. Trial registry number: NCT05398575.
KW - aerobic
KW - cycling
KW - exercise
KW - inpatient
KW - music
KW - Stroke
UR - http://www.scopus.com/inward/record.url?scp=85150965901&partnerID=8YFLogxK
U2 - 10.1080/08098131.2023.2190403
DO - 10.1080/08098131.2023.2190403
M3 - Journal article
AN - SCOPUS:85150965901
SN - 0809-8131
VL - 32
SP - 462
EP - 481
JO - Nordic Journal of Music Therapy
JF - Nordic Journal of Music Therapy
IS - 5
ER -