Villeneuve, Myriam, Penhune, Virginia and Lamontagne, Anouk (2014) A Piano Training Program to Improve Manual Dexterity and Upper Extremity Function in Chronic Stroke Survivors. Frontiers in Human Neuroscience, 8 . ISSN 1662-5161
Preview |
Text (application/pdf)
4MBpenhune-frontiers-2014.pdf - Published Version Available under License Spectrum Terms of Access. |
Official URL: http://dx.doi.org/10.3389/fnhum.2014.00662
Abstract
Objective: Music-supported therapy was shown to induce improvements in motor skills in stroke survivors. Whether all stroke individuals respond similarly to the intervention and whether gains can be maintained over time remain unknown. We estimated the immediate and retention effects of a piano training program on upper extremity function in persons with chronic stroke.
Methods: Thirteen stroke participants engaged in a 3-week piano training comprising supervised sessions (9 × 60 min) and home practice. Fine and gross manual dexterity, movement coordination, and functional use of the upper extremity were assessed at baseline, pre-intervention, post-intervention, and at a 3-week follow-up.
Results: Significant improvements were observed for all outcomes at post-intervention and follow-up compared to pre-intervention scores. Larger magnitudes of change in manual dexterity and functional use of the upper extremity were associated with higher initial levels of motor recovery.
Conclusion: Piano training can result in sustainable improvements in upper extremity function in chronic stroke survivors. Individuals with a higher initial level of motor recovery at baseline appear to benefit the most from this intervention.
Divisions: | Concordia University > Faculty of Arts and Science > Psychology |
---|---|
Item Type: | Article |
Refereed: | Yes |
Authors: | Villeneuve, Myriam and Penhune, Virginia and Lamontagne, Anouk |
Journal or Publication: | Frontiers in Human Neuroscience |
Date: | 2014 |
Funders: |
|
Digital Object Identifier (DOI): | 10.3389/fnhum.2014.00662 |
ID Code: | 982235 |
Deposited By: | Danielle Dennie |
Deposited On: | 17 Mar 2017 20:09 |
Last Modified: | 18 Jan 2018 17:54 |
References:
Altenmuller, E., Marco-Pallares, J., Munte, T. F., and Schneider, S. (2009). Neural reorganization underlies improvement in stroke-induced motor dysfunction by music-supported therapy. Ann. N. Y. Acad. Sci. 1169, 395–405. doi: 10.1111/j.1749-6632.2009.04580.xAmengual, J. L., Rojo, N., Veciana de Las Heras, M., Marco-Pallares, J., Grau-Sanchez, J., Schneider, S., et al. (2013). Sensorimotor plasticity after music-supported therapy in chronic stroke patients revealed by transcranial magnetic stimulation. PLoS ONE 8:e61883. doi:10.1371/journal.pone.0061883
Chen, H. M., Chen, C. C., Hsueh, I. P., Huang, S. L., and Hsieh, C. L. (2009). Test-retest reproducibility and smallest real difference of 5 hand function tests in patients with stroke. Neurorehabil. Neural Repair 23, 435–440. doi:10.1177/1545968308331146
Cirstea, M. C., and Levin, M. F. (2007). Improvement of arm movement patterns and endpoint control depends on type of feedback during practice in stroke survivors. Neurorehabil. Neural Repair 21, 398–411. doi:10.1177/1545968306298414
Gowland, C., Stratford, P., Ward, M., Moreland, J., Torresin, W., Van Hullenaar, S., et al. (1993). Measuring physical impairment and disability with the Chedoke-McMaster Stroke Assessment. Stroke 24, 58–63. doi:10.1161/01.STR.24.1.58
Grau-Sanchez, J., Amengual, J. L., Rojo, N., Veciana de Las Heras, M., Montero, J., Rubio, F., et al. (2013). Plasticity in the sensorimotor cortex induced by Music-supported therapy in stroke patients: a TMS study. Front. Hum. Neurosci. 7:494. doi:10.3389/fnhum.2013.00494
Hackel, M. E., Wolfe, G. A., Bang, S. M., and Canfield, J. S. (1992). Changes in hand function in the aging adult as determined by the Jebsen Test of Hand Function. Phys. Ther. 72, 373–377.
Hendricks, H. T., van Limbeek, J., Geurts, A. C., and Zwarts, M. J. (2002). Motor recovery after stroke: a systematic review of the literature. Arch. Phys. Med. Rehabil. 83, 1629–1637. doi:10.1053/apmr.2002.35473
Hubbard, I. J., Parsons, M. W., Neilson, C., and Carey, L. M. (2009). Task-specific training: evidence for and translation to clinical practice. Occup. Ther. Int. 16, 175–189. doi:10.1002/oti.275
Leung, D. P., Ng, A. K., and Fong, K. N. (2009). Effect of small group treatment of the modified constraint induced movement therapy for clients with chronic stroke in a community setting. Hum. Mov. Sci. 28, 798–808. doi:10.1016/j.humov.2009.04.006
Mathiowetz, V., Volland, G., Kashman, N., and Weber, K. (1985). Adult norms for the Box and Block Test of manual dexterity. Am. J. Occup. Ther. 39, 386–391.
Nasreddine, Z. S., Phillips, N. A., Bedirian, V., Charbonneau, S., Whitehead, V., Collin, I., et al. (2005). The Montreal Cognitive Assessment, MoCA: a brief screening tool for mild cognitive impairment. J. Am. Geriatr. Soc. 53, 695–699. doi:10.1111/j.1532-5415.2005.53221.x
Oxford Grice, K., Vogel, K. A., Le, V., Mitchell, A., Muniz, S., and Vollmer, M. A. (2003). Adult norms for a commercially available Nine Hole Peg Test for finger dexterity. Am. J. Occup. Ther. 57, 570–573. doi:10.5014/ajot.57.5.570
Siebers, A., Oberg, U., and Skargren, E. (2010). The effect of modified constraint-induced movement therapy on spasticity and motor function of the affected arm in patients with chronic stroke. Physiother. Can. 62, 388–396. doi:10.3138/physio.62.4.388
Van Peppen, R. P., Kwakkel, G., Wood-Dauphinee, S., Hendriks, H. J., Van der Wees, P. J., and Dekker, J. (2004). The impact of physical therapy on functional outcomes after stroke: what’s the evidence? Clin. Rehabil. 18, 833–862. doi:10.1191/0269215504cr843oa
Repository Staff Only: item control page