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Journal: Brain Injury; Jul2011, Vol. 25 Issue 7, p787
Title: Music-Supported Therapy induces plasticity in the sensorimotor cortex in chronic stroke: A single-case study using multimodal imaging (fMRI-TMS).
Authors: ROJO, NURIA; AMENGUAL, JULIAN; JUNCADELLA, MONTSERRAT; CAMARA, ESTELA; MARCO-PALLARES, JOSEP; SCHNEIDER, SABINE; VECIANA, MISERCORDIA; MONTERO, JORDI; MOHAMMADI, BAHRAM; ALTENMULLER, ECKART; GRAU, CARLES; MUNTE, THOMAS ; RODRIGUEZ-FORNELLS, ANTONI; RUBIO, FRANCISCO
University/Affiliations: University of Barcelona, Hospital Universitari de Bellvitge, University of Music and Drama Hannover, Bellvitge Biomedical Research Institute, Otto von Guericke University, Institució Catalana de Recerca i Estudis Avançats (ICREA)
Abstract:
Primary objective: Music-Supported Therapy (MST) has been developed recently in order to improve the use of the affected upper extremity after stroke. This study investigated the neuroplastic mechanisms underlying effectiveness in a patient with chronic stroke. Methods: MST uses musical instruments, a midi piano and an electronic drum set emitting piano sounds, to retrain fine and gross movements of the paretic upper extremity. Data are presented from a patient with a chronic stroke (20 months post-stroke) with residual right-sided hemiparesis who took part in 20 MST sessions over the course of 4 weeks. Results: Post-therapy, a marked improvement of movement quality, assessed by 3D movement analysis, was observed. Moreover, functional magnetic resonance imaging (fMRI) of a sequential hand movement revealed distinct therapy-related changes in the form of a reduction of excess contralateral and ipsilateral activations. This was accompanied by changes in cortical excitability evidenced by transcranial magnetic stimulation (TMS). Functional MRI in a music listening task suggests that one of the effects of MST is the task-dependent coupling of auditory and motor cortical areas. Conclusions: The MST appears to be a useful neurorehabilitation tool in patients with chronic stroke and leads to neural reorganization in the sensorimotor cortex. [ABSTRACT FROM AUTHOR]
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