The effect of music-movement therapy on stroke patients

http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2702.2012.04243.x/full

Journal of Clinical Nursing, 22(1-2), pp.22-31

The effect of music-movement therapy on physical and psychological states of stroke patients

Jun, E., Young, R., Kim, M. Dong-eui University

Abstract: Aims and objectives.  This study evaluated the effects of combined music-movement therapy on physical and psychological functioning of hospitalised stroke patients.

Background.  Few studies have focused on music-movement therapy’s effects on physical and psychological functioning of stroke patients.

Design.  A quasi-experimental design with pre- and post-tests was used.

Methods.  A convenience sample was used: patients hospitalised for stroke and within two weeks of the onset of stroke were randomised to either an experimental group (received music-movement therapy in their wheelchairs for 60 minutes three times per week for 8 weeks) or control group (received only routine treatment). The effect of music-movement therapy was assessed in terms of physical outcomes (range of motion, muscle strength and activities of daily living) and psychological outcomes (mood states, depression), measured in both groups pre- and post-test.

Results.  The experimental group had significantly increased shoulder flexion and elbow joint flexion in physical function and improved mood state in psychological function, compared with the control group.

Conclusions.  Early rehabilitation of hospitalised stroke patients within two weeks of the onset of stroke was effective by using music-movement therapy. It improved their mood state and increased shoulder flexion and elbow joint flexion.

Relevance to clinical practice.  The findings of this study suggest that rehabilitation for stroke patients should begin as early as possible, even during their hospitalisation. Nursing practice should incorporate the concept of combining music and movements to improve stroke patients’ physical and psychological states starting from the acute phase.

Keywords: activities of daily living, hospitalized stroke patients,mood state, muscle strength,music-movement therapy, range of joint motion