Patterns of enhancement in paretic shoulder kinematics after stroke with musical cueing

Musical cueing has been widely utilised in post-stroke motor rehabilitation; however, the kinematic evidence on the effects of musical cueing is sparse. Further, the element-specific effects of musical cueing on upper-limb movements have rarely been investigated. This study aimed to kinematically qu...

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Veröffentlicht in:Scientific reports 2020-10, Vol.10 (1), p.18109-18109, Article 18109
Hauptverfasser: Kang, Shinil, Shin, Joon-Ho, Kim, In Young, Lee, Jongshill, Lee, Ji-Yeoung, Jeong, Eunju
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Shin, Joon-Ho
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Jeong, Eunju
description Musical cueing has been widely utilised in post-stroke motor rehabilitation; however, the kinematic evidence on the effects of musical cueing is sparse. Further, the element-specific effects of musical cueing on upper-limb movements have rarely been investigated. This study aimed to kinematically quantify the effects of no auditory, rhythmic auditory, and melodic auditory cueing on shoulder abduction, holding, and adduction in patients who had experienced hemiparetic stroke. Kinematic data were obtained using inertial measurement units embedded in wearable bands. During the holding phase, melodic auditory cueing significantly increased the minimum Euler angle and decreased the range of motion compared with the other types of cueing. Further, the root mean square error in the angle measurements was significantly smaller and the duration of movement execution was significantly shorter during the holding phase when melodic auditory cueing was provided than when the other types of cueing were used. These findings indicated the important role of melodic auditory cueing for enhancing movement positioning, variability, and endurance. This study provides the first kinematic evidence on the effects of melodic auditory cueing on kinematic enhancement, thus suggesting the potential use of pitch-related elements in psychomotor rehabilitation.
doi_str_mv 10.1038/s41598-020-75143-0
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subjects 692/700/228/491
692/700/565/491
Acoustic Stimulation
Biomechanical Phenomena
Cues
Female
Frequency
Hearing
Humanities and Social Sciences
Humans
Kinematics
Male
Middle Aged
Movement
multidisciplinary
Music
Range of Motion, Articular
Rehabilitation
Rhythms
Science
Science (multidisciplinary)
Shoulder
Shoulder - physiology
Stroke
Stroke - therapy
Stroke Rehabilitation - methods
title Patterns of enhancement in paretic shoulder kinematics after stroke with musical cueing
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