Music-based interventions have emerged as a promising tool in stroke motor rehabilitation as they integrate most of the principles of motor training and multimodal stimulation. This paper aims to review the use of music in the rehabilitation of upper extremity motor function after stroke. First, we review the evidence supporting current music-based interventions including Music-supported Therapy, Music glove, group music therapy, Rhythm- and music-based intervention, and Musical sonification. Next, we describe the mechanisms that may be responsible for the effectiveness of these interventions, focusing on motor learning aspects, how multimodal stimulation may boost motor performance, and emotional and motivational aspects related to music. Then, we discuss methodological concerns in music therapy research related to modifications of therapy protocols, evaluation of patients and study designs. Finally, we highlight clinical considerations for the implementation of music-based interventions in clinical settings.

中文翻译：

---

音乐在中风上肢运动康复中的潜在益处。

基于音乐的干预已经融合为大多数运动训练和多模式刺激原理，已成为卒中运动康复中一种有前途的工具。本文旨在综述音乐在中风后上肢运动功能康复中的应用。首先，我们回顾支持当前基于音乐的干预措施的证据，包括基于音乐的治疗，音乐手套，团体音乐治疗，基于节奏和音乐的干预以及音乐超音波。接下来，我们描述可能导致这些干预效果的机制，重点关注运动学习方面，多峰刺激如何提高运动表现以及与音乐有关的情感和动机方面。然后，我们将讨论音乐疗法研究中与治疗方案修改，患者评估和研究设计相关的方法论问题。最后，我们重点介绍在临床环境中实施基于音乐的干预措施的临床注意事项。