Aim

This study aims to analyze the effects of rhythm of music therapy on gait in patients with ischemic stroke, and explore the value of music therapy in walking training in stroke.

Methods

The present study is a prospective clinical study. Sixty patients with ischemic stroke, who were admitted to our hospital from October 2017 to December 2018, were enrolled. These patients were divided into two groups, according to the method of the random number table, with thirty patients in each group: control group and study group. Patients in the control group received conventional drug therapy, rehabilitation training and walking training, while the patients in the study group were given music therapy on the basis of the above mentioned therapies for four weeks, during which Sunday was regarded as a rest day, and the music therapy was suspended. The main outcome measures included indexes in evaluating the walking ability of patients in these two groups. At each time point, the Fugl-Meyer Assessment (FMA), Berg Balance Scale (BBS) and stroke rehabilitation treatment satisfaction questionnaire were used.

Results

The results revealed that the stride length, cadence and maximum velocity were higher in patients in the study group, when compared to patients in the control group, at the second week and end of the therapy, and the difference in step length between the affected side and healthy side was significantly lower in the study group than in the control group. These differences were statistically significant (P < 0.05). In the second week of therapy and at the end of therapy, the FMA and BBS scores were higher in the study group than in the control group, and the difference was statistically significant (P < 0.05). The total satisfaction rate was higher in the study group than in the control group, and the difference was statistically significant (P < 0.05).

Conclusion

Under the stimulation of music rhythm, applying music therapy to patients with ischemic stroke can improve their gait, walking ability, lower limb motor function, balance ability and treatment satisfaction.

中文翻译：

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音乐疗法的节奏对中风患者步态的影响

目标

本研究旨在分析音乐疗法的节奏对缺血性中风患者步态的影响，并探讨音乐疗法在中风步行训练中的价值。

方法

本研究是一项前瞻性临床研究。自2017年10月至2018年12月入院的60例缺血性中风患者入选。根据随机数表的方法，将这些患者分为两组，每组三十名患者：对照组和研究组。对照组患者接受常规药物治疗，康复训练和步行训练，而研究组患者则根据上述治疗方法接受了音乐治疗，持续了四个星期，其中星期日被视为休息日，音乐治疗被暂停。主要结果指标包括评估两组患者步行能力的指标。在每个时间点，Fugl-Meyer评估（FMA）

结果

结果显示，在治疗第二周和治疗结束时，与对照组相比，研究组患者的步幅，步频和最大速度均更高，并且患侧之间步长的差异研究组的健康方面显着低于对照组。这些差异具有统计学意义（P  <0.05）。在治疗的第二周和治疗结束时，研究组的FMA和BBS评分高于对照组，差异有统计学意义（P  <0.05）。研究组的总满意率高于对照组，差异有统计学意义（P  <0.05）。

结论

在音乐节律的刺激下，对缺血性中风患者进行音乐治疗可以改善他们的步态，步行能力，下肢运动功能，平衡能力和治疗满意度。