ABSTRACT

Introduction

Music therapy offers an effective avenue for simultaneously addressing goals of upper limb function and wellbeing post stroke. However, there are currently no trials of therapeutic music-making interventions for stroke survivors with a very weak upper limb (Grade 0–3 level of strength). This randomised controlled trial will examine the effect of Functional Electrical Stimulation (FES) with iPad-based music therapy on upper limb recovery and wellbeing outcomes for stroke survivors.

Method

This convergent mixed methods study will take place at seven participating hospitals in Sydney, Australia. Forty participants will be randomly allocated to usual care only or usual care plus daily FES+iPad-based music therapy for four weeks (20 sessions). Standardised assessments of the paretic upper limb and self-report wellbeing measures will be administered at three time points (pre- and post- intervention, and at three months follow up) by a blinded assessor. All participants will be interviewed about their perceptions of the way the treatment they received (usual care only or usual care plus daily FES+iPad-based music therapy) supported their recovery.

Results

Ethics approval has been granted and data collection has commenced.

Discussion

This treatment approach has the potential to improve upper limb function and wellbeing for stroke survivors. The intervention is novel in its capacity to engage stroke survivors with a very weak upper limb in therapeutic music-making.

中文翻译：

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功能性电刺激+基于iPad的音乐疗法促进卒中后上肢康复：混合方法随机对照试验的研究方案

摘要

介绍

音乐疗法为同时实现上肢功能和中风后健康目标提供了有效途径。然而，目前还没有针对上肢非常虚弱的中风幸存者（0-3 级力量水平）进行治疗性音乐制作干预的试验。这项随机对照试验将检查功能性电刺激 (FES) 与基于 iPad 的音乐疗法对中风幸存者的上肢康复和健康结果的影响。

方法

这项融合混合方法研究将在澳大利亚悉尼的七家参与医院进行。40 名参与者将被随机分配到仅常规护理或常规护理加每日 FES+基于 iPad 的音乐疗法，为期 4 周（20 次）。盲评估员将在三个时间点（干预前和干预后，以及三个月的随访）进行对瘫痪上肢的标准化评估和自我报告的健康测量。所有参与者都将接受采访，了解他们对所接受治疗（仅常规护理或常规护理加上每日 FES+基于 iPad 的音乐疗法）支持他们康复的看法。

结果

道德批准已获得批准，数据收集工作已开始。

讨论

这种治疗方法有可能改善中风幸存者的上肢功能和健康状况。该干预措施的新颖之处在于它能够让上肢非常虚弱的中风幸存者参与治疗性音乐制作。