Effects Of Music Therapy Research Articles

PCR129 Indirect Effects of Music Therapy for Aphasia

PCR129 Indirect Effects of Music Therapy for Aphasia

Implikasi Music therapy sebagai bentuk katarsis dan relaksasi emosi (Implications of Music Therapy as a Form of Catharsis and Emotional Relaxation)

Humans have a fundamental need to express and manage their emotions. Musik therapy, a therapeutic intervention that utilizes music, offers significant potential in helping individuals achieve emotional balance. Research suggests that music therapy can serve as a form of emotional catharsis and relaxation, providing benefits to individuals' mental health and well-being. This research used a comprehensive literature insight to analyse a range of scientific studies examining the effectiveness of music therapy in the context of emotional catharsis and relaxation. Data were collected from various sources, including academic journals, research databases and scholarly books. The literature review showed that music therapy has significant potential in facilitating the process of emotional catharsis and relaxation. Through various mechanisms, such as emotional stimulation, stres reduction, and improved emotion regulation, music therapy can help individuals express and manage their emotions in a healthy manner. Research shows that music therapy can provide positive mental health benefits, such as the reduction of anxiety, depression, and trauma, as well as improved well-being and quality of life. As a form of emotional catharsis and relaxation, music therapy offers significant potential to improve the mental health and well-being of individuals.

A Study to Assess the Effectiveness of Music Therapy and Aromatherapy on Faetomaternal Parameters among Parturient in the Active First Stage of Labour in a Selected Hospital, Bangalore, India

A Study to Assess the Effectiveness of Music Therapy and Aromatherapy on Faetomaternal Parameters among Parturient in the Active First Stage of Labour in a Selected Hospital, Bangalore, India

Pengaruh Terapi Musik Terhadap Penurunan Kecemasan Pasien Pre Kateterisasi Jantung

This study aims to determine the effect of music therapy on reducing anxiety in pre-cardiac catheterization patients. The method used is quantitative with a quasi-experimental design. The data collection technique uses an anxiety questionnaire, namely HARS (Hamilton Rating Scale). The data analysis technique uses paired sample t-test. The results of the study showed that there was an effect of music therapy on reducing anxiety in pre-cardiac catheterization patients (p<0.05), where this was indicated by a significant difference in anxiety scores before and after giving music therapy. In conclusion, there is an effect of providing music therapy on reducing anxiety in pre-cardiac catheterization patients. Keywords: Anxiety, Cardiac Catheterization, Music Therapy.

Penurunan Level Nyeri Melalui Terapi Musik pada Pasien Terpasang Ventilasi Mekanik

This study aims to identify the effectiveness of music therapy in reducing the pain level in patients on mechanical ventilation. The research method used is a systematic review through searching articles on the ClinicalKey Nursing, Scopus, Embase, EBSCOHost databases and hand searching. The research result showed that 7 research articles reported that music therapy was able to reduce pain level in patients on mechanical ventilation. Music therapy lasting 30 minutes and using music with a tempo of 60-80 bpm has a positive effect in reducing pain. In conclusion, music therapy has been proven to be effective in reducing pain level in patients on mechanical ventilation so that it can be applied as a non-pharmacological intervention option in dealing with pain. Keywords: Pain, Music Therapy, Mechanical Ventilation

Effect of Receptive Music Therapy on Exam-related Anxiety in Postgraduate Medical Students

Effect of Receptive Music Therapy on Exam-related Anxiety in Postgraduate Medical Students

Effect Of Progressive Muscle Relaxation Therapy And Slow Deep Breathing On Blood Pressure Of Elderly With Hypertension

Hypertension is one of the degenerative diseases that often appear in the elderly. This starts with a person's inability to control or maintain a stable condition of blood pressure in the body. The frequent visits of the elderly to the elderly Posyandu in Janti village with complaints and blood pressure above normal reflect the lack of efforts of the elderly in controlling or stabilizing blood pressure in the body. The aim of the study was to determine the effect of progressive muscle relaxation therapy andslow deep breathing on hypertension elderly blood pressure. Research design Like an experiment with a sample of 62 elderly people with hypertension, selected by purposive sampling technique which was then divided into 2 groups, 31 people in the treatment group were given a combination of progressive muscle relaxation andslow deep breathing, and 31 people in the control group were given therapyslow deep breathig. Data analysis used the Paired T-Test and Independent T-Test. The results of the study in the treatment group before being given the intervention obtained an average of 146.00 mmHg systolic, 91.52 mmHg diastolic (degree 1 hypertension). Independent T-Test analysis found on systolic and diastolic blood pressure, pulse value ρ = 0.000 < α = 0.05, meaning that there is a combination effect of progressive muscle relaxation and music therapy on blood pressure and pulse. Progressive muscle relaxation therapy and slow deep breathing can reduce blood pressure in elderly people with hypertension. It is hoped that this therapy can be used as a non-pharmacological therapy to help lower blood pressure in hypertensive patients in addition to using pharmacological therapy.

Hypnotherapy, Relaxation, and Music Therapy in Pediatric Cancer Pain Management: A Clinical Trial Comparison

Introduction Pain is a prevalent issue across various medical conditions, and numerous methods have been employed to manage it. In developed countries, cancer ranks as the second leading cause of mortality after cardiovascular diseases. This study aims to compare the effectiveness of hypnotherapy, relaxation therapy, and Music Therapy (MT) with control groups in alleviating pain in children with cancer. Methods The research involved a single-blind clinical trial with a study population comprising children diagnosed with an abdominal mass and acute lymphoblastic leukemia. Fifty-eight patients were selected through blocked randomization. Data were collected through a demographic checklist and the Visual Analog Scale (VAS) to measure pain intensity. Data analysis was carried out using repeated measures ANOVA in SPSS version 22 to compare mean pain intensity among the study groups. Results A total of 58 patients, with an average age of 9.28±4.02 years, participated in the study. Significant differences were observed between the hypnotherapy group and the other study groups (F=14.51; P≤0.001), as well as between the MT group and the other study groups (F=12.81; P≤0.001). Moreover, significant differences were found in terms of time between the relaxation therapy group and the other study groups (F=8.46; P≤0.001) and between the control group and the other groups (F=5.506; P≤0.001). Conclusion Based on the findings, relaxation therapy, hypnotherapy, and Music Therapy (MT) have shown significant effectiveness in alleviating pain in cancer patients during their treatment. Trial Registration Clinical Trial Trial registration Clinical trial. gov Identifier: IRCTID website (code: IRCT20120905010744N2; http://irct.ir).

The Effects of Music Therapy on Patients Undergoing Colonoscopy in a Tertiary Care Hospital at Karachi, Pakistan: A Comparative Study

A colonoscopy is a procedure commonly used for the diagnosis of colorectal diseases but may be associated with high levels of anxiety and discomfort, which can lead to complications during sedation and decreased patient comfort and cooperation. This study was conducted at a tertiary care hospital in Karachi to assess the effectiveness of music therapy on pre-procedural anxiety, sedation requirements, pain, and procedure duration among patients undergoing colonoscopies. This comparative study included 110 outpatients. The intervention arm received non-lyrical soft music through earphones before and during the colonoscopy procedure, while the control group did not receive any music. In the intervention arm, significant reductions were seen in pre-procedural anxiety scores (p < 0.001), physiological measures (p < 0.001), sedation doses (p < 0.001), and procedure durations (p < 0.05). Control arm showed an increase in heart rate and systolic blood pressure (p < 0.001). Pain scores were similar for both groups. Music therapy is an effective tool to reduce patient anxiety pre- procedure. It is a simple, safe, and noninvasive relaxing intervention that could be used as an adjunct to sedative medications before and during the colonoscopy procedure.

Music Therapy in Infancy and Neurodevelopmental Outcomes in Preterm Children

Preterm children are at risk for neurodevelopment impairments. To evaluate the effect of a music therapy (MT) intervention (parent-led, infant-directed singing) for premature children during the neonatal intensive care unit (NICU) stay and/or after hospital discharge on language development at 24 months' corrected age (CA). This predefined secondary analysis followed participants in the LongSTEP (Longitudinal Study of Music Therapy's Effectiveness for Premature Infants and Their Caregivers) randomized clinical trial, which was conducted from August 2018 to April 2022 in 8 NICUs across 5 countries (Argentina, Colombia, Israel, Norway, and Poland) and included clinic follow-up visits and extended interventions after hospital discharge. Participants were children born preterm (<35 weeks' gestation) and their parents. Participants were randomized at enrollment to MT with standard care (SC) or SC alone; they were randomized to MT or SC again at discharge. The MT was parent-led, infant-directed singing tailored to infant responses and supported by a music therapist and was provided 3 times weekly in the NICU and/or in 7 sessions across 6 months after discharge. The SC consisted of early intervention methods of medical, nursing, and social services, without MT. Primary outcome was language development, as measured by the Bayley Scales of Infant and Toddler Development, Third Edition (BSID-III) language composite score, with the remaining BSID-III composite and subscale scores as the secondary outcomes. Group differences in treatment effects were assessed using linear mixed-effects models using all available data. Of 206 participants (103 female infants [50%]; mean [SD] GA, 30.5 [2.7] weeks), 51 were randomized to MT and 53 to SC at enrollment; at discharge, 52 were randomized to MT and 50 to SC. A total of 112 (54%) were retained at the 24 months' CA follow-up. Most participants (79 [70%] to 93 [83%]) had BSID-III scores in the normal range (≥85). Mean differences for the language composite score were -2.36 (95% CI, -12.60 to 7.88; P = .65) for the MT at NICU with postdischarge SC group, 2.65 (95% CI, -7.94 to 13.23; P = .62) for the SC at NICU and postdischarge MT group, and -3.77 (95% CI, -13.97 to 6.43; P = .47) for the MT group at both NICU and postdischarge. There were no significant effects for cognitive or motor development. This secondary analysis did not confirm an effect of parent-led, infant-directed singing on neurodevelopment in preterm children at 24 months' CA; wide CIs suggest, however, that potential effects cannot be excluded. Future research should determine the MT approaches, implementation time, and duration that are effective in targeting children at risk for neurodevelopmental impairments and introducing broader measurements for changes in brain development. ClinicalTrials.gov Identifier: NCT03564184.

Effect of listening music (Rabindra Sangeet) on autonomic dysfunction in patients with generalized anxiety disorder: A power spectral analysis of heart rate variability

Background: Power spectral analysis of heart rate variability (HRV) is a complex method for assessing cardiac autonomic nerve function (CANF) in generalized anxiety disorder (GAD) patients which is a common mental disorder in the world. Recently, music therapy is used as an adjunct to pharmacotherapy in clinical psychiatry for GAD. Objective: To observe the effect of music therapy on CANF by power spectral analysis of HRV in GAD patients was designed. Methods: This prospective non randomized intervention study was done in 2019 on 60 newly diagnosed GAD patients aged 20- 40 years, both male and female. Among them 30 patients were under music therapy with listening of Raga Bhairabi based Rabindra sangeet for 3 months and 30 patients were without music therapy for three months. Age, sex and BMI matched healthy control were also enrolled. HRV of all GAD patients and control were recorded at baseline and after three months of follow up. HRV were recorded by Power Lab 8/35. For statistical analysis Bonferroni’s Post Hoc test and paired sample‘t’ test were done. Results: Total power, LF power, HF power, LF n.u, HF n.u and LF/HF and were significantly lower in all GAD patients compared to healthy control at baseline. After 3 months of music therapy, significant increment of Total power, HF power, HF n.u and significant decrement of LF n.u and LF/HF occurred whereas no change of these except HF n.u were noted in patients without music after 3 months. Moreover, after three months of music therapy, Total power, HF n.u, and LF/HF were almost same to control. Conclusion: So this study concluded that music therapy improve autonomic dysfunction in GAD patients and can be used as an adjunct to pharmacotherapy in clinical psychiatry for good cardiac health in GAD patients. J Bangladesh Soc Physiol 2022;17(2): 91-100

The Sound of Memory: Investigating Music Therapy's Cognitive Benefits in Patients with Dementia-A Network Meta-Analysis of Randomized Controlled Trials.

Numerous previous studies have shown the effectiveness of music therapy in enhancing cognitive functions in patients with dementia. Despite this, robust evidence in this field, especially concerning the comparison of different music therapy types, is lacking. Therefore, randomized controlled trials (RCTs) focusing on music therapy and cognitive functions in dementia patients, termed by "music" AND "dementia" OR "Alzheimer's disease" AND "cognitive", were identified from primary electronic databases to conduct this network meta-analysis (NMA). The primary outcome focused on the impact on cognitive functions, and the secondary outcome was the comparison of dropout rates between the intervention groups and the usual care control groups. Standardized mean difference (SMD) values and the corresponding 95% confidence intervals (CIs) were computed for effect evaluation. This study protocol has been registered in IPLASY (INPLASY202430082). A total of 14 RCTs with 1056 participants were enrolled, examining interventions including Active Music Therapy (AMT), Active Music Therapy with Singing (AMT + Sing), Rhythmic Music Therapy (RMT), Listening to Music (LtM), and Singing (Sing). The results indicated that RMT, AMT + Sing, and AMT all significantly improve cognitive functions in dementia patients, of which the SMD were 0.76 (95% CI = 0.32-1.21), 0.79 (95% CI = 0.03-1.49), and 0.57 (0.18-0.96), respectively. Compared with the control group (usual care), no music therapy type was associated with an increased dropout risk. In conclusion, music therapy can improve cognitive functions in patients with dementia without increasing the risk of dropout, particularly RMT, AMT + Sing, and AMT.

PENGARUH KOMBINASI TERAPI COUNTERPRESSURE DENGAN BIRTH BALL TERHADAP PENURUNAN NYERI PERSALINAN KALA I FASE AKTIF DI KLINIK CITRA MARENDAL

Background: Childbirth is the birth of the baby, placenta, and amniotic membranes from the uterus to the outside world. During labor, it can cause trauma to the mother because of the pain experienced. Some mothers are even traumatized to get pregnant and give birth again because they are afraid they will experience the same pain, especially for mothers who have given birth for the first time. Nonpharmacological therapy to reduce pain can be done counterpressure with a combination of birth balls. Objective: To determine the effect of a combination of counter pressure therapy with a birth ball on reducing active phase I labor pain. Method: This research used a quasi experiment with a two group only post test design. The population in this study were all mothers giving birth at the Citra Marendal clinic with a total sample of 36 people, each group consisting of 18 people. The instruments used were Numeric Rating Scale sheets and observations, with the Mann-Whitney Test hypothesis test. Conclusion: There is an effect of a combination of counter pressure therapy with a birth ball on reducing active phase I labor pain at the Citra Marendal Delitua Clinic with a p value = 0.001 &lt;0.05. Suggestion: For the future, it is hoped that they can develop research by examining various complementary methods that can reduce labor pain such as: the effectiveness of music therapy, aroma therapy, back massage, gym ball/birth ball techniques, relaxation techniques, remembrance, guided imagery.

The Effect of Virtual Reality, Music Therapy, and Stress Ball Application on Pain and Anxiety During Outpatient Gynecological Procedures: A Randomized Controlled Trial

PurposeThe aim of this study was to determine the effect of virtual reality, music therapy, and stress ball applications, which are methods of distraction, on pain, anxiety, and patient satisfaction during outpatient gynecological procedures. DesignThis study was a randomized controlled trial with control and intervention groups, pre-test and post-test. MethodsThe study was conducted with 200 women who underwent gynecological surgical procedures without sedation in a state hospital on the European side of Istanbul between October 2022 and March 2023. There were four groups in the study: Virtual Reality (n = 50), Music Therapy (n = 50), Stress Ball (n = 50), and Control group (n = 50). Data were collected using a Descriptive Information Form, Visual Analog Scale, State-Trait Anxiety Inventory, Life Information Follow-up Form, and Patient Satisfaction Evaluation Form. The scales were completed separately by the investigator before the procedure, 10 minutes after the procedure, and 1 hour after the procedure. FindingsA statistically significant difference between the intervention groups and control groups of women who underwent a gynecological procedure at the 10th minute after the procedure (P=.000) and at the 1st hour after the procedure (P=.000) was significant. State-Trait Anxiety Inventory of women by groups decreased after the procedure and showed a statistically significant difference (P =.000). Satisfaction scores of the women with the intervention according to the groups also showed a significant difference (P =.000). When the satisfaction scores of the women with the intervention were compared by groups, the satisfaction scores ranged from the highest to the lowest, as virtual reality, music therapy, and stress ball application, respectively. ConclusionsVirtual reality, music therapy, and stress ball applications, which are methods of distraction during the outpatient gynecological procedure, were effective in reducing anxiety and pain and increasing patient satisfaction.

The Effect of Music Therapy as an Adjunctive Treatment in Pediatric Cancer Patients Receiving Traditional Therapies: A Systematic Review

Aim: This study aimed to analyze articles that discussed the effect of music as adjunctive therapy to traditional treatments of pediatric cancer patients compared to a control of no music therapy. Background: Cancer is a leading cause of death in children, with over 400,000 children diagnosed annually. During standard oncologic treatments, children often experience psychological and physical adverse effects. The use of music therapy can provide numerous supportive benefits to pediatric patients as adjunctive treatment in reducing psychological and physical burdens. Design: This was a systematic review of English-language articles from PubMed. Methods: Nine outcome articles were utilized in this systematic review, including quantitative and qualitative reviews of case studies, interviews, historical accounts, randomized control trials, and other systematic reviews. Results: The study found increased quality of life (QOL) involving dimensions of mood, cognition, relaxation, self-esteem, vitality, and a sense of community involving interpersonal relationships. The implementation of music therapy in pediatric oncology patients decreased stress/distress and pain. Qualitative data suggests QOL dimensions of localization and control of feelings, sense of community involving social roles and ecological health, stress, distress, and pain, improved in pediatric oncology patients receiving music therapy. Conclusion: The literature supports music therapy as a complementary treatment during traditional therapies to help decrease stress and pain in children and improve quality of life and sense of community. Therefore, music therapy as an adjunctive therapy should be implemented into standard practice.

Systematic Review of Music Therapy and Musical Interventions for Patients with Moderate and Severe Mental Disorders.

Objective: This systematic review aims to assess the impact of music therapy and musical interventions on neuropsychiatric outcomes among patients with moderate and severe mental disorders, in comparison with conventional treatment in isolation. Methods: The review follows the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. A comprehensive search was conducted on November 16, 2021, using the following databases and search interfaces: Cumulative Index to Nursing and Allied Health Literature, Embase, SCOPUS, Web of Science; PubMed, PsycINFO, Literatura Latino-Americana e do Caribe em Ciências da Saúde, and Scientific Electronic Library Online. Two authors independently assessed the studies for inclusion criteria, extracted the data, and evaluated the quality of the included studies using critical appraisal tools. Results: In total, 17 studies were included, 9 of which were randomized controlled trials. The experimental studies involved 5,082 adult and elderly patients. The most prevalent symptoms assessed in the studies were anxiety, depression, and positive and negative symptoms of psychotic disorders. Music interventions were predominantly conducted by music therapists and nurses, providing passive interventions with the selection of musical repertoire by therapists and patients. The frequency with which musical interventions occurred varied greatly in terms of session duration, number of times per week, and number of times during the day. The identified study designs included clinical and quasi-experimental studies. In terms of methodological quality, clinical studies showed weaknesses regarding deviations from intended interventions. Conclusion: The effectiveness of music therapy and musical interventions for neuropsychiatric symptoms in patients with moderate and severe mental disorders was evident in quasi-experimental and clinical studies with satisfactory methodological quality. Musical interventions, in various forms of application, represent an interdisciplinary therapeutic tool that complements and enhances conventional treatment. Unlike conventional treatments, the immersive and integrative nature of music interventions allows access to both intrapersonal and interpersonal dimensions during periods of psychic suffering. These findings highlight the importance of researchers addressing methodological limitations, such as deviations from intended interventions, and advocate for the expansion the use of music in community treatment settings.

Effect of Music Therapy on Chemotherapy Anticipatory Symptoms in Adolescents: A Mixed Methods Study

IntroductionThis study explores the feasibility and effects of music therapy on anticipatory nausea and vomiting, stress, pain and quality of life in adolescents undergoing chemotherapy. MethodsThis is a single group, quasi-experimental study using pre/post-test design. Participants received four individual sessions of music therapy (MT), led by a certified music therapist. State-Trait-Anxiety Inventory Y-1, and a 0-4 Likert scale for pain, nausea and vomiting were recorded. Heart rate variability (LF/HF) was collected during sessions. PedsQL was collected before and at the end of the trial. Semi-structured interviews were conducted with participants. ResultsA significant reduction in anxiety, nausea and vomiting, both pre-post single sessions and between different sessions, was observed. A significant increase in LF/HF and PedsQL scores was observed. Relevant themes also emerged from interviews. ConclusionResults support the feasibility of introducing music therapy with adolescents undergoing chemotherapy. Perceived stress and psychological/physical wellbeing were improved in participants.

TaKeTiNa Music Therapy for Outpatient Treatment of Depression: Study Protocol for a Randomized Clinical Trial.

Depression is a prevalent and debilitating illness that significantly affects psychological and physical well-being. Apart from conventional therapies such as psychotherapy and medication, individuals with depression often lack opportunities for activities that are generally perceived as enjoyable, such as music, meditation, and arts, which have demonstrated therapeutic effectiveness. TaKeTiNa music therapy has been employed as a therapeutic intervention for more than two decades. However, there is a notable absence of well-designed clinical trials investigating its antidepressant effects, a gap we aim to address in our current study. Furthermore, shifts in the progression of depression may manifest both psychologically, by influencing emotional states, and physiologically, by leading to alterations in lipid and sphingolipid metabolism, cortisol levels, and immune system function. Our study seeks to analyze the impact of TaKeTiNa music therapy on both levels. This is a prospective monocentric randomized waitlist-controlled clinical trial. It investigates the influence of TaKeTiNa music therapy on patients with major depression in an outpatient setting. Therefore, interested persons are randomly assigned to two groups, an intervention group or a control group, after completing a screening procedure. The intervention group starts with an eight-week TaKeTiNa music therapy intervention. The waiting group receives the same therapy program after completing the follow-up period. Blood and saliva sampling as well as responses to questionnaires are obtained at specific time points. Our study investigates the effects of TaKeTiNa music therapy, a non-pharmacological antidepressant treatment option, on depressive symptoms. We also address functional and causal immunological changes; hormonal changes, such as changes in cortisol levels; and metabolic changes, such as changes in serum lipids and sphingolipids, during the course of depression. We expect that this study will provide evidence to expand the range of treatment options available for depression.

Investigating the effectiveness of music therapy combined with binaural beats on chronic tinnitus: A randomized controlled trial

BackgroundBinaural beat stimulation (BBS) involve presenting two sinusoidal waves with specific frequency differences to induce neural changes in the brain, often used for mental state induction and symptom reduction. However, there are limited studies on its effectiveness for tinnitus. This study aimed to assess the effectiveness of combining binaural beats with music containing nature sounds for chronic tinnitus. MethodsA total of 30 men, aged 45.87 on average (SD = 8.09), who had chronic tinnitus and symmetrical mild to moderate hearing loss, were included in this study. The participants were randomly assigned to two groups: MT group (Music therapy; n = 15), which received relaxing music containing the sound of sea waves, and MT + BBS group (Music therapy plus binaural beats; n = 15), which received the same music combined with alpha frequency (8 Hz) binaural beats. The therapy sessions were conducted twice a day for 15 min, over a period of 4 weeks. Outcome measures, including the Tinnitus Handicap Inventory (THI), Tinnitus Functional Index (TFI), Hospital Anxiety and Depression Scale (HADS), Visual Analog Scale (VAS) and the pitch and loudness of tinnitus were administered before, immediately after, and during the three-month follow-up period. ResultsThe findings revealed improvements in loudness and annoyance VAS, as well as THI total and all subscale scores in both groups (p < 0.001). Additionally, TFI total score showed improvement in both groups (MT: p = 0.001; MT + BBS: p < 0.001) except for the sense of control subscale in both groups and the cognitive subscale in the MT group after the treatment and during the three-month follow-up period. Furthermore, both groups exhibited a decrease in scores for both subscales of HADS. However, there were no significant differences between the two groups in any of the measurement outcomes (p > 0.05), except for the emotional subscale scores of TFI (p = 0.049) and the functional subscale scores of THI (p = 0.034). In other words, during the follow-up period, the MT + BBS group exhibited lower scores in these two subscales compared to the MT group. ConclusionAlthough our study failed to demonstrate the superiority of combining binaural beats with music, both groups experienced significant improvements. This suggest that there are potential benefits to be gained from these types of stimuli. Given the sustained effect of both methods and the even greater improvements in follow-up observed in the binaural beats group for some scales, it seems that the changes in neural response and brain waves caused by our stimulations are persistent. This necessitates further research involving brain mapping, especially with longer follow-up durations.

The impact of reminiscent music therapy and robot-assisted rehabilitation on older stroke patients: a protocol for a randomized controlled trial.

Stroke is the main disease that causes the burden of neurological disease, leading to upper limb dysfunction and affecting their self-care abilities. Robot-assisted rehabilitation therapy has been gradually used in the rehabilitation of upper limb function after stroke. However, it would be beneficial to explore auxiliary interventions such as reminiscent music therapy, a combination of music and reminiscent, to relieve negative emotions and post-stroke fatigue and improve rehabilitation outcomes. This protocol aims to evaluate the effectiveness of reminiscent music therapy combined with robot-assisted rehabilitation in older stroke patients. This trial is a single-blind, three-arm randomized controlled trial. Older stroke patients with upper limb dysfunction will be recruited. Participants will be randomly assigned to receive usual rehabilitation treatment and care, usual rehabilitation treatment and care plus robot-assisted rehabilitation and reminiscent music therapy, or usual rehabilitation treatment and care plus robot-assisted rehabilitation. Robot-assisted rehabilitation will be conducted by rehabilitation doctors five times per week for 3 weeks. In experimental group 1, a reminiscent song list will be played for patients. The primary outcome is activities of daily living. All outcomes will be evaluated at baseline and in the week immediately post-intervention. We are conducting the first randomized controlled trial on the effects of reminiscent music therapy combined with robot-assisted rehabilitation in older stroke patients. It is expected that this study, if proven effective in improving the activities of daily living in older stroke patients with upper limb dysfunction, will provide evidence-based rehabilitation strategies for medical staff.Clinical Trial Registration: ChiCTR2200063738.