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Time Course of Motor Gains Induced by Music-Supported Therapy After Stroke: An Exploratory Case Study

机译：音乐支持治疗后的电机增益的时间课程：探索性案例研究

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Objective: Previous studies have shown that Music-Supported Therapy (MST) can improve the motor function and promote functional neuroplastic changes in motor areas; however, the time course of motor gains across MST sessions and treatment periods remain unknown. The aim of this study was to explore the progression of the rehabilitation of motor deficits in a chronic stroke patient for a period of 7 months. Method: A reversal design (ABAB) was implemented in a chronic stroke patient where no treatment was provided in the A periods and MST was applied in the B periods. Each period comprised of 4 weeks and an extensive evaluation of the motor function using clinical motor tests and 3D movement analysis was performed weekly. During the MST periods, a keyboard task was recorded daily. A follow-up evaluation was performed 3 months after the second MST treatment. Results: Improvements were observed during the first sessions in the keyboard task but clinical gains were noticeable only at the end of the first treatment and during the second treatment period. These gains were maintained in the follow-up evaluation. Conclusions: This is the first study examining the pattern of motor recovery progression in MST, evidencing that gradual and continuous motor improvements are possible with the repeated application of MST training. Fast-acquisition in specific motor abilities was observed at the beginning of the MST training but generalization of these improvements to other motor tasks took place at the end or when another treatment period was provided.
机译：目的：以前的研究表明，音乐支持的治疗（MST）可以改善电机功能，促进电动机区域的功能性神经塑性变化;但是，MST会话和治疗期间的电机增益的时间过程仍然未知。本研究的目的是探讨慢性中风患者在7个月内慢性中风患者恢复的进展。方法：在慢性中风患者中实施反转设计（ABAB），其中在B时段中不提供任何处理的处理。每周组成4周的每个时期和对电机功能的广泛评估，每周都进行3D运动分析。在MST期间，每天记录键盘任务。在第二个MST治疗后3个月进行后续评估。结果：在键盘任务中的第一次会话期间观察到改进，但临床收益仅在第一次治疗结束时和第二次治疗期间都很明显。这些收益在后续评估中保持。结论：这是第一次研究MST中的电机恢复进展模式，证明逐步和连续的电机改进是可能的，随着MST训练的重复应用。在MST培训的开始时观察到特定电动机能力的快速获取，但在结束或提供另一个治疗期时，这些改进的概括了这些改进。

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