Rhythmic auditory stimulation for non-acute dyskinesia in stroke patients

doi:10.12307/2023.952

Abstract

Abstract: BACKGROUND: In recent years, interactive rhythmical auditory stimulation has been used in motor rehabilitation after central nervous system injuries in foreign countries. In China, research on its clinical application has also been carried out. However, there are few reports on the application of interactive rhythmical auditory stimulation in the treatment of non-acute dyskinesia following stroke.
OBJECTIVE: To investigate the effect of rhythmic auditory stimulation on non-acute dyskinesia in stroke patients.
METHODS: A total of 130 patients with post-stroke hemiplegia, aged 40-80 years, from March 2017 to October 2019 in the rehabilitation departments of Shenzhen Hang Seng Hospital, Affiliated Hospital of Jilin Academy of Traditional Chinese Medicine, Jilin Province People’s Hospital, Jilin Hospital of Integrative Medicine and Jilin Longtan Hospital of Traditional Chinese Medicine were included. All the patients were randomly divided into experimental group (n=55) and control group (n=75). Routine rehabilitation training was performed in both groups: once a day, five times a week, for 8 weeks. The experimental group further received rhythmic auditory stimulation once a day, five times a week, for 8 weeks. Before and after training, Fugl-Meyer assessment score, Berg balance scale score, 10-meter walking speed, Tinetti gait, FAC walking function, error value of rhythmic auditory stimulus feedback, and modified Barthel index were measured in both groups.
RESULTS AND CONCLUSION: After training, Fugl-Meyer assessment score, Berg balance scale score, 10-meter walking speed, Tinetti gait, FAC walking function, rhythmic auditory stimulus motor feedback error values and modified Barthel index were significantly improved in both groups compared with pre-training values (P=0.000). At the end of training, the Fugl-Meyer assessment score, Berg balance scale score, Tinetti gait, FAC walking function, rhythmic auditory stimulation motor feedback error values and modified Barthel index value were better in the experimental group than in the control group (P=0.000); however, there was no significant difference in 10-meter walking speed between the two groups (P > 0.05). To conclude, rhythmic auditory stimulation training is an effective rehabilitation method for stroke patients with dyskinesia during convalescence and sequelae periods. The role of rhythmic auditory stimulation on walking speed remains to be explored.

Key words: rhythmic auditory stimulation, stroke, hemiplegia, dyskinesia, rehabilitation training

CLC Number:

Liu Shiwen, Liu Quanfeng, Yang Zhibo, Duan Changqiu, Zhang Baoying, Tan Yue, Ai Changshan, Jiang Huiqiang, Feng Xugang, Kong Nianhua. Rhythmic auditory stimulation for non-acute dyskinesia in stroke patients[J]. Chinese Journal of Tissue Engineering Research, 2023, 27(35): 5583-5588.

Figures/Tables 8

References

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