Application of Task-oriented Training Combined with Music Therapy in Upper Limb Function Rehabilitation of Stroke Patients |
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DOI: |
EN KeyWords: stroke upper limb motor dysfunction task-oriented training music therapy |
Fund Project:上海市卫生健康委员会科研基金项目(202040485) |
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EN Abstract: |
Objective: To observe the effect of task-oriented training combined with music therapy in upper limb motor function and activities of daily living in post-stroke patients, and to provide a more economical and easy-to-promote treatment method for stroke patients with upper limb motor dysfunction. Methods: A total of 84 patients with Brunnstrom stage 3 of the upper limb on the affected side receiving treatment from 6 months to 1 year after stroke onset who were hospitalized in Shanghai Shenyang Rehabilitation Hospital were randomly divided into 4 groups, and 76 cases were actually enrolled. All patients were trained according to the grouping situation. Group A (n=20) was trained with conventional occupational therapy for 15 min and task-oriented training for 15 min. Group B (n=19) was trained with conventional occupational therapy for 15 min and music therapy for 15 min. Group C (n=18) was trained with conventional occupational therapy for 15 min and task-oriented training for 15 min at the same time as music therapy for 15 min. Group D (n=19) was given conventional occupational therapy for 30 min. The patients in each group received continuous training for 4 weeks. Fugl-meyer scale, WFMT functional test scale and modified Barthel index scale were used before and after treatment. Results: After treatment, scores of Fugl-Meyer scale, WFMT functional test scale and modified Barthel index scale were higher than those before the trial (P<0.05). The score in group C was higher than that in group A, group B and group D (P<0.05). The score in group A and group B was higher than that in group D (P<0.05). but thare was no statistical cignificance bctueen group A an group B.Conclusion: On the basis of routine occupational therapy, music therapy combined with task-oriented training for stroke patients can significantly improve the motor function and daily living ability of the upper limbs on the affected side, and the clinical effect is better than task-oriented training and music therapy alone. |
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