Article

OBJECTIVE: To assess the feasibility of a randomized controlled trial to evaluate
music therapy as a home-based intervention for arm hemiparesis in stroke. DESIGN: A pilot feasibility randomized controlled trial, with cross-over design.
Randomization by statistician using computer-generated, random numbers concealed
in opaque envelopes. SETTING: Participants' homes across Cambridgeshire, UK.
SUBJECTS: Eleven people with stroke and arm hemiparesis,
3-60 months post stroke,
following discharge from community rehabilitation. INTERVENTIONS: Each
participant engaged in therapeutic instrumental music performance in 12
individual clinical contacts, twice weekly for six weeks. MAIN MEASURES:
Feasibility was estimated by recruitment from three community stroke teams over a
12-month period, attrition rates, completion of treatment and successful data
collection. Structured interviews were conducted pre and post intervention to
establish participant tolerance and preference. Action Research Arm Test and
Nine-hole Peg Test data were collected at weeks 1, 6, 9, 15 and 18, pre and post
intervention by a blinded assessor. RESULTS: A total of 11 of 14 invited
participants were recruited (intervention n = 6, waitlist n = 5). In total, 10
completed treatment and data collection. CONCLUSION: It cannot be concluded
whether a larger trial would be feasible due to unavailable data regarding a
number of eligible patients screened. Adherence to treatment, retention and
interview responses might suggest that the intervention was motivating for participants.
TRIAL REGISTRATION: ClinicalTrials.gov identifier NCT 02310438.

Langue : ANGLAIS