Music Therapy

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Piano-playing focused music therapy and MIDI analysis in neurological rehabilitation - So-Young Moon - Denise Grocke

Abstract

This study examined the effects of piano-playing music therapy on the motor coordination of stroke patients using the MIDI-based analysis to measure finger coordination. Twenty participants were assigned to either a music therapy treatment group or a control group. Half-hour individual music therapy sessions comprising various piano-playing techniques were conducted three days per week for four weeks, consisting of 12 sessions in total. Using the MIDI analysis and five-point scale assessment, the participants’ finger movements were measured before and immediately after the interventions. The results showed statistically significant improvements in timing consistency, velocity evenness, accuracy and stability of synchronizing two-key striking. This indicates that piano-playing music therapy could be a viable intervention in rehabilitating motor coordination of chronic stroke patients.

Description

Rehabilitation of stroke patients with upper-extremity hemiparesis often focus on the gross motor functional training and less emphasis on fine motor coordination and control. Music therapy is used to complement upper-extremity rehabilitation but little attention has been given in contemporary research to the use of playing music instruments in developing unilateral and bilateral motor coordination in the hands and fingers. The purpose of this study was to examine the effects of piano-playing music therapy on the motor coordination of stroke patients using the MIDI-based analysis to measure finger coordination. Within a modified controlled trial, twenty participants were assigned to either a music therapy treatment group or a control group. Half-hour individual music therapy sessions conducted three days per week for four weeks, consisting of 12 sessions in total. Each session comprised various piano-playing techniques including 1)...
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