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Effects of Purposeful Activities Combined with Music on Upper Extremity Function, Therapeutic Motivation, and Mood in Acute Stroke Patients

음악을 병행한 목적있는 활동이 급성기 뇌졸중 환자의 상지기능, 치료동기와 기분에 미치는 효과

  • Moon, Jong-Hoon (Department of Occupational Therapy, Incheon Sarang Hospital) ;
  • Kim, Kye-Ho (Department of Research, Cybermedic Corp.) ;
  • Lee, Soon-Hyun (Department of Physical Therapy, National Traffic Injury Rehabilitation Hopistal) ;
  • Won, Young-Sik (Department of Occupational Therapy, Shinsung University)
  • Received : 2017.09.08
  • Accepted : 2017.11.18
  • Published : 2017.12.31

Abstract

Purpose: The aim of the investigation was to identify the effects of purposeful activities combined with music on upper extremity function, motivation, and mood in acute stroke patients. Methods: For the study, 19 acute stroke inpatients were recruited at a general hospital in Korea. The patients were allocated between an experimental group (n=9) and a control group (n=10). The experimental group performed purposeful activities with their preferred music, and the control group carried out purposeful activities without music. The 2 groups received the treatments 30 min per day, 5 days per week, for 4 weeks. Measurements were taken before and after intervention, including a manual function test (MFT) for measuring upper extremity function, a volitional questionnaire (VQ) for assessing motivation, and the Beck depression inventory (BDI) and Beck anxiety inventory (BAI) for assessing mood. Results: In post-treatment measurement, both groups showed greater MFT, VQ, and BDI scores than in pre-treatment. Significantly greater VQ and BDI changes were represented in the experimental group as compared to the control group. Conclusion: Based on the findings of this study, purposeful activities combined with music have a positive effect on motivation and depression in acute stroke patients.

Keywords

References

  1. Arya KN, Verma R, Garg RK, et al. Meaningful task-specific training (MTST) for stroke rehabilitation: a randomized controlled trial. Topics in stroke rehabilitation. 2012;19(3):193-211. https://doi.org/10.1310/tsr1903-193
  2. Bakshi R, Bhambhani Y, Madill H. The effects of task preference on performance during purposeful and nonpurposeful activities. The American Journal of Occupational Therapy. 1991;45(10):912-916. https://doi.org/10.5014/ajot.45.10.912
  3. Barker-Collo SL. Depression and anxiety 3 months post stroke: prevalence and correlates. Archives of Clinical Neuropsychology. 2007;22(4):519-531. https://doi.org/10.1016/j.acn.2007.03.002
  4. Beck AT, Epstein N, Brown G, et al. An inventory for measuring clinical anxiety: psychometric properties. Journal of consulting and clinical psychology. 1988;56(6): 893-897. https://doi.org/10.1037/0022-006X.56.6.893
  5. Beck AT, Ward CH, Mendelson M, et al. An inventory for measuring depression. Archives of General Psychiatry. 1961;4(1):561-571. https://doi.org/10.1001/archpsyc.1961.01710120031004
  6. Bruner, J. Acts of meaning. Cambridge. MA: Harvard University Press. 1990.
  7. Caeiro L, Ferro JM, Santos CO, et al. Depression in acute stroke. Journal Psychiatry Neuroscience. 2006;31(6): 377-383.
  8. Carr JH, Shepherd RB. Stroke rehabilitation. Buterworth Heineman. 2003.
  9. Chern JS, Kielhofner G, de las Heras CG, et al. The volitional questionnaire: psychometric development and practical use. The American Journal of Occupational Therapy. 1996;50(7):516-525. https://doi.org/10.5014/ajot.50.7.516
  10. Cho HJ, Moon JY. The effects of guided imagery activities using music on mood states, and physiological responses of psychiatric inpatients. Journal of Rehabilitation Research. 2016;20:113-130. https://doi.org/10.16884/JRR.2016.20.1.113
  11. Choi AN, Ryu KG. The effect of group music therapy on cognition, depressive mood, quality of life and BPSD (behavioral and psychological symptoms of dementia) in patients with dementia. Journal of Special Education & Rehabilitation Science. 2007;46(3): 143-174.
  12. Choi AN, Shin YS. The effect of mental hospital patient's depress, Anxiety and relationships by group music therapy. Journal of Special Education & Rehabilitation Science. 2007;46(4):233-254.
  13. Choi SJ, Shin WS. The effect of patient-selected, task-oriented training on activities of daily living, quality of life, and depression in stroke patients. The Korean Society of Physical Medicine. 2014;9(2):213-222. https://doi.org/10.13066/kspm.2014.9.2.213
  14. Chung BH, Chang KC. Photo-induced adequate nitric oxide (PIANO)-mediated relaxation in isolated rabbit corpus cavernosum. General Pharmacology. 1994;25(5): 893-898. https://doi.org/10.1016/0306-3623(94)90092-2
  15. Coile Jr RC. Magnet hospitals use culture, not wages, to solve nursing shortage. Journal of Healthcare Management. 2001;46(4):224. https://doi.org/10.1097/00115514-200107000-00005
  16. Dam H, Harhoff M, Andersen PK, et al. Increased risk of treatment with antidepressants in stroke compared with other chronic illness. International Clinical Psychopharmacology. 2007;22(1):13-19.
  17. Da Silva PB, Antunes FN, Graef P, et al. Strength training associated with task-oriented training to enhance upper-limb motor function in elderly patients with mild impairment after stroke: a randomized controlled trial. American Journal of Physical Medicine & Rehabilitation. 2015;94(1):11-19. https://doi.org/10.1097/PHM.0000000000000135
  18. Dunton, W. R. The principles of occupationaltherapy. Public Healtb Nurse. 1918;10:320.
  19. Han HM, Yeom TH, Shin YW, et al. A standardization study of Beck depression inventory in Korea. Journal of Korean Neuropsychiatric Association. 1986;25(3): 487-500.
  20. Han SJ. A study on the relationship between nursing organizational culture and organizational performance. Journal of Korean Academy of Nursing Administration. 2001;8(3):441-456.
  21. Han SJ, Kwon AJ, Park HY, et al. Immediate effect of patterned sensory enhancement (PSE) on upper limb function after stroke. Journal of Music and Human Behavior. 2014;11(1):1-19.
  22. Herbert J, Goodyer IM, Grossman AB, et al. Do corticosteroids damage the brain?. Journal of neuroendocrinology. 2006;18(6):393-411. https://doi.org/10.1111/j.1365-2826.2006.01429.x
  23. Huang LL, Lee CF, Hsieh CL, et al. Upper extremity rehabilitation equipment for stroke patients in Taiwan: usage problems and improvement needs. Occupational therapy international. 2013;20(4): 205-214. https://doi.org/10.1002/oti.1360
  24. Kauhanen ML, Korpelainen JT, Hiltunen P, et al. Poststroke depression correlates with cognitive impairment and neurological deficits. Stroke. 1999;30(9):1875-1880. https://doi.org/10.1161/01.STR.30.9.1875
  25. Kim DS, Park YG, Choi JH, et al. Effects of music therapy on mood in stroke patients. Yonsei medical journal. 2011;52(6):977-981. https://doi.org/10.3349/ymj.2011.52.6.977
  26. Kim HS, Hwang YO, Yoo JH, et al. The correlation between depression, motivation for rehabilitation, activities of daily living, and quality of life in stroke patients. Journal of Korean Society of Occupational Therapy. 2009;17(3):41-53.
  27. Kim MO, Choi JM, Kang SW. A phenomenological study on the lived experiences of middle-aged people with disabilities after a stroke. Korean Journal of Social Welfare. 2013;65(1):33-58.
  28. Kircher MA. Motivation as a factor of perceived exertion in purposeful versus nonpurposeful activity. The American Journal of Occupational Therapy. 1984;38(3):165-170. https://doi.org/10.5014/ajot.38.3.165
  29. Krumhansl CL. An exploratory study of musical emotions and psychophysiology. Canadian Journal of Experimental Psychology. 1997;51(4):336-353. https://doi.org/10.1037/1196-1961.51.4.336
  30. Lee JH. The effects of meditation music with nature sound on stroke patients stress reduction. Sookmyung Women's University. Dissertation of Master's Degree. 2009.
  31. Lee KH. (2011). The effect of the group music therapy for leisure activities on the quality of life (depression and social support) of disabled elderly persons. Korean Journal of Music Therapy. 2011;13(1):85-103. https://doi.org/10.21330/kjmt.2011.13.1.85
  32. Leppavuori A, Pohjasvaara T, Vataja R, et al. Generalized anxiety disorders three to four months after ischemic stroke. Cerebrovascular diseases. 2003;16(3): 257-264. https://doi.org/10.1159/000071125
  33. Luke C, Dodd KJ, Brock K. Outcomes of the Bobath concept on upper limb recovery following stroke. Clinical rehabilitation. 2004;18(8):888-898. https://doi.org/10.1191/0269215504cr793oa
  34. Maclean N, Pound P, Wolfe C, et al. Qualitative analysis of stroke patients' motivation for rehabilitation. Bmj. 2000;321(7268):1051-1054. https://doi.org/10.1136/bmj.321.7268.1051
  35. Maclean N, Pound P, Wolfe C, et al. The concept of patient motivation a qualitative analysis of stroke professionals' attitudes. Stroke. 2002;33(2):444-448. https://doi.org/10.1161/hs0202.102367
  36. Malcolm MP, Massie C, Thaut M. Rhythmic auditory-motor entrainment improves hemiparetic arm kinematics during reaching movements: a pilot study. Topics in Stroke Rehabilitation. 2009;16(1):69-79. https://doi.org/10.1310/tsr1601-69
  37. Marshall RS, Perera GM, Lazar RM, et al. Evolution of cortical activation during recovery from corticospinal tract infarction. Stroke. 2000;31(3):656-661. https://doi.org/10.1161/01.STR.31.3.656
  38. Miyamoto S, Kondo T, Suzukamo Y, et al. Reliability and validity of the manual function test in patients with stroke. American Journal of Physical Medicine and Rehabilitation. 2009;88(2):247-255. https://doi.org/10.1097/PHM.0b013e3181951133
  39. Moon JY. The effect of music therapy program in stress reduction for psychiatric inpatients. Journal of Rehabilitation Research. 2010;14:199-221.
  40. Morris JH, van Wijck F, Joice S, et al. Predicting health related quality of life 6 months after stroke: the role of anxiety and upper limb dysfunction. Disability and rehabilitation. 2013;35(4):291-299. https://doi.org/10.3109/09638288.2012.691942
  41. Park JH, Park GH. Effect of music therapy on vital signs, anxiety, cortisol and pain of cataract surgery patients in elderly. Journal of Digital Convergence. 2015;13(8):549-558. https://doi.org/10.14400/JDC.2015.13.8.549
  42. Pelletier CL. The effect of music on decreasing arousal due to stress: a meta-analysis. Journal of Music Therapy. 2004;41(3):192-214. https://doi.org/10.1093/jmt/41.3.192
  43. Pruessner M, Hellhammer DH, Pruessner JC, et al. Self-reported depressive symptoms and stress levels in healthy young men: associations with the cortisol response to awakening. Psychosomatic Medicine. 2003; 65(1):92-99. https://doi.org/10.1097/01.PSY.0000040950.22044.10
  44. Robinson-Smith G, Johnston MV, Allen J. Self-care self-efficacy, quality of life, and depression after stroke. Archives of Physical Medicine and Rehabilitation. 2000;81(4):460-464. https://doi.org/10.1053/mr.2000.3863
  45. Schubert DS, Taylor C, Lee S, et al. Physical consequences of depression in the stroke patient. General Hospital Psychiatry. 1992;14(1):69-76. https://doi.org/10.1016/0163-8343(92)90028-9
  46. Son KW. The effect of reading training on the repetition ability, self-esteem and the motivation for rehabilitation in Broca's aphasic by musical intervention. Sookmyung Women's University. Dissertation of Master's Degree. 2006.
  47. Son SJ. Meta-analysis of the music therapy research for patient with neurological disease. Sookmyung Women's University. Dissertation of Master's Degree. 2013.
  48. Steele-Johnson D, Beauregard RS, Hoover PB, et al. Goal orientation and task demand effects on motivation, affect, and performance. Journal of Applied psychology. 2000;85(5):724-729. https://doi.org/10.1037/0021-9010.85.5.724
  49. Steinbeck TM. Purposeful activity and performance. The American Journal of Occupational Therapy. 1986;40(8):529-534. https://doi.org/10.5014/ajot.40.8.529
  50. Thaut MH. Rhythm, music, and the brain. New York. Routledge. 2005.
  51. Trombly CA, Radomski MV. Occupational therapy for physical dysfunction. Baltimore. Williams & Wilkins. 2008.
  52. Trombly CA. Occupation: purposefulness and meaningfulness as therapeutic mechanisms. The American Journal of Occupational Therapy. 1995;49(10):960-972. https://doi.org/10.5014/ajot.49.10.960
  53. Urton ML, Kohia M, Davis J, et al. Systematic literature review of treatment interventions for upper extremity hemiparesis following stroke. Occupational Therapy International. 2007;14(1): 11-27. https://doi.org/10.1002/oti.220
  54. Van Vugt FT, Ritter J, Rollnik JD, et al. Music-supported motor training after stroke reveals no superiority of synchronization in group therapy. Frontiers in human neuroscience. 2014;8(315):1-9.
  55. Yoo YJ. Effect of contra bass music therapy program in stroke rehabilitation setting. Ewha Womans University. Dissertation of Master's Degree. 2002.
  56. Yook SP, Kim JS. Clinical study on the Korean version of Beck anxiety inventory. Korean Journal of Psychology. 1996;16(1):185-197.