PMID- 34554859 OWN - NLM STAT- MEDLINE DCOM- 20211231 LR - 20211231 IS - 1362-301X (Electronic) IS - 0269-9052 (Linking) VI - 35 IP - 12-13 DP - 2021 Nov 10 TI - Designing an app for home-based enriched Music-supported Therapy in the rehabilitation of patients with chronic stroke: a pilot feasibility study. PG - 1585-1597 LID - 10.1080/02699052.2021.1975819 [doi] AB - OBJECTIVE: After completing formal stroke rehabilitation programs, most patients do not achieve full upper limb motor function recovery. Music-supported Therapy (MST) can improve motor functionality post stroke through musical training. We designed a home-based enriched Music-supported Therapy (eMST) program to provide patients with chronic stroke the opportunity of continuing rehabilitation by themselves. We developed an app to conduct the eMST sessions at home with a MIDI-piano and percussion instruments. Here, we tested the feasibility of the eMST intervention using the novel app. METHOD: This is a pilot study where five patients with chronic stroke underwent a 10-week intervention of 3 sessions per week. Patients answered feasibility questionnaires throughout the intervention to modify aspects of the rehabilitation program and the app according to their feedback. Upper limb motor functions were evaluated pre- and post-intervention as well as speed and force tapping during daily piano performance. RESULTS: Patients clinically improved in upper limb motor function achieving the Minimal Detectable Change (MDC) or Minimal Clinically Important Difference (MCID) in most of motor tests. The app received high usability ratings post-intervention. CONCLUSION: The eMST program is a feasible intervention for patients with chronic stroke and its efficacy should be assessed in a clinical trial. FAU - Segura, Emma AU - Segura E AUID- ORCID: 0000-0002-0797-3011 AD - Department of Cognition, Development and Educational Psychology, University of Barcelona, Barcelona, Spain. AD - Cognition and Brain Plasticity Unit, Bellvitge Biomedical Research Institute, Barcelona, Spain. FAU - Grau-Sanchez, Jennifer AU - Grau-Sanchez J AUID- ORCID: 0000-0002-8123-1745 AD - Department of Cognition, Development and Educational Psychology, University of Barcelona, Barcelona, Spain. AD - Cognition and Brain Plasticity Unit, Bellvitge Biomedical Research Institute, Barcelona, Spain. AD - Escola Universitaria d'Infermeria i Terapia Ocupacional, Autonomous University of Barcelona, Terrassa, Barcelona, Spain. FAU - Sanchez-Pinsach, David AU - Sanchez-Pinsach D AD - Artificial Intelligence Research Institute, Spanish National Research Council, Bellaterra, Barcelona, Spain. FAU - De la Cruz, Myriam AU - De la Cruz M AD - Cognition and Brain Plasticity Unit, Bellvitge Biomedical Research Institute, Barcelona, Spain. AD - Department of Equity in Brain Health, Global Brain Health Institute (GBHI), University of California, San Francisco (UCSF), California, USA. AD - Department of Cellular Biology, Physiology and Inmunology, Neuroscience Institute, Autonomous University of Barcelona, Barcelona, Spain. AD - Department of Internal Medicine, Health Sciences Faculty, Technical University of Ambato, Tungurahua, Ecuador. FAU - Duarte, Esther AU - Duarte E AUID- ORCID: 0000-0002-4058-1802 AD - Department of Physical and Rehabilitation Medicine, Hospital de l'Esperanca, Barcelona, Spain. AD - Institut Hospital del Mar d'Investigacions Mediques (IMIM), Barcelona, Spain. FAU - Arcos, Josep Lluis AU - Arcos JL AUID- ORCID: 0000-0001-7751-1210 AD - Artificial Intelligence Research Institute, Spanish National Research Council, Bellaterra, Barcelona, Spain. FAU - Rodriguez-Fornells, Antoni AU - Rodriguez-Fornells A AUID- ORCID: 0000-0002-3249-6931 AD - Department of Cognition, Development and Educational Psychology, University of Barcelona, Barcelona, Spain. AD - Cognition and Brain Plasticity Unit, Bellvitge Biomedical Research Institute, Barcelona, Spain. AD - Institucio Catalana de Recerca i Estudis Avancats, Barcelona, Spain. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20210923 PL - England TA - Brain Inj JT - Brain injury JID - 8710358 SB - IM MH - Feasibility Studies MH - Humans MH - *Mobile Applications MH - *Music MH - Pilot Projects MH - Recovery of Function MH - *Stroke Rehabilitation MH - Upper Extremity OTO - NOTNLM OT - Chronic stroke OT - Music-supported therapy OT - motor function OT - telerehabilitation EDAT- 2021/09/24 06:00 MHDA- 2022/01/01 06:00 CRDT- 2021/09/23 17:15 PHST- 2021/09/24 06:00 [pubmed] PHST- 2022/01/01 06:00 [medline] PHST- 2021/09/23 17:15 [entrez] AID - 10.1080/02699052.2021.1975819 [doi] PST - ppublish SO - Brain Inj. 2021 Nov 10;35(12-13):1585-1597. doi: 10.1080/02699052.2021.1975819. Epub 2021 Sep 23.