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The involvement of audio–motor coupling in the music‐supported therapy applied to stroke patients
Author(s) -
RodriguezFornells Antoni,
Rojo Nuria,
Amengual Julià L.,
Ripollés Pablo,
Altenmüller Eckart,
Münte Thomas F.
Publication year - 2012
Publication title -
annals of the new york academy of sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.712
H-Index - 248
eISSN - 1749-6632
pISSN - 0077-8923
DOI - 10.1111/j.1749-6632.2011.06425.x
Subject(s) - neurorehabilitation , music therapy , stroke (engine) , chronic stroke , rehabilitation , physical medicine and rehabilitation , neuroplasticity , neuroimaging , psychology , neuroscience , set (abstract data type) , medicine , computer science , psychotherapist , mechanical engineering , engineering , programming language
Music‐supported therapy (MST) has been developed recently to improve the use of the affected upper extremity after stroke. MST uses musical instruments, an electronic piano and an electronic drum set emitting piano sounds, to retrain fine and gross movements of the paretic upper extremity. In this paper, we first describe the rationale underlying MST, and we review the previous studies conducted on acute and chronic stroke patients using this new neurorehabilitation approach. Second, we address the neural mechanisms involved in the motor movement improvements observed in acute and chronic stroke patients. Third, we provide some recent studies on the involvement of auditory–motor coupling in the MST in chronic stroke patients using functional neuroimaging. Finally, these ideas are discussed and focused on understanding the dynamics involved in the neural circuit underlying audio–motor coupling and how functional connectivity could help to explain the neuroplastic changes observed after therapy in stroke patients.