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  4. Does Music Therapy Improve Gait after Traumatic Brain Injury and Spinal Cord Injury? A Mini Systematic Review and Meta-Analysis

Does Music Therapy Improve Gait after Traumatic Brain Injury and Spinal Cord Injury? A Mini Systematic Review and Meta-Analysis

Brain Sci., 2023 · DOI: 10.3390/brainsci13030522 · Published: March 21, 2023

Alternative MedicineNeurorehabilitationBiomechanics

Simple Explanation

This research looks at how music therapy can help people with traumatic brain injuries (TBI) or spinal cord injuries (SCI) walk better. Walking, or gait, is a complex process involving sensory, cognitive, and motor functions, often disrupted by these injuries. Music therapy, specifically music therapy-based auditory stimulation (MT), has shown promise in improving movement disorders. The review examines multiple studies to evaluate MT's impact on gait outcomes in TBI and SCI patients. The study found that music therapy could be a useful method to improve walking in individuals with TBI and SCI. It works by providing external rhythmic cues, improving attention, and potentially modulating emotional responses, all of which facilitate better movement and coordination.

Study Duration
Not specified
Participants
31 TBI, 58 SCI individuals
Evidence Level
Systematic Review and Meta-Analysis

Key Findings

  • 1
    MT shows positive effects on spatiotemporal aspects of gait in TBI, with medium effect improvements (Hedge’s g: 0.52).
  • 2
    MT also demonstrates positive effects on spatiotemporal aspects of gait in SCI (Hedge’s g: 0.53).
  • 3
    The meta-analysis concludes that MT has a positive impact on spatiotemporal parameters of gait in individuals with TBI and SCI.

Research Summary

This mini-review and meta-analysis investigated the impact of music therapy (MT) on improving gait in individuals with traumatic brain injury (TBI) and spinal cord injury (SCI). The meta-analysis revealed that MT has a positive medium effect on enhancing spatiotemporal aspects of gait in both TBI (Hedge’s g: 0.52) and SCI (0.53) patients. While MT shows promise, the review highlights the limited number and fair quality of studies, suggesting the need for further research to optimize its use and understand the underlying mechanisms.

Practical Implications

Rehabilitation Strategy

MT could be integrated into neurorehabilitation programs to improve gait in individuals with TBI and SCI.

Personalized Therapy

MT interventions can be tailored to individual preferences and movement characteristics to enhance motivation and participation.

Future Research

Further studies are needed to explore the optimal parameters and mechanisms of MT in gait rehabilitation.

Study Limitations

  • 1
    Limited number of studies included in the meta-analysis
  • 2
    Fair methodological quality of the included studies
  • 3
    Variability in the characteristics of MT interventions

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