Effects of real-time (sonification) and rhythmic auditory stimuli on recovering arm function post stroke: A systematic review and meta-analysis

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Ghai, S.: Effects of real-time (sonification) and rhythmic auditory stimuli on recovering arm function post stroke: A systematic review and meta-analysis. In: Frontiers in Neurology 9 (2018), 488. DOI: https://doi.org/10.3389/fneur.2018.00488

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Sum total of downloads: 197




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Background: External auditory stimuli have been widely used for recovering arm function post-stroke. Rhythmic and real-time auditory stimuli have been reported to enhance motor recovery by facilitating perceptuomotor representation, cross-modal processing, and neural plasticity. However, a consensus as to their influence for recovering arm function post-stroke is still warranted because of high variability noted in research methods. Objective: A systematic review and meta-analysis was carried out to analyze the effects of rhythmic and real-time auditory stimuli on arm recovery post stroke. Method: Systematic identification of published literature was performed according to PRISMA guidelines, from inception until December 2017, on online databases: Web of science, PEDro, EBSCO, MEDLINE, Cochrane, EMBASE, and PROQUEST. Studies were critically appraised using PEDro scale. Results: Of 1,889 records, 23 studies which involved 585 (226 females/359 males) patients met our inclusion criteria. The meta-analysis revealed beneficial effects of training with both types of auditory inputs for Fugl-Meyer assessment (Hedge's g: 0.79), Stroke impact scale (0.95), elbow range of motion (0.37), and reduction in wolf motor function time test (-0.55). Upon further comparison, a beneficial effect of real-time auditory feedback was found over rhythmic auditory cueing for Fugl-meyer assessment (1.3 as compared to 0.6). Moreover, the findings suggest a training dosage of 30 min to 1 h for at least 3-5 sessions per week with either of the auditory stimuli. Conclusion: This review suggests the application of external auditory stimuli for recovering arm functioning post-stroke.
License of this version: CC BY 4.0 Unported
Document Type: Article
Publishing status: publishedVersion
Issue Date: 2018
Appears in Collections:Philosophische Fakultät

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downloads by country:

pos. country downloads
total perc.
1 image of flag of Germany Germany 146 74.11%
2 image of flag of United States United States 26 13.20%
3 image of flag of China China 9 4.57%
4 image of flag of Canada Canada 3 1.52%
5 image of flag of Saudi Arabia Saudi Arabia 2 1.02%
6 image of flag of United Kingdom United Kingdom 2 1.02%
7 image of flag of Pakistan Pakistan 1 0.51%
8 image of flag of Israel Israel 1 0.51%
9 image of flag of France France 1 0.51%
10 image of flag of Belgium Belgium 1 0.51%
    other countries 5 2.54%

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