ORIGINAL PAPER
The influence of music therapy on quality of life after a stroke
1
Institute of Psychology, University of Gdansk, Gdansk, Poland
Submission date: 2016-08-29
Final revision date: 2016-11-02
Acceptance date: 2016-11-03
Online publication date: 2017-01-23
Publication date: 2017-01-20
Health Psychology Report 2017;5(2):173-185
KEYWORDS
music therapystrokehealth related quality of lifeneurorehabiltationhealth-related quality of lifeneurorehabilitation
TOPICS
psychological aspects of illnesstreatment processes and recoveryhealth attitudes and behaviorthe individual-health care system interface, particularly communication, and psychologically- based interventionsquality of life and well being
ABSTRACT
Background
A stroke is an interruption in the course of one’s life. It often results in physical disability, cognitive or executive disorders, emotional problems and, as a consequence, the decrease of one’s quality of life. The goal of this research was to determine whether music therapy during neurorehabilitation can positively influence the assessment of one’s quality of life after a stroke.
Participants and procedure
Sixty-one people who had had strokes and were in the early stages of neurorehabilitation in a hospital took part in the research (n = 31 in the control group and n = 30 in the experimental group). All of them were physically disabled and had either minor cognitive and executive disabilities or none at all. People were randomly assigned to groups. Those in the experimental group participated in a one-on-one music therapy programme divided into 10 sessions based on guided imagery music therapy and cognitive music therapy. The first measurement of quality of life took place at the beginning of the hospital stay at the department of neurorehabilitation (about 1 month after the stroke) and the second took place about 1.5 months later.
Results
Analysis of the results showed that participation in the music therapy programme was associated with a higher assessment of quality of life in the following aspects: general health, vitality, mental health, communication, emotional condition, and alertness. However, taking part in the music therapy had no influence on the assessment of quality of life in the areas of pain, limitation of social roles, relationships, self-care, mobility, and taking care of the house.
Conclusions
Stroke survivors who took part in music therapy assess their quality of life as higher compared to patients who did not take part in music therapy.
Music therapy could constitute a supplementary method of treatment for patients during neurorehabilitation after a stroke, thus improving their quality of life.
A stroke is an interruption in the course of one’s life. It often results in physical disability, cognitive or executive disorders, emotional problems and, as a consequence, the decrease of one’s quality of life. The goal of this research was to determine whether music therapy during neurorehabilitation can positively influence the assessment of one’s quality of life after a stroke.
Participants and procedure
Sixty-one people who had had strokes and were in the early stages of neurorehabilitation in a hospital took part in the research (n = 31 in the control group and n = 30 in the experimental group). All of them were physically disabled and had either minor cognitive and executive disabilities or none at all. People were randomly assigned to groups. Those in the experimental group participated in a one-on-one music therapy programme divided into 10 sessions based on guided imagery music therapy and cognitive music therapy. The first measurement of quality of life took place at the beginning of the hospital stay at the department of neurorehabilitation (about 1 month after the stroke) and the second took place about 1.5 months later.
Results
Analysis of the results showed that participation in the music therapy programme was associated with a higher assessment of quality of life in the following aspects: general health, vitality, mental health, communication, emotional condition, and alertness. However, taking part in the music therapy had no influence on the assessment of quality of life in the areas of pain, limitation of social roles, relationships, self-care, mobility, and taking care of the house.
Conclusions
Stroke survivors who took part in music therapy assess their quality of life as higher compared to patients who did not take part in music therapy.
Music therapy could constitute a supplementary method of treatment for patients during neurorehabilitation after a stroke, thus improving their quality of life.
REFERENCES (83)
1.
Aldridge, D., Gustorff, D., & Hannich, H. J. (1990). Where I am? Music therapy applied to coma patients. Journal of the Royal Society of Medicine, 83, 345–346.
2.
Ayis, S., Wellwood, I., Rudd, A. G., McKevitt, C., Parkin, D., & Wolfe, C. D. (2015). Variations in Health-Related Quality of Life (HRQoL) and survival 1 year after stroke: five European population-based registers. BMJ Open, 5, e007101.
3.
Baker, F., & Tamplin, J. (2006). Music Therapy Methods in Neurorehabilitation. A Clinician’s Manual. London and Philadelphia: Jessica Kingsley Publishers.
4.
Bonde, L. O. (2004). The Bonny Method of Guided Imagery and Music with cancer survivors. A psychosocial study with focus on the influence of BMGIM on mood and quality of life. Aalborg: Aalborg University.
5.
Bonny, H. L. (2002). Music Consciousness: The evolution of Guided Imagery and Music. Barcelona: Gilsum.
6.
Bozuk, H., Artac, M., Kara, A., Ozdogan, M., & Sulp, Y. (2006). Does music exposure during chemotherapy improve quality of life in early breast cancer? Medical Science Monitor, 12, 200–205.
7.
Bradt, J., & Dileo, C. (2009). Music for stress and anxiety reduction in coronary heart disease patients. Cochrane Database of Systematic Review, 2, CD006577.
8.
Bradt, J., Magee, W. L., & Dileo, C. (2010). Music interventions for acquired brain injury. Cochrane Database of Systematic Review, 7, CD006787.
9.
Bukowska, A. (2012). Muzykoterapia neurologiczna [Neurological music therapy]. In K. Stachyra (ed.), Modele, metody i podejścia w muzykoterapii [Models, methods and approaches in music therapy] (pp. 165–178). Lublin: Wydawnictwo Uniwersytetu Marii Curie-Skłodowskiej.
10.
Burns, D. S. (2001). The effect of the Bonny Method of Guided Imagery and Music on the mood and life quality of cancer patients. Journal of Music Therapy, 38, 51–65.
11.
Cantril, H. (1965). The patterns of human concerns. New Brunswick: Rutgers University Press.
12.
Carod-Artal, J., Egido, J. A., Gonzales, J. L., & de Seijas, E. V. (2000). Quality of life among stroke survivors evaluated 1 year after stroke. Stroke, 31, 2995–3000.
13.
Carod-Artal, J., Trizotto, S. D., Ferreira Coral, L., & Menezes Moreira, C. (2009). Determinants of quality of life in Brazilian stroke survivors. Journal of the Neurological Sciences, 284, 63–68.
14.
Chen, M. C., Tsai, P. L., Huang, Y. T., & Lin, K. C. (2013). Pleasant music improves visual attention in patients with unilateral neglect after stroke. Brain Injuries, 27, 75–82.
15.
Chen, L. M., Ran, M. D., Liu, B. Q., Zhao, J., & Zhu, C. R. (2015a). Changes on health-related quality of life in incipient stroke survivors. Journal of Sichuan University, 46, 243–247.
16.
Chen, C. M., Tsai, C., Chung, C.Y., Chen, C. L., Wu, K., & Chen, H. C. (2015b). Potential predictors for health-related quality of life in stroke patients undergoing inpatient rehabilitation. Health and Quality of Life Outcomes, 13, 118–128.
17.
Chou, C. Y. (2015). Determinants of the health-related quality of life for stroke survivors. Journal of Stroke and Cerebrovascular Diseases, 24, 655–662.
18.
Cohen, N., & Masse, R. (1993). The application of singing and rhythmic instruction as a therapeutic intervention for persons with neurogenic communication disorders. Journal of Music Therapy, 30, 81–89.
19.
Cumming, T. B., Brodtmann, A., Darby, D., & Bernhardt, J. (2014). The importance of cognition to quality of life after stroke. Journal of Psychosomatic Research, 77, 374–379.
20.
de Dreu, M. J., van der Wilk, A. S., Poppe, E., Kwakkel, G., & van Wegen, E. E. (2012). Rehabilitation, exercise therapy and music in patients with Parkinson’s diseases: a meta-analysis of the effects of music-based-movement therapy on walking ability, balance and quality of life. Parkinsonism & Related Disorders, 18, 114–119.
21.
Doğan, M. V., & Şenturan, L. (2012). The effect of music therapy on the level of anxiety in the patients undergoing coronary angiography. Open Journal of Nursing, 2, 165–169.
22.
Dubois, B., Slachevsky, A., Litvan, I., & Pillon, B. (2000). The FAB: a Frontal Assessment Battery at bedside. Neurology, 55, 1621–1626.
23.
Folstein, M. F., Folstein, S. E., & McHugh, P. R. (1975). “Mini-mental state”: a practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatry Research, 12, 189–198.
24.
Forsblom, A., Sӓrkӓmö, T., Laitinen, S., & Tervaniemi, M. (2010). The effect of music and audiobook listening on people recovering from stroke: The patient’s point of view. Music and Medicine, 2, 229–233.
25.
Gamrowska, A., & Steuden, S. (2014). Coping with the events of daily life and quality of life of the socially active elderly. Health Psychology Report, 2, 123–131.
26.
Gilbertson, S. (2005). Music therapy in neurorehabilitation after traumatic brain injury: a literature review. In D. Aldridge (ed.), Music Therapy and Neurological Rehabilitation: Performing Health (pp. 83–137). London: Jessica Kingsley Publishers.
27.
Guajardo, V. D., Terroni, L., Sobreiro, M. F., Zerbini, M. I., Tinone, G., Scaff, M., Iosifescu, D. V., de Lucia, M. C., & Fraguas, R. (2015). The influence of depressive symptoms on quality of life after stroke: a prospective study. Journal of Stroke and Cerebrovascular Diseases, 24, 201–209.
28.
Haghgoo, H. A., Pazuki, E. S., Hosseini, A. S., & Rassafiani, M. (2013). Depression, activities of daily living and quality of life in patients with stroke. Journal of the Neurological Sciences, 328, 87–91.
29.
Hopman, W. M., & Verner, J. (2003). Quality of life during and after inpatient stroke rehabilitation. Stroke, 34, 801–805.
30.
Hurt, C., & Thaut, C. (2009). Clinical practice in music therapy. In S. Hallam, I. Cross, & M. Thaut (eds.), Music Psychology (pp. 503–514). Oxford: Oxford University Press.
31.
Jaracz, K., & Kozubski, W. (2006). Jakość życia chorych po udarze mózgu w świetle badań empirycznych [Quality of life of stroke patients in light of empirical studies]. Aktualności Neurologiczne, 2, 34–45.
32.
Jeong, S., & Kim, M. T. (2007). Effects of a theory-driven music and movement program for stroke survivors in a community setting. Applied Nursing Research, 20, 125–131.
33.
Joske, D. J. L., Rao, A., & Kristjanson, L. (2006). Critical review of complementary therapies in haemato-oncology. Internal Medicine Journal, 36, 579–586.
34.
Jun, E. M., Roh, Y. H., & Kim, M. J. (2012). The effect of music-movement therapy on physical and psychological states of stroke patients. Journal of Clinical Nursing, 22, 22–31.
35.
Kamioka, H., Tsutani, K., Yamada, M., Park, H., Okuizumi, H., Tsuruoka, K., Honda, T., Okada, S., Park, S., Kitayuguchi, J., Abe, T., Handa, S., Oshio, T., & Mutoh, Y. (2014). Effectiveness of music therapy: a summary of systematic reviews based on randomized controlled trials of music interventions. Patient Preference and Adherence, 8, 727–754.
36.
Katona, M., Schmidt, R., Schupp, W., & Graessel, E. (2015). Predictors of health-related quality of life in stroke patients after neurological inpatient rehabilitation: a prospective study. Health and Quality of Life Outcomes, 13, 58–65.
37.
Kennelly, J., & Brien-Elliot, K. (2001). The role of music therapy in paediatric rehabilitation. Paediatric Rehabilitation, 4, 137–143.
38.
Kiebert, G. M. (1997). Jakość życia jako rezultat badań klinicznych w onkologii [Quality of life as a result of clinical studies in oncology]. In J. Meyza (ed.), Jakość życia w chorobie nowotworowej. Wybrane zagadnienia [Quality of life in illness. Selected problems] (pp. 43–57). Warszawa: Centrum Onkologii Instytutu im. Marii Skłodowskiej-Curie.
39.
Kim, D. S., Park, Y. G., Choi, J. H., Im, S. H., Jung, K. J., Cha, Y. A., Jung, C. O., & Yoon, Y. H. (2011). Effects of music therapy on mood in stroke patients. Yonsei Medical Journal, 52, 977–981.
40.
Kwok, T., Lo, R. S., Wong, E., Wai-Kwong, T., Mok, V., & Kai-Sing, W. (2006). Quality of life of stroke survivors: a 1-year follow-up study. Archives of Physical Medicine and Rehabilitation, 87, 1177–1182.
41.
McKinney, C. (1990). The effect of music on imagery. Journal of Music Therapy, 20, 34–46.
42.
Metera, A. (2002). Muzykoterapia. Muzyka w medycynie i edukacji [Music therapy. Music in medicine and education]. Leszno: Wydawnictwo Centrum Technik Nauki Metronom.
43.
Mielnik, M., & Mielnik-Matityahu, J. (2013). The effects of skills acquired during musical training on brain functions and the course of neurorehabilitation. Acta Neuropsychologica, 11, 47–51.
44.
Min, K. B., & Min, J. Y. (2015). Health-related quality of life is associated with stroke deficits in older adults. Age and Aging, 44, 700–704.
45.
Nayak, S., Wheeler, B. L., Shiflett, S. C., & Agostinelli, S. (2000). Effect of music therapy on mood and social interaction among individuals with acute traumatic brain injury and stroke. Rehabilitation Psychology, 45, 274–283.
46.
Nowak, M., Bidzan, I., Śniegowski, K., & Cieśla, P. (2014). Dolegliwości ortopedyczne w przerzutowym raku płuca – opis przypadku. Specyfika podejścia [Orthopaedic afflictions in metastatic lung cancer – a case study. Specifics of the approach]. Psychoonkologia, 2, 73–81.
47.
Oros, R. I., Popescu, C. A., Iova, S. O., Mihancea, P., & Iova, C. A. (2016). Depression, activities of daily living and quality of life in elderly stroke patients. Human and Veterinary Medicine, 8, 24–28.
48.
Owolabi, M. O. (2013). Consistent determinants of post-stroke health-related quality of life across diverse cultures: Berlin-Ibadan study. Acta Neurologica Scandinavica, 128, 311–320.
49.
Paul, S., & Ramsey, D. (2000). Music therapy in physical medicine and rehabilitation. Australian Occupational Therapy Journal, 47, 111–118.
50.
Poćwierz-Marciniak, I., & Bidzan, M. (2015). Nagła a stopniowa utrata sprawności ruchowej. Aspekty psychospołeczne [Sudden vs. gradual loss of physical ability. Psychosocial aspects]. In M. Bidzan & Ł. Bieleninik (eds.), Niepełnosprawność ruchowa w ujęciu biopsychospołecznym. Wyzwania diagnozy, rehabilitacji i terapii [Motor disability in a biopsychosocial perspective. Challenges in diagnosing, rehabilitation and therapy] (pp. 67–99). Gdańsk: Wydawnictwo Harmonia Universalis.
51.
Poćwierz-Marciniak, I. (2014). Music therapy in the rehabilitation of a stroke patient. Acta Neuropsychologica, 12, 85–102.
52.
Purdie, H., Hamilton, S., & Baldwin, S. (1997). Music therapy: facilitating behavioural and psychological change in people with stroke – a pilot study. International Journal of Rehabilitation Research, 20, 325–327.
53.
Rasmussen, R. S., Østergaard, A., Kjaer, P., Skerris, A., Skou, C., Chrisoffersen, J., Seest, L. S., Poulsen, M. B., Ronholt, F., & Overgaard, K. (2016). Stroke rehabilitation at home before and after discharge reduced disability and improved quality of life: a randomized controlled trial. Clinical Rehabilitation, 30, 225–236.
54.
Ruud, E. (1997). Music and the Quality of Life. Nordic Journal of Music Therapy, 6, 86–97.
55.
Sand, K. M., Naess, H., Midelfart, A., Thomassen, L., & Hoff, J. M. (2016). Vision problems in ischaemic stroke patients: effects on life quality and disability. European Journal of Neurology, 23, 1–7.
56.
Sӓrkӓmö, T., Tervaniemi, M., Laitinen, S., Forsblom, A., Soinila, S., Mikkonen, M., Autti, T., Silvennoinen, H. M., Erkkilӓ, J., Laine, M., Peretz, I., & Hietanen, M. (2008). Music listening enhances cognitive recovery and mood after middle cerebral artery stroke. Brain, 131, 866–876.
57.
Schipper, H. (1990). Quality of Life: Principles of the Clinical Paradigm. Journal of Psychosocial Oncology, 8, 171−185.
58.
Schou, K. (2014). Music therapy for stress and anxiety reduction in patients with coronary heart disease. Journal Medical Music Therapy, 7, 1–13.
59.
Sena-Moore, K. (2013). A systematic review on the neural effects of music on emotion regulation: implications for music therapy practice. Journal of Music Therapy, 50, 198–242.
60.
Sheldenkar, A., Crichton, S., Douiri, A., Rudd, A. G., Wolfe, C. D., & Chen, R. (2014). Temporal trends in health-related quality of life after stroke: analysis from the South London Stroke Register 1995-2011. International Journal of Stroke, 9, 721–727.
61.
Shi, Y. Z., Xiang, Y. T., Yang, Y., Zhang, N., Wang, S., Ungvari, G., Chiu, H., Tang, W. K., Wang, Y. L., Zhao, X. Q., Wang, Y. J., & Wang, C. X. (2016). Depression after minor stroke: the association with disability and quality of life – a 1-year follow-up study. International Journal of Geriatric Psychiatry, 31, 421–427.
62.
Stachyra, K. (ed.). (2012). Modele, metody i podejścia w muzykoterapii [Models, methods and approaches in music therapy]. Lublin: Wydawnictwo Uniwersytetu Marii Curie-Skłodowskiej.
63.
Stańczyk, M. (2010). Wpływ muzykoterapii na jakość życia pacjentów onkologicznych objętych opieką paliatywną [The influence of music therapy on quality of life of oncology patients in palliative care]. In W. Szulc (ed.), Arteterapia jako dyscyplina akademicka w krajach europejskich [Art therapy as an academic discipline in European countries] (pp. 177–181). Wrocław: Atut.
64.
Stańczyk, M. (2012). Muzykoterapia w procesie kompleksowego leczenia pacjentów onkologicznych [Music therapy in the process of comprehensive treatment of oncology patients]. Hygeia Public Health, 47, 424–426.
65.
Szczudlik, A., Członkowska, A., Kwieciński, H., & Słowik, A. (eds.). (2007). Udar mózgu [Stroke]. Kraków: Wydawnictwo Uniwersytetu Jagiellońskiego.
66.
Szulc, W. (2011). Arteterapia. Narodziny idei, ewolucja teorii, rozwój praktyki [Art therapy. The birth of the idea, evolution of the theory and development of practise]. Warszawa: Difin.
67.
Tamplin, J. (2000). Improvisational music therapy approaches to coma arousal. Australian Journal of Music Therapy, 11, 38–51.
68.
Tamplin, J. (2005). The effects of vocal exercises and singing on the speech of people with acquired dysarthria. Melbourne: University of Melbourne.
69.
Thaut, M. H. (1989). The influence of music therapy interventions on self-rated changes in relaxation, affect, and thought in psychiatric prisoner-patients. Journal of Music Therapy, 26, 155–166.
70.
Thaut, M. (1999). Training Manual for Neurologic Music Therapy. Fort Collins, CO: Centre for Biomedical Research in Music, Colorado State University.
71.
Thaut, M. (2005). Rhythm, music and the brain. Scientific foundations and clinical applications. New York and London: Routledge.
72.
Tong, Y., Forreider, B., Sun, X., Geng, X., Zhang, W., Du, H., Zhang, T., & Ding, Y. (2015). Music-supported therapy (MST) in improving post-stroke patients’ upper-limb motor function: a randomized controlled pilot study. Neurological Research, 37, 434–440.
73.
Tramonti, F., Fanciullacci, C., Giunti, G., Rossi, B., & Chisari, C. (2014). Functional status and quality of life of stroke survivors undergoing rehabilitation programmes in a hospital setting. NeuroRehabilitation, 35, 1–7.
74.
Turaj, W. (2007). Objawy i zespoły kliniczne udaru [Symptoms and clinical syndromes of stroke]. In A. Szczudlik, A. Członkowska, H. Kwieciński, & A. Słowik (eds.), Udar mózgu (pp. 189–193). Kraków: Wydawnictwo Uniwersytetu Jagiellońskiego.
75.
Tylka, J., & Piotrowicz, R. (2009). Kwestionariusz oceny jakości życia SF-36 – wersja polska. Kardiologia Polska, 67, 1166–1169.
76.
Van Mierlo, M. L., Schroeder, C., Van Heughten, C. M., Post, M., de Kort, P., & Visser-Meily, J. (2014). The influence of psychological factors on Health-Related Quality of Life after stroke: a systematic review. International Journal of Stroke, 9, 341–348.
77.
Van Mierlo, M. L., Van Heughten, C. M., Post, M., Hajos, T., Kapelle, L. J., & Visser-Meily, J. (2016). Quality of life during the two years post stroke: the restore stroke cohort study. Cerebrovascular Diseases, 41, 19–26.
78.
Van Straten, A., de Hahn, R. J., & Limburg, M. (1997). A stroke-adapted 30-item version of the Sickness Impact Profile to assess quality of life (S.A.-SIP 30). Stroke, 28, 2155–2161.
79.
Van Vugt, F. T., Ritter, J., Rollnik, J. D., & Altenmüller, E. (2014). Music-supported motor training after stroke reveals no superiority of synchronization in group therapy. Frontiers in Human Neuroscience, 8, 315.
80.
Vink, A. C., Bruinsma, M. S., & Scholten, R. (2013). Music therapy for people with dementia (Review). The Cochrane Collaboration: John Wiley & Sons.
81.
Visser, M., Heijenbrok-Kal, M., Spijker, A., Oostra, K., Busschbach, J., & Ribbers, G. (2015). Coping, problem solving, depression, and health-related quality of life in patients receiving outpatient stroke rehabilitation. Archives of Physical Medicine and Rehabilitation, 96, 1492–1498.
82.
Walden-Gałuszko, K. de (1997). Ocena jakości życia uwarunkowana stanem zdrowia [Assessment of quality of life determined by health condition]. In J. Meyza (ed.), Jakość życia w chorobie nowotworowej. Wybrane zagadnienia [Quality of life in cancer. Selected issues] (pp. 77–84). Warszawa: Centrum Onkologii Instytutu im. Marii Skłodowskiej-Curie.
83.
Ware, J., & Sherbourne, C. (1992). The MOS 36-item short-form health survey 1: Conceptual framework and item selection. Medicine Care, 30, 473–483.
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