Edorium Journal of

Disability and Rehabilitation

 
     
Original Article
 
Does listening to music in acute stroke improve outcomes? A single-blinded quasi-randomized pilot study
Luisa Hewitt1, Colette Sanctuary2, Anne Vertigan E.3, Isobel Hubbard J.4, Elizabeth Holliday G.5, Michael Pollack6
1Ba Speech Pathology, Speech Pathologist, Speech Pathology, Belmont Hospital; Belmont District Hospital Stroke Unit (Hunter Stroke Service), Hunter New England Health, Belmont, NSW, Australia.
2BSc (hons) Occupational Therapy, Occupational Therapist, Occupational Therapy, Belmont Hospital; Belmont District Hospital Stroke Unit (Hunter Stroke Service), Hunter New England Health, Belmont, NSW, Australia.
3PhD, Service manager Speech Pathology, John Hunter Hospital, Centre of Asthma and Respiratory Disease, University of Newcastle, Hunter Medical Research Institute, Newcastle, NSW, Australia.
4PhD, Lecturer/Academic Researcher, School of Medicine and Public Health Medicine, Faculty of Health and Medicine,University of Newcastle, Newcastle, NSW, Australia.
5PhD, Associate Professor/ Senior Statistician, Public Health Research program, Hunter Medical Research Institute, Newcastle, NSW, Australia.
6District Director Rehabilitation Medicine - Hunter New England LHD, Director, Hunter Stroke Service.

Article ID: 100023D05LH2016
doi:10.5348/D05-2016-23-OA-19

Address correspondence to:
Luisa Hewitt
Speech Pathology, Belmont Hospital, PO Box 2365
Gateshead, NSW
Australia- 2290

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How to cite this article
Hewitt L, Sanctuary C, Vertigan AE, Hubbard IJ, Holliday EG, Pollack M. Does listening to music in acute stroke improve outcomes? A single-blinded quasi-randomized pilot study. Edorium J Disabil Rehabil 2016;2:154–163.


Abstract
Evidence indicates that daily listening to music can improve outcomes in patients recovering from a recent stroke. This study investigated the feasibility and impact of music-listening in addition to standard stroke unit care. It was hypothesized that patients (N = 38) who listened to 70 hours of self-selected music via MP3 players in the first 12 weeks post stroke in addition to standard stroke unit care would experience improved outcomes compared with patients who received standard stroke care alone. Adherence was monitored via weekly diary entries with regular phone contact from researchers. This single-blinded, two armed quasi-randomized pilot study recruited adult participants diagnosed with a recent stroke (≤7 days). The primary outcomes were depression and cognition (memory and attention) at 3 month and the secondary outcomes were anxiety, language, disability and quality of life at 3 or 6 months. Of the 38 participants 11 had a prior history of stroke and 8 died during follow- up. There were no between-group differences in baseline characteristics and no between-group differences in any outcome over time. Adherence to the listening-to-music intervention was low (22.2%). This study demonstrates the feasibility of adding daily listening to music to standard stroke unit care. However, compliance was low. Although those in the intervention group reported that listening to music was a positive experience, it was not associated with any differences in outcomes of interest.

Keywords: Mood, Music, Rehabilitation, Stroke


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Author Contributions:
Luisa Hewitt – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Colette Sanctuary – Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Anne Vertigan – Substantial contributions to conception and design, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Isobel Hubbard – Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Elizabeth Holliday – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Michael Pollack – Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2016 Luisa Hewitt et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



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