Music therapy has promising results in improving rehabilitation outcomes of patients with various neurologic disorders; however, its effectiveness in patients with traumatic brain injury (TBI) is not clear.
Role of Music Therapy in Traumatic Brain Injury: A Systematic Review and Meta-analysis
Rakesh Mishra 1, William Andres Florez-Perdomo 2, Adesh Shrivatava 1, Pradeep Chouksey 1, Sumit Raj 1, Luis Rafael Moscote-Salazar 3, Md Moshiur Rahman 4, Roshan Sutar 5, Amit Agrawal 6Affiliations expand
- PMID: 33130286
- DOI: 10.1016/j.wneu.2020.10.130
Abstract
Introduction: Music therapy has promising results in improving rehabilitation outcomes of patients with various neurologic disorders; however, its effectiveness in patients with traumatic brain injury (TBI) is not clear.
Methods: A search that compared the effect of music therapy as rehabilitation to controls in motor and cognitive outcomes in patients with TBI was carried out. The outcome of interest were gait velocity, stride length, and cadence to determine the motor outcome. Memory and executive function were the main cognitive outcome measures assessed. Two authors independently abstracted data using a data collection form. Results from the studies were then pooled when appropriate for the meta-analysis.
Results: Of 102 studies, 6 studies were identified for systematic review and meta-analysis after inclusion and exclusion criteria. The effect of music therapy had a pooled mean difference in improvement in gait velocity by 12.29 cm/second (95% confidence interval 2.31-22.27;), cadence by 7.19 steps/minute (95% confidence interval -25.35 to 39.73;), and stride length by 0.19 meters (95% confidence interval 0.13-0.12;). No serious side effects were noticed, however, one of the studies reported a decrease in memory function after music therapy.
Conclusions: Pooled results from 6 studies demonstrated statistically significant improvement in the stride length and executive function outcome in patients with TBI after music therapy rehabilitation. The improvement effect on cadence and gait velocity was not statistically significant and no significant effect of music therapy was found on memory in these patients.
Keywords: Music therapy; Neurorehabilitation; Traumatic brain injury.
Copyright © 2020 Elsevier Inc. All rights reserved.
Similar articles
- Music interventions for acquired brain injury.Magee WL, Clark I, Tamplin J, Bradt J.Cochrane Database Syst Rev. 2017 Jan 20;1(1):CD006787. doi: 10.1002/14651858.CD006787.pub3.PMID: 28103638 Free PMC article. Review.
- Music therapy for acquired brain injury.Bradt J, Magee WL, Dileo C, Wheeler BL, McGilloway E.Cochrane Database Syst Rev. 2010 Jul 7;(7):CD006787. doi: 10.1002/14651858.CD006787.pub2.PMID: 20614449 Updated. Review.
- Rhythmic Auditory Stimulation and Gait Training in Traumatic Brain Injury: A Pilot Study.Thompson S, Hays K, Weintraub A, Ketchum JM, Kowalski RG.J Music Ther. 2021 Mar 16;58(1):70-94. doi: 10.1093/jmt/thaa016.PMID: 33095230
- The Effects of Music Salience on the Gait Performance of Young Adults.de Bruin N, Kempster C, Doucette A, Doan JB, Hu B, Brown LA.J Music Ther. 2015 Fall;52(3):394-419. doi: 10.1093/jmt/thv009. Epub 2015 Sep 2.PMID: 26333954
- Technological aids for the rehabilitation of memory and executive functioning in children and adolescents with acquired brain injury.Linden M, Hawley C, Blackwood B, Evans J, Anderson V, O’Rourke C.Cochrane Database Syst Rev. 2016 Jul 1;7(7):CD011020. doi: 10.1002/14651858.CD011020.pub2.PMID: 27364851 Free PMC article. Review.
Cited by 2 articles
- Improving motor and cognitive recovery following severe traumatic brain injury using advanced emotional audio-video stimulation: Lessons from a case report.De Luca R, Pollicino P, Rifici C, de Cola C, Billeri L, Marino S, Trifirò S, Fiumara E, Randazzo M, Bramanti P, Torrisi M.Medicine (Baltimore). 2021 Aug 6;100(31):e26685. doi: 10.1097/MD.0000000000026685.PMID: 34397801 Free PMC article.
- Proposing Music-based Interventions for the Treatment of Traumatic Brain Injury Symptoms: Current Evidence and Future Directions.Mollica A, Thaut M, Burke MJ.Can J Psychiatry. 2021 Aug;66(8):707-709. doi: 10.1177/07067437211007811. Epub 2021 Apr 8.PMID: 33829893 Free PMC article. No abstract available.
