Department of Movement and Training Science, Institute for Human Movement Science, University of Hamburg, Hamburg, Germany.
BeSB GmbH Berlin, Sound Engineering, Berlin, Germany.
PLoS One. 2020 Nov 19;15(11):e0242552. doi: 10.1371/journal.pone.0242552. eCollection 2020.
Restoration of upper limb motor function and patient functional independence are crucial treatment targets in neurological rehabilitation. Growing evidence indicates that music-based intervention is a promising therapeutic approach for the restoration of upper extremity functional abilities in neurologic conditions such as cerebral palsy, stroke, and Parkinson's Disease. In this context, music technology may be particularly useful to increase the availability and accessibility of music-based therapy and assist therapists in the implementation and assessment of targeted therapeutic goals. In the present study, we conducted a pre-clinical, single-arm trial to evaluate a novel music-based therapeutic device (SONATA) for upper limb extremity movement training. The device consists of a graphical user interface generated by a single-board computer displayed on a 32" touchscreen with built-in speakers controlled wirelessly by a computer tablet. The system includes two operational modes that allow users to play musical melodies on a virtual keyboard or draw figures/shapes whereby every action input results in controllable sensory feedback. Four motor tasks involving hand/finger movement were performed with 21 healthy individuals (13 males, aged 26.4 ± 3.5 years) to evaluate the device's operational modes and main features. The results of the functional tests suggest that the device is a reliable system to present pre-defined sequences of audiovisual stimuli and shapes and to record response and movement data. This preliminary study also suggests that the device is feasible and adequate for use with healthy individuals. These findings open new avenues for future clinical research to further investigate the feasibility and usability of the SONATA as a tool for upper extremity motor function training in neurological rehabilitation. Directions for future clinical research are discussed.
恢复上肢运动功能和患者的功能独立性是神经康复的关键治疗目标。越来越多的证据表明，基于音乐的干预措施是一种很有前途的治疗方法，可用于恢复脑瘫、中风和帕金森病等神经疾病患者的上肢功能能力。在这种情况下，音乐技术可能特别有助于增加基于音乐的治疗方法的可用性和可及性，并帮助治疗师实施和评估有针对性的治疗目标。在本研究中，我们进行了一项临床前、单臂试验，以评估一种新型基于音乐的治疗设备（SONATA）在上肢运动训练中的应用。该设备由单板计算机生成的图形用户界面组成，显示在 32 英寸触摸屏上，内置扬声器由平板电脑无线控制。该系统包括两种操作模式，允许用户在虚拟键盘上演奏音乐旋律或绘制图形/形状，每个动作输入都会产生可控制的感官反馈。我们让 21 名健康个体（13 名男性，年龄 26.4 ± 3.5 岁）执行了四项涉及手部/手指运动的运动任务，以评估该设备的操作模式和主要功能。功能测试的结果表明，该设备是一种可靠的系统，可呈现预定义的视听刺激和形状序列，并记录响应和运动数据。这项初步研究还表明，该设备对于健康个体来说是可行且足够的。这些发现为未来的临床研究开辟了新的途径，以进一步研究 SONATA 作为神经康复中上肢运动功能训练工具的可行性和可用性。讨论了未来临床研究的方向。
