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A tailored Music-Motor therapy and Real-Time biofeedback mobile phone app (‘GotRhythm’) to promote rehabilitation following stroke: A Pilot Study

Hankinson, K., Shaykevich, A., Vallence, A-MORCID: 0000-0001-9190-6366, Rodger, J., Rosenberg, M. and Etherton-Beer, C. (2022) A tailored Music-Motor therapy and Real-Time biofeedback mobile phone app (‘GotRhythm’) to promote rehabilitation following stroke: A Pilot Study. Neuroscience Insights, 17 . pp. 1-6.

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Stroke persists as an important cause of long-term disability world-wide with the need for rehabilitation strategies to facilitate plasticity and improve motor function in stroke survivors. Rhythm-based interventions can improve motor function in clinical populations. This study tested a novel music-motor software application ‘GotRhythm’ on motor function after stroke.


Participants were 22 stroke survivors undergoing inpatient rehabilitation in a subacute stroke ward. Participants were randomised to the GotRhythm intervention (combining individualised music and augmented auditory feedback along with wearable sensors to deliver a personalised rhythmic auditory stimulation training protocol) or usual care. Intervention group participants were offered 6-weeks of the GotRhythm intervention, consisting of a supervised 20-minute music-motor therapy session using GotRhythm conducted 3 times a week for 6 weeks. The primary feasibility outcomes were adherence to the intervention and physical function (change in the Fugl-Meyer Assessment of Motor Recovery score) measured at baseline, after 3-weeks and at end of the intervention period (6-weeks).


Three of 10 participants randomised to the intervention did not receive any of the GotRhythym music-motor therapy. Of the remaining 7 intervention group participants, only 5 completed the 3-week mid-intervention assessment and only 2 completed the 6-week post-intervention assessment. Participants who used the intervention completed 5 (IQR 4,7) sessions with total ‘dose’ of the intervention of 70 (40, 201) minutes.


Overall, adherence to the intervention was poor, highlighting that application of technology assisted music-based interventions for stroke survivors in clinical environments is challenging along with usual care, recovery, and the additional clinical load.

Item Type: Journal Article
Murdoch Affiliation(s): College of Science, Health, Engineering and Education
Centre for Healthy Ageing
Centre for Molecular Medicine and Innovative Therapeutics
Publisher: SAGE Publications
Copyright: © 2022 The Authors.
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