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Critical Reviews™ in Physical and Rehabilitation Medicine
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ISSN Печать: 0896-2960
ISSN Онлайн: 2162-6553

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Critical Reviews™ in Physical and Rehabilitation Medicine

DOI: 10.1615/CritRevPhysRehabilMed.2014011138
pages 165-179

Evaluation of Measurement Methods for Testing Active Piano Training as a Neurorehabilitation Approach in Youth With Cerebral Palsy

Stefan Hutter
Clinic for Gynaecology and Obstetrics, Ludwig Maximilian University of Munich, Munchen, Germany
Jurgen Mitternacht
Orthopedic Department of the Clinic 'rechts der Isar' of the Technical University of Munich, Munchen, Germany
Anna Thienel
Institute of Music Pedagogy, Ludwig Maximilian University of Munich, Munchen, Germany
Renée Lampe
Clinic 'rechts der Isar'

Краткое описание

Cerebral palsy is a common neurodevelopmental impairment mostly caused by prenatal and perinatal cerebral lesions. Especially children and youth with disabilities are fascinated by listening to music and making music. Therefore, a possible positive effect on the maturation of the brain and hand motor skills should be investigated. Different measurement methods for future studies of the influence of active piano training on fine and gross hand motor function in youth with cerebral palsy are described. Appropriate methods such as functional magnetic resonance imaging (fMRI), electroencephalography, video analysis of motion, the grip force transducer test, and diagnostic tests, as well as normative testing procedures for motor and cognitive abilities, were examined in several test experiments. Piano playing skills were evaluated using the musical instrument digital interface (MIDI). fMRI, MIDI piano tests, and grip force measurement were especially suitable for the study. Also, standard therapeutic tests were established as essential to assessing cognitive and perception abilities of youths. The results of this evaluation provide recommendations on the suitability and conclusiveness of measurements quantifying that piano playing can stimulate neuronal plasticity and improve hand motor functions in youth with cerebral palsy. Based on these findings, a study of piano training as a new therapeutic approach can be implemented.

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