PDF(Pubmed)
Abstract：
OBJECTIVE: To explore the experiences and acceptability of music-cued motor imagery (MCMI), music-cued gait training (MCGT), and combined MCMI and MCGT (MCMI-MCGT) in people with multiple sclerosis (pwMS). We also aimed to explore participants\' self-rated health status postintervention and gather recommendations for further programme development.
METHODS: Qualitative study alongside the double-blind randomised controlled real and imagined gait training with music-cueing (RIGMUC) multicentre trial of MCMI, MCGT and MCMI-MCGT.
METHODS: PwMS recruited for the RIGMUC trial from Departments of Neurology at Medical Universities of Innsbruck and Graz and Clinic for Rehabilitation Muenster, Austria.
METHODS: All 132 pwMS with mild to moderate disability randomised into the trial were included in the analysis.
METHODS: Participants practised home-based MCMI, MCGT or MCMI-MCGT for 30 min, 4×/week, for 4 weeks. Three trained researchers conducted weekly semistructured telephone interviews during the intervention period, supporting adherence, addressing problems, sharing experiences and assessing intervention acceptability. Follow-up interviews at 4-week postintervention aimed to understand participants\' self-rated changes in walking, fatigue and overall health compared with their prestudy condition. Investigator triangulation was employed among the researchers to enhance trustworthiness and credibility.
RESULTS: Using thematic analysis, we identified five themes: (1) empowerment, (2) remaining in sync, (3) interconnection between imagined and actual walking, (4) sustaining focus and (5) real-world transfer. Participants appreciated and found the imagined and actual MCGT innovative. Problems included concentration issues, early fatigue in advanced disability and difficulty synchronising with music cues. Positive changes in walking, fatigue and overall health postinterventions were reported offering valuable insights for programme development.
CONCLUSIONS: A participatory study to codevelop a music-cued exercise programme for pwMS seems appropriate as participants appreciated the innovation and effectiveness of both imagined and actual MCGT. Future studies should also investigate pwMS\' potential and limitations in enhancing their MCMI abilities with intensive therapist-supported practice.
BACKGROUND: DRKS00023978.
METHODS: Qualitative study alongside the double-blind randomised controlled real and imagined gait training with music-cueing (RIGMUC) multicentre trial of MCMI, MCGT and MCMI-MCGT.
METHODS: PwMS recruited for the RIGMUC trial from Departments of Neurology at Medical Universities of Innsbruck and Graz and Clinic for Rehabilitation Muenster, Austria.
METHODS: All 132 pwMS with mild to moderate disability randomised into the trial were included in the analysis.
METHODS: Participants practised home-based MCMI, MCGT or MCMI-MCGT for 30 min, 4×/week, for 4 weeks. Three trained researchers conducted weekly semistructured telephone interviews during the intervention period, supporting adherence, addressing problems, sharing experiences and assessing intervention acceptability. Follow-up interviews at 4-week postintervention aimed to understand participants\' self-rated changes in walking, fatigue and overall health compared with their prestudy condition. Investigator triangulation was employed among the researchers to enhance trustworthiness and credibility.
RESULTS: Using thematic analysis, we identified five themes: (1) empowerment, (2) remaining in sync, (3) interconnection between imagined and actual walking, (4) sustaining focus and (5) real-world transfer. Participants appreciated and found the imagined and actual MCGT innovative. Problems included concentration issues, early fatigue in advanced disability and difficulty synchronising with music cues. Positive changes in walking, fatigue and overall health postinterventions were reported offering valuable insights for programme development.
CONCLUSIONS: A participatory study to codevelop a music-cued exercise programme for pwMS seems appropriate as participants appreciated the innovation and effectiveness of both imagined and actual MCGT. Future studies should also investigate pwMS\' potential and limitations in enhancing their MCMI abilities with intensive therapist-supported practice.
BACKGROUND: DRKS00023978.
摘要：
目的：探索音乐提示运动想象（MCMI）的经验和可接受性，音乐提示步态训练（MCGT），和MCMI和MCGT（MCMI-MCGT）联合治疗多发性硬化症（pwMS）。我们还旨在探索参与者干预后的自我评估健康状况，并为进一步的计划制定收集建议。
方法：定性研究以及MCMI的双盲随机对照真实和想象步态训练与音乐提示（RIGMUC）多中心试验，MCGT和MCMI-MCGT。
方法：PwMS从因斯布鲁克和格拉茨医科大学神经科和康复诊所招募RIGMUC试验，奥地利。
方法：随机纳入试验的所有132例轻度至中度残疾患者均纳入分析。
方法：参与者练习了基于家庭的MCMI，MCGT或MCMI-MCGT30分钟，4×/周,4周。三名训练有素的研究人员在干预期间每周进行半结构化电话采访，支持坚持，解决问题,分享经验并评估干预的可接受性。干预后4周的后续访谈旨在了解参与者自我评估的步行变化，与他们的研究前状况相比，疲劳和整体健康状况。在研究人员中采用了研究者三角测量，以提高可信性和可信度。
结果：使用主题分析，我们确定了五个主题：(1)赋权，（2）保持同步，(3)想象和实际行走之间的相互联系，（4）持续关注和（5）现实世界的转移。与会者赞赏并发现了想象和实际的MCGT创新。问题包括浓度问题，晚期残疾的早期疲劳和与音乐线索同步的困难。行走的积极变化，据报道，疲劳和整体健康干预后为计划制定提供了有价值的见解。
结论：一项共同开发pwMS音乐提示锻炼计划的参与性研究似乎是合适的，因为参与者赞赏想象和实际MCGT的创新和有效性。未来的研究还应该调查pwMS在加强治疗师支持的实践中增强其MCMI能力的潜力和局限性。
背景：DRKS00023978。
方法：定性研究以及MCMI的双盲随机对照真实和想象步态训练与音乐提示（RIGMUC）多中心试验，MCGT和MCMI-MCGT。
方法：PwMS从因斯布鲁克和格拉茨医科大学神经科和康复诊所招募RIGMUC试验，奥地利。
方法：随机纳入试验的所有132例轻度至中度残疾患者均纳入分析。
方法：参与者练习了基于家庭的MCMI，MCGT或MCMI-MCGT30分钟，4×/周,4周。三名训练有素的研究人员在干预期间每周进行半结构化电话采访，支持坚持，解决问题,分享经验并评估干预的可接受性。干预后4周的后续访谈旨在了解参与者自我评估的步行变化，与他们的研究前状况相比，疲劳和整体健康状况。在研究人员中采用了研究者三角测量，以提高可信性和可信度。
结果：使用主题分析，我们确定了五个主题：(1)赋权，（2）保持同步，(3)想象和实际行走之间的相互联系，（4）持续关注和（5）现实世界的转移。与会者赞赏并发现了想象和实际的MCGT创新。问题包括浓度问题，晚期残疾的早期疲劳和与音乐线索同步的困难。行走的积极变化，据报道，疲劳和整体健康干预后为计划制定提供了有价值的见解。
结论：一项共同开发pwMS音乐提示锻炼计划的参与性研究似乎是合适的，因为参与者赞赏想象和实际MCGT的创新和有效性。未来的研究还应该调查pwMS在加强治疗师支持的实践中增强其MCMI能力的潜力和局限性。
背景：DRKS00023978。
