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http://dx.doi.org/10.21187/jmhb.2022.19.2.081

A Ukulele Playing Intervention for Improving the Hand Function of Patients With Central Nervous System Damage: A TIMP Case Study  

Joo, Ye-Eun (Namdong General Welfare Center for the Disabled)
Park, Jin-Kyoung (Ewha Music Rehabilitation Center, Department of Music Therapy, Graduate School, Ewha Womans University)
Publication Information
Journal of Music and Human Behavior / v.19, no.2, 2022 , pp. 81-103 More about this Journal
Abstract
The effects of therapeutic instrumental music performance (TIMP) using a ukulele were examined in adults with central nervous system damage and impaired hand functions. The participants were three adults with neurological damage who participated in 30-min sessions twice a week over 6 weeks. Changes in hand function was measured by the Box and Block Test (BBT), the 9-Hole Peg Test (9-HPT), and the Jebsen-Taylor Hand Function Test (JTHFT). Following the intervention, all three participants showed increases in the BBT and 9-HPT scores, indicating positive changes in fine motor coordination and dexterity. In terms of the JTHFT, all three participants showed increases in the "writing" and "card flipping" subtask scores, indicating that the intervention was effective in improving more coordinated finger movements. All participants reported the satisfaction with the intervention. They also pointed out that they were motivated to play the ukulele and that following the intervention used their affected hand more frequently in daily activities. These findings suggest that TIMP with a ukulele for patients with central nervous system damage can have positive effects on their functional hand movements and motivate these patients to practice their rehabilitation exercises.
Keywords
neurological impairment; therapeutic instrumental music performance; ukulele; finger coordination; finger dexterity;
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