Cardiovascular

Music-based interventions in stroke rehabilitation: stakeholder perspectives from a qualitative study in Singapore.

TL;DR

Stakeholders in Singapore regard music-based interventions as person-centred modalities that complement conventional therapies by addressing emotional, cognitive, social and motivational aspects of stroke recovery, but there remains a need to enhance awareness, funding, and culturally sensitive, individualised delivery models.

Key Findings

Semi-structured interviews with 21 stakeholders in Singapore yielded four themes on music-based interventions in stroke rehabilitation.

  • Participants were stroke survivors, caregivers, healthcare professionals and music therapists (n = 21).
  • Inductive thematic analysis followed Braun and Clarke's six-step approach.
  • The four themes were: (1) multidimensional challenges after stroke, (2) perceived benefits of music-based interventions, (3) barriers to implementation, and (4) recommendations for integration.

Stakeholders described stroke recovery as involving multidimensional challenges.

  • The first theme was 'multidimensional challenges after stroke'.
  • The abstract frames the interventions as addressing emotional, cognitive, social and motivational aspects of recovery, implying these domains were identified as challenges.
  • The abstract does not give detailed sub-themes or participant counts for this theme.

Stakeholders perceived music-based interventions as person-centred modalities that complement conventional therapies.

  • Perceived benefits spanned emotional, cognitive, social and motivational aspects of stroke recovery.
  • Stakeholders saw music-based interventions as complementing, not replacing, conventional therapies.
  • The authors state these findings reflect stakeholder perceptions of the potential role of music-based interventions, not measured clinical outcomes.

Barriers to implementing music-based interventions in stroke rehabilitation were identified, and the authors point to awareness, funding, and cultural sensitivity/individualisation as areas needing attention.

  • Barriers to implementation formed the third theme.
  • The authors conclude there is a need to enhance awareness and funding.
  • They also call for culturally sensitive, individualised delivery models.

Participants offered recommendations for integrating music-based interventions into stroke rehabilitation.

  • Recommendations for integration formed the fourth theme.
  • The conclusions emphasise culturally sensitive, individualised delivery models.
  • The abstract notes that music-based interventions remain underutilised in routine rehabilitation despite shown benefits for motor, cognitive, and psychosocial outcomes.

What This Means

This study interviewed 21 people in Singapore, including stroke survivors, family caregivers, healthcare professionals and music therapists, about using music in stroke rehabilitation. Earlier research suggests music-based approaches can help movement, thinking and emotional well-being after stroke, but they are not often part of routine care. The researchers wanted to understand how the people involved view their role, benefits, obstacles and what is needed to use them more widely. Four main themes emerged: the many-sided challenges of life after stroke, the perceived benefits of music-based approaches, barriers to using them, and recommendations for bringing them into care. Participants generally saw music as a person-centred addition to standard therapies, one that could address emotional, cognitive, social and motivational needs. The barriers and recommendations pointed to a need for greater awareness, funding, and approaches that are tailored to individuals and sensitive to culture. This research suggests that people involved in stroke care in Singapore view music-based interventions positively as a complement to usual rehabilitation. However, the findings reflect opinions and perceptions from a small group of interviewees rather than measured health outcomes, so they show what stakeholders think could be useful and what might be needed to put it into practice, not proof that it works.

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Citation

Pang S, Chang C, Chen N, Chee A, Tan P, Hopkins T, et al.. (2026). Music-based interventions in stroke rehabilitation: stakeholder perspectives from a qualitative study in Singapore.. Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology. https://doi.org/10.1007/s10072-026-09509-z