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Rhythmic auditory stimulation incorporated in training improved movements in individuals with psychotic-like experiences

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Abstract

Movement abnormalities, including movement slowing and irregular muscle contraction, exist in individuals with psychotic-like experiences (PLEs) and serve as vulnerable factors of developing psychotic diseases in the psychosis continuum. To date scarce studies have developed early intervention programs tackling these initial impairments, which may be caused by basal ganglia alterations, in the early stage of the psychosis course. Rhythmic auditory stimulation (RAS) is a technique of neurological music therapy and has been proved effective in inducing faster movements in patients with psychotic diseases. This pilot study examined if RAS incorporated in functional movement training reduced severity of movement slowing and irregular muscle contraction in individuals with PLEs. Seventeen individuals with PLEs were randomly allocated to receiving RAS or receiving no RAS and underwent daily 40-min movement training (picking up beans) for three weeks. This study used motion analysis to measure movement performance at pretest and posttest. Eighteen age- and gender-matched individuals without PLEs were also recruited to provide data of intact movements. Results showed that RAS may reduce severity of movement slowing and irregular muscle contraction in individuals with PLEs. This pilot study is one of the pioneering studies validating effectiveness of early intervention programs tackling movement abnormalities, which are initial impairments in the psychosis continuum, in individuals with PLEs.

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Data availability statement

The data of this study are available through individual requests to the corresponding author.

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Funding

This study was partly supported by the Departmental General Research Fund (1-ZE8H) of Hong Kong Polytechnic University.

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Authors and Affiliations

  1. Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, 11 Yuk Choi Rd, Hung Hom, Kowloon, Hong Kong

    Shu-Mei Wang, Sin-Tung Chan, Yuk-Lin Wong, Cheuk-Yan Lee, Chung-Yin Check & Cheuk-Kiu Leung

  2. Clinical Medicine and Advanced Applied Research Department, Point Robotics Medtech Incorporation, New Taipei, Taiwan

    Hsiao-Man Hsu

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  1. Shu-Mei Wang
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Contributions

SMW contributed to conceptualization, methodology, data analysis, and writing of the first draft. STC and YLW contributed to methodology and data analysis. HMH contributed to designing the task used in motion analysis and writing the Matlab program. CYL contributed to methodology and data analysis. CYC and CKL contributed to data processing and data analysis. All authors contributed to manuscript reviewing.

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Correspondence to Shu-Mei Wang.

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Wang, SM., Chan, ST., Wong, YL. et al. Rhythmic auditory stimulation incorporated in training improved movements in individuals with psychotic-like experiences. Eur Arch Psychiatry Clin Neurosci 273, 995–1005 (2023). https://doi.org/10.1007/s00406-022-01524-3

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  • DOI: https://doi.org/10.1007/s00406-022-01524-3

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