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https://www.mdlinx.com/internal-medicine/medical-news-article/2017/07/13/music-nervous-system-diseases-cognitive-dysfunction/7224145/?rcid=96&inrc=0
European Journal of Physical and Rehabilitation Medicine
Moumdjian L, et al.
This research entailed the
exploration of the efficacy of music–based interventions for
neurological rehabilitation, with regard to motor and cognitive
functioning. Various modalities using music–based interventions were
determined in this study and grouped into four clusters. Effects of
interventions illustrated an improvement in the domains that were
analyzed. The evidence most available, was for the improvement of
motricity, in stroke. Additional studies were necessitated to assess the
cognition along with motor and cognition dysfunctions in combination.
Instrument–based music interventions could lead to an improvement of the
fine motor dexterity and gross motor functions in stroke. It was also
observed that the rhythm–based music interventions could improve gait
parameters of velocity and cadence in stroke, Parkinson’s disease and
multiple sclerosis. Improvement could be seen in the cognition, in the
domains of verbal memory and focused attention, after listening–based
music interventions in stroke.
Methods
- The bifold intention of this paper was to:
- 1) Elucidate and define music-based intervention modalities and content, applied in experimental studies.
- 2) Elucidate the effects of these interventions on motor and/or cognitive symptoms in the neurological population.
- The data was extracted from PubMed and Web of Science.
- Cited references of included articles were screened for potential inclusion.
- A systematic literature search up to 20th of June 2016 included controlled trials and cohort studies which used music-based interventions for ≥3 weeks in the neurological population (in- and outpatients) targeting motor and/or cognitive symptoms.
- No limitations were set to publication date.
Results
- The recruited searches included nineteen articles comprising thirteen randomized controlled trials (total participants Nexp=241, Nctrl=269), four controlled trials (Nexp=59, Nctrl=53) and two cohort studies (N.=27).
- Fourteen studies were conducted in stroke, three in Parkinson’s disease, and two in multiple sclerosis population.
- Modalities of music-based interventions were clustered into four groups: Instrument-based, listening-based, rhythm-based, and multicomponent-based music interventions.
- The studies consistently illustrated that music-based interventions exhibited similar or larger effects than conventional rehabilitation on upper limb function (N.=16; fine motricity, hand and arm capacity, finger and hand tapping velocity/variability), mobility (N.=7; gait parameters), and cognition (N.=4; verbal memory and focused attention).
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