Active music therapy in Parkinson's disease: an integrative method for motor and emotional rehabilitation
Pacchetti C, Mancini F, Aglieri R, Fundarò C, Martignoni E, Nappi G
Psychosomatic medicine · 193 citas
Etiquetas de revisión
Financiación no declaradaDatos neutrales que nuestra revisión registró sobre cómo se hizo este estudio. Describen el método, nunca si nos gusta el resultado.
Cómo se estudió
- Diseño
- Ensayo controlado aleatorizado (indexado por PubMed)
- Estudiado en
- Personas
- Resultado principal
- Marcadores de salud y funcionamiento
Quién lo pagó
- Financiación
- Financiación no declarada
Publicación
- Publicado
- 2000-05-01 · Psychosom Med · vol. 62 · número 3 · págs. 386–393
- Editorial
- Lippincott Williams & Wilkins
- Citado
- 420 citas · más que el 98% de estudios similares · 9.1× el promedio de su campo
- Impacto
- Entre el 10 % más citado de su campo
- Referencias
- 64 trabajos
- Acceso
- De pago
- Áreas de investigación
- Music Therapy and Health · Parkinson's Disease Mechanisms and Treatments · Neurological disorders and treatments
- Palabras clave
- active music therapy, Parkinson's disease, motor rehabilitation, emotional recovery, bradykinesia, rigidity, choral singing, rhythmic movement, physiotherapy, quality of life, happiness, activities of daily living, gait and balance
- MeSH
- humans, parkinson disease, movement disorders, hypokinesia, treatment outcome, music therapy, prospective studies, single-blind method, mood disorders, quality of life, middle aged, female, male, physical therapy modalities, surveys and questionnaires
6 autores
- Claudio Pacchetti🇮🇹University of Pavia
- Francesca Mancini🇮🇹University of Pavia
- Roberto Aglieri🇮🇹University of Pavia
- Cira Fundarò🇮🇹University of Pavia
- Emilia Martignoni🇮🇹University of Pavia
- Giuseppe Nappi🇮🇹University of Pavia
Resumen
El texto original del estudio, en el idioma en que se publicó.
Background
Modern management of Parkinson's disease (PD) aims to obtain symptom control, to reduce clinical disability, and to improve quality of life. Music acts as a specific stimulus to obtain motor and emotional responses by combining movement and stimulation of different sensory pathways. We explored the efficacy of active music therapy (MT) on motor and emotional functions in patients with PD.
Methods
This prospective, randomized, controlled, single-blinded study lasted 3 months. It consisted of weekly sessions of MT and physical therapy (PT). Thirty-two patients with PD, all stable responders to levodopa and in Hoehn and Yahr stage 2 or 3, were randomly assigned to two groups of 16 patients each. We assessed severity of PD with the Unified Parkinson's Disease Rating Scale, emotional functions with the Happiness Measure, and quality of life using the Parkinson's Disease Quality of Life Questionnaire. MT sessions consisted of choral singing, voice exercise, rhythmic and free body movements, and active music involving collective invention. PT sessions included a series of passive stretching exercises, specific motor tasks, and strategies to improve balance and gait.
Results
MT had a significant overall effect on bradykinesia as measured by the Unified Parkinson's Disease Rating Scale (p < .034). Post-MT session findings were consistent with motor improvement, especially in bradykinesia items (p < .0001). Over time, changes on the Happiness Measure confirmed a beneficial effect of MT on emotional functions (p < .0001). Improvements in activities of daily living and in quality of life were also documented in the MT group (p < .0001). PT improved rigidity (p < .0001).
Conclusions
MT is effective on motor, affective, and behavioral functions. We propose active MT as a new method for inclusion in PD rehabilitation programs.
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