Group-based music intervention in Parkinson's disease - findings from a mixed-methods study
Pohl P, Wressle E, Lundin F, Enthoven P, Dizdar N
Clinical rehabilitation · 57 citas
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 independiente
- Organización sin fines de lucro
- Stiftelsen Tornspiran
- Universidad u hospital
- Linkӧping University Hospital Research Fund
- Gobierno
- Region Östergӧtland
- Organización sin fines de lucro
- Neuro Sweden
- Organización sin fines de lucro
- Henry and Ella Margareta Ståhls Foundation
- Organización sin fines de lucro
- stiftelsen tornspiran
- Organización sin fines de lucro
- Swedish Parkinson’s foundation
Según 7 financiadores declarados.
Publicación
- Publicado
- 2020-02-19 · Clin Rehabil · vol. 34 · número 4 · págs. 533–544
- Editorial
- SAGE Publishing
- Citado
- 93 citas · más que el 98% de estudios similares · 7.3× el promedio de su campo
- Impacto
- Entre el 10 % más citado de su campo
- Referencias
- 42 trabajos
- Acceso
- Acceso abierto (revista híbrida) · CC-BY
- Áreas de investigación
- Music Therapy and Health · Balance, Gait, and Falls Prevention · Occupational Therapy Practice and Research
- Palabras clave
- Physical therapy, Randomized controlled trial, Intervention (counseling), Medicine, Neurorehabilitation, Mood, Quality of life (healthcare), Psychological intervention, Parkinson's disease, Psychology, Rehabilitation, Physical medicine and rehabilitation, Clinical psychology, Disease, Psychiatry, Nursing, Internal medicine
- MeSH
- humans, parkinson disease, gait, music therapy, single-blind method, attention, accidental falls, quality of life, aged, middle aged, female, male, physical therapy modalities, postural balance, neurological rehabilitation
5 autores
- Petra Pohl🇸🇪 · autor de correspondenciaLinköping University
- Ewa Wressle🇸🇪Linköping University
- Fredrik Lundin🇸🇪Linköping University
- Paul Enthoven🇸🇪Linköping University
- Nil Dizdar🇸🇪Linköping University
Resumen
El texto original del estudio, en el idioma en que se publicó.
Objective
To evaluate a group-based music intervention in patients with Parkinson's disease.
Design
Parallel group randomized controlled trial with qualitative triangulation.
Setting
Neurorehabilitation in primary care.
Subjects
Forty-six patients with Parkinson's disease were randomized into intervention group (n = 26), which received training with the music-based intervention, and control group (n = 20) without training.
Interventions
The intervention was delivered twice weekly for 12 weeks.
Main measures
Primary outcome was Timed-Up-and-Go subtracting serial 7's (dual-task ability). Secondary outcomes were cognition, balance, concerns about falling, freezing of gait, and quality of life. All outcomes were evaluated at baseline, post-intervention, and three months post-intervention. Focus groups and individual interviews were conducted with the intervention group and with the delivering physiotherapists.
Results
No between-group differences were observed for dual-task ability. Between-group differences were observed for Falls Efficacy Scale (mean difference (MD) = 6.5 points; 95% confidence interval (CI) = 3.0 to 10.0, P = 0.001) and for Parkinson Disease Questionnaire-39 items (MD = 8.3; 95% CI = 2.7 to 13.8, P = 0.005) when compared to the control group post-intervention, but these were not maintained at three months post-intervention. Three themes were derived from the interviews: Expectations versus Results, Perspectives on Treatment Contents, and Key Factors for Success.
Conclusion
Patient-reported outcomes and interviews suggest that the group-based music intervention adds value to mood, alertness, and quality of life in patients with Parkinson's disease. The study does not support the efficacy in producing immediate or lasting gains in dual-tasking, cognition, balance, or freezing of gait.
Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial (CC BY).
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