Effectiveness and applications of neurologic music therapy in motor and non-motor rehabilitation for older adults with Parkinson's disease: a systematic review and meta-analysis
Li A, Yang Y, Jiang Q, Wu T, Li T
Frontiers in neurology · 2 citas
Cómo se estudió
- Diseño
- Revisión sistemática (indexado por PubMed)
- Estudiado en
- Personas
- Resultado principal
- Marcadores de salud y funcionamiento
Quién lo pagó
- Financiación
- Financiación independiente
Según la declaración de financiación del texto completo.
Publicación
- Publicado
- 2025-10-20 · Front Neurol · vol. 16 · pág. 1679881
- Editorial
- Frontiers Media
- Citado
- 6 citas · más que el 80% de estudios similares · 1.4× el promedio de su campo
- Referencias
- 42 trabajos
- Acceso
- Acceso abierto (revista) · CC-BY
- Áreas de investigación
- Music Therapy and Health · Balance, Gait, and Falls Prevention · Stroke Rehabilitation and Recovery
- Palabras clave
- neurologic music therapy, Parkinson's disease, older adults, motor rehabilitation, walking speed, stride length, cadence, balance, non-motor symptoms, quality of life, emotional well-being, rhythmic auditory stimulation
5 autores
- Aoyi Li🇨🇳 · autor de correspondenciaWuhan Conservatory of Music
- Yiyao Yang🇨🇳Wuhan Conservatory of Music
- Qiyu Jiang🇨🇳Wuhan Conservatory of Music
- Tiantian Wu🇨🇳Wuhan Conservatory of Music
- Tiantian Li🇨🇳Wuhan Conservatory of Music
Resumen
El texto original del estudio, en el idioma en que se publicó.
Purpose
To systematically assess the current status and effectiveness of neurologic music therapy in the rehabilitation of older adults with Parkinson's disease.
Materials and methods
A comprehensive search was conducted for randomized controlled trials. Studies were selected according to predefined inclusion and exclusion criteria. The review followed PRISMA guidelines, and methodological quality was appraised using the RoB 2.
Results
Ten RCTs involving 529 older adults with PD, published mainly between 2011 and 2022, were included. Meta-analysis showed neurologic music therapy significantly improved gait velocity (SMD = 0.70, 95% CI [0.39, 1.01], p p p = 0.65). Balance showed small-to-moderate improvement (SMD = 0.35, 95% CI [0.04, 0.66], p = 0.028), which became nonsignificant after sensitivity analysis (SMD = 0.29, 95% CI [-0.04, 0.62], p = 0.085).
Conclusion
The available evidence suggests that NMT, especially RAS, shows moderate effects in improving gait speed and stride length, with relatively consistent support across studies. However, findings on cadence remain limited and are characterized by high heterogeneity. With respect to balance, pooled analyses indicated a possible mild benefit, but this effect was highly sensitive to specific studies and failed to remain statistically significant. Overall, therefore, the evidence for balance outcomes appears weak and somewhat inconsistent. With respect to quality of life and emotional well-being, the currently available quantitative evidence is both scarce and somewhat inconsistent. It can only suggest a potential benefit in a preliminary sense, and the conclusion is far from solid. More rigorously designed and higher-quality RCTs are urgently needed to confirm these findings.
Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial (CC BY).
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