Clair Alicia Ann, O'Konski Marjorie
The University of Kansas, Kansas, USA.
J Music Ther. 2006 Summer;43(2):154-63. doi: 10.1093/jmt/43.2.154.
Persons (N = 28) diagnosed with dementia in late stage who had locomotion Functional Independence Measure (FIM) ratings of l, total assistance required, and 2, maximal assistance required, participated as subjects. All participants were enrolled in a restorative ambulation program which was implemented in this study under 3 conditions: Rhythmic auditory stimulation in which metronomic beats were imbedded in music, rhythmic auditory stimulation which consisted of metronomic beats without music, and no auditory stimulus. Gait characteristics of cadence, velocity, and stride length were compared across the 3 conditions. No statistically significant differences were found, however, observation showed that assistive burden seemed less when both forms of rhythmic auditory stimulation were used. Further research is recommended to study the effects of RAS on care burden and continued ambulation throughout the disease trajectory.
28名被诊断为晚期痴呆症的患者参与了研究，这些患者的运动功能独立性测量（FIM）评分为1（完全需要协助）和2（极大需要协助）。所有参与者都参加了一项恢复性行走计划，该计划在本研究中有三种实施条件：一种是将节拍器节拍融入音乐中的节奏性听觉刺激；一种是只有节拍器节拍而无音乐的节奏性听觉刺激；还有一种是无听觉刺激。对这三种条件下的步频、速度和步幅等步态特征进行了比较。然而，未发现统计学上的显著差异，但观察表明，使用两种形式的节奏性听觉刺激时，协助负担似乎较小。建议进一步研究节奏性听觉刺激对整个疾病进程中的护理负担和持续行走能力的影响。
