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音乐在一名患有臂丛神经麻痹婴儿物理治疗干预中的应用:单病例设计

Use of music during physical therapy intervention for an infant with Erb's palsy: a single-subject design.

作者信息

Rahlin Mary, Cech Donna, Rheault Wendy, Stoecker Judith

机构信息

Department of Physical Therapy, College of Health Professions, Rosalind Franklin University of Medicine and Science, North Chicago, IL 60064, USA.

出版信息

Physiother Theory Pract. 2007 Mar-Apr;23(2):105-17. doi: 10.1080/09593980701211804.

DOI:10.1080/09593980701211804
PMID:17530540
Abstract

Evidence supporting the use of music during pediatric physical therapy intervention is limited. The purpose of this single-subject design was to evaluate the effects of music on patient progress, the amount of crying during therapy, and parent satisfaction with physical therapy services. The subject was an infant girl with Erb's palsy who participated in this study from age 8 months to age 20 months. An A-B-A withdrawal single-subject design was used. The patient's progress was assessed by using the T.I.M.E. The amount of crying was documented in the Crying Log. A parent satisfaction questionnaire was administered three times over the course of the study. The subject's progress in the music intervention period increased on three of five primary subtests of the T.I.M.E. The amount of crying decreased and parent satisfaction increased when music was played during therapy. Music may be used by pediatric physical therapists to decrease the patient's crying, increase parent satisfaction, and possibly to increase the child's rate of progress. Further research conducted with a group of infants and toddlers may help generalize these findings to a wider patient population.

摘要

支持在儿科物理治疗干预中使用音乐的证据有限。本单受试者设计的目的是评估音乐对患者进展、治疗期间哭闹量以及家长对物理治疗服务满意度的影响。受试者是一名患有臂丛神经麻痹的女婴,从8个月大到20个月大参与了本研究。采用了A - B - A撤药单受试者设计。使用T.I.M.E.评估患者的进展。哭闹量记录在《哭闹日志》中。在研究过程中,三次发放家长满意度问卷。在音乐干预期间,受试者在T.I.M.E.的五个主要子测试中的三个上取得了进展。治疗期间播放音乐时,哭闹量减少,家长满意度提高。儿科物理治疗师可以使用音乐来减少患者的哭闹、提高家长满意度,并可能提高儿童的进展速度。对一组婴幼儿进行的进一步研究可能有助于将这些发现推广到更广泛的患者群体。

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