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针对创伤性脑损伤患者的基于音乐的认知康复治疗。

Music-based cognitive remediation therapy for patients with traumatic brain injury.

作者信息

Hegde Shantala

机构信息

Cognitive Psychology and Cognitive Neurosciences Laboratory, Department of Clinical Psychology, Neurobiology Research Center, National Institute of Mental Health and Neuro Sciences (NIMHANS) , Bangalore , India.

出版信息

Front Neurol. 2014 Mar 24;5:34. doi: 10.3389/fneur.2014.00034. eCollection 2014.

Abstract

Traumatic brain injury (TBI) is one of the common causes of disability in physical, psychological, and social domains of functioning leading to poor quality of life. TBI leads to impairment in sensory, motor, language, and emotional processing, and also in cognitive functions such as attention, information processing, executive functions, and memory. Cognitive impairment plays a central role in functional recovery in TBI. Innovative methods such as music therapy to alleviate cognitive impairments have been investigated recently. The role of music in cognitive rehabilitation is evolving, based on newer findings emerging from the fields of neuromusicology and music cognition. Research findings from these fields have contributed significantly to our understanding of music perception and cognition, and its neural underpinnings. From a neuroscientific perspective, indulging in music is considered as one of the best cognitive exercises. With "plasticity" as its veritable nature, brain engages in producing music indulging an array of cognitive functions and the product, the music, in turn permits restoration and alters brain functions. With scientific findings as its basis, "neurologic music therapy" (NMT) has been developed as a systematic treatment method to improve sensorimotor, language, and cognitive domains of functioning via music. A preliminary study examining the effect of NMT in cognitive rehabilitation has reported promising results in improving executive functions along with improvement in emotional adjustment and decreasing depression and anxiety following TBI. The potential usage of music-based cognitive rehabilitation therapy in various clinical conditions including TBI is yet to be fully explored. There is a need for systematic research studies to bridge the gap between increasing theoretical understanding of usage of music in cognitive rehabilitation and application of the same in a heterogeneous condition such as TBI.

摘要

创伤性脑损伤(TBI)是导致身体、心理和社会功能残疾,进而致使生活质量低下的常见原因之一。TBI会导致感觉、运动、语言和情感处理功能受损,还会影响注意力、信息处理、执行功能和记忆等认知功能。认知障碍在TBI的功能恢复中起着核心作用。近年来,人们对音乐疗法等创新方法减轻认知障碍的效果进行了研究。基于神经音乐学和音乐认知领域的最新研究成果,音乐在认知康复中的作用正在不断演变。这些领域的研究结果极大地增进了我们对音乐感知与认知及其神经基础的理解。从神经科学的角度来看,沉浸于音乐被认为是最佳的认知练习之一。大脑以其真正的“可塑性”参与音乐创作,这涉及一系列认知功能,而音乐作品反过来又能促进大脑功能的恢复和改变。基于科学研究成果,“神经音乐疗法”(NMT)已发展成为一种系统的治疗方法,通过音乐改善感觉运动、语言和认知功能领域。一项初步研究考察了NMT在认知康复中的效果,结果显示在改善执行功能方面取得了有前景的成果,同时TBI后的情绪调节得到改善,抑郁和焦虑程度降低。基于音乐的认知康复疗法在包括TBI在内的各种临床病症中的潜在应用尚未得到充分探索。需要进行系统的研究,以弥合对音乐在认知康复中应用的理论理解不断增加与在TBI等异质性病症中的实际应用之间的差距。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8666/3970008/6e3692da9a1e/fneur-05-00034-g001.jpg

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