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节律性感觉刺激对阿尔茨海默病的短期影响:一项探索性初步研究。

Short-Term Effects of Rhythmic Sensory Stimulation in Alzheimer's Disease: An Exploratory Pilot Study.

作者信息

Clements-Cortes Amy, Ahonen Heidi, Evans Michael, Freedman Morris, Bartel Lee

机构信息

Music and Health Research Collaboratory, University of Toronto, Toronto, ON, Canada.

Wilfrid Laurier University, Waterloo, ON, Canada.

出版信息

J Alzheimers Dis. 2016 Mar 25;52(2):651-60. doi: 10.3233/JAD-160081.

Abstract

This study assessed the effect of stimulating the somatosensory system of Alzheimer's disease (AD) patients at three stages of their illness with 40 Hz sound. In this AB cross-over study design, 18 participants (6 mild, 6 moderate, 6 severe) each participated in 13 sessions: one intake and 12 treatment. Treatment A consisted of 40 Hz sound stimulation and Treatment B consisted of visual stimulation using DVDs, each provided twice a week over 6 weeks for a total of 6 times per treatment. Outcome measures included: St. Louis University Mental Status Test (SLUMS), Observed Emotion Rating Scale, and behavioral observation by the researcher. Data were submitted to regression analysis for the series of 6 SLUMS scores in treatment A and 6 scores in B with comparison by group. The slopes for the full sample and subgroups in the 40 Hz treatment were all significant beyond alpha = 0.05, while those for the DVD were not. A thematic analysis of qualitative observations supported the statistical findings. 40 Hz treatment appeared to have the strongest impact on persons with mild and moderate AD. Results are promising in terms of a potential new treatment for persons with AD, and further research is needed.

摘要

本研究评估了在疾病的三个阶段用40赫兹声音刺激阿尔茨海默病(AD)患者体感系统的效果。在这种AB交叉研究设计中,18名参与者(6名轻度、6名中度、6名重度)每人参加13次疗程:一次摄入期和12次治疗期。治疗A包括40赫兹声音刺激,治疗B包括使用DVD进行视觉刺激,每种刺激每周提供两次,持续6周,每次治疗共6次。结果测量包括:圣路易斯大学精神状态测试(SLUMS)、观察到的情绪评定量表以及研究人员的行为观察。将治疗A的6次SLUMS评分系列数据和治疗B的6次评分数据进行回归分析,并按组进行比较。40赫兹治疗组全样本和亚组的斜率在α = 0.05水平上均具有显著意义,而DVD治疗组则不然。对定性观察的主题分析支持了统计结果。40赫兹治疗似乎对轻度和中度AD患者影响最大。就为AD患者提供一种潜在的新治疗方法而言,结果很有前景,还需要进一步研究。

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