Biasutti Michele, Mangiacotti Anthony
Department of Philosophy, Sociology, Education and Applied Psychology, University of Padua, Padua, Italy.
Int J Geriatr Psychiatry. 2018 Feb;33(2):271-278. doi: 10.1002/gps.4721. Epub 2017 Apr 12.
In a randomised controlled trial, we investigated whether a cognitive training based on rhythm-music and music improvisation exercises had positive effects on executive functions in older participants.
Thirty-five residents in a guest home with mild-moderate cognitive impairment and healthy ageing were randomly assigned to an experimental group (n = 18) featuring cognitive music training composed of 12 bi-weekly 70-min sessions, and a control group (n = 17) attended 12 bi-weekly 45-min sessions of gymnastic activities offered by the institute. A neuropsychological test battery was administered at baseline and at the end of treatment, including the Mini-Mental State Examination, verbal fluency test, Trail Making Test A, attentional matrices test and clock-drawing test.
Pre-test and post-test comparison showed a significant improvement for the experimental group reflected in the Mini-Mental State Examination (F(1,33) = 13.906; p < 0.001; pη = 0.296), verbal fluency test (VFL) (F(1,33) = 6.816; p < 0.013; pη = 0.171), and clock-drawing test (F(1,29) = 16.744; p < 0.001; pη = 0.366), while the control group did not show any significant improvements. In addition, there was a tendency towards significance for the Trail Making Test A (F(1,20) = 3.268; p < 0.086; pη = 0.140). Regarding the attentional matrices test, no significant differences were found for the experimental group (F(1,29) = 2.833; p < 0.103; pη = 0.089), while the control group had a significant performance reduction (F(1,29) = 3.947; p < 0.050; pη = 0.120).
The use of a cognitive protocol based on music-rhythmic exercises and music improvisation exercises is associated with improved cognitive functions in older people with mild-moderate cognitive impairment regardless of the individual's degree of cognitive reserve. Copyright © 2017 John Wiley & Sons, Ltd.
在一项随机对照试验中，我们研究了基于节奏音乐和音乐即兴练习的认知训练对老年参与者的执行功能是否有积极影响。
35名居住在养老院、有轻度至中度认知障碍且健康老龄化的居民被随机分配到实验组（n = 18），该组接受由12次每两周一次、每次70分钟的认知音乐训练，对照组（n = 17）参加该机构提供的12次每两周一次、每次45分钟的体操活动。在基线和治疗结束时进行了一组神经心理学测试，包括简易精神状态检查表、语言流畅性测试、连线测验A、注意力矩阵测试和画钟测试。
前测和后测比较显示，实验组在简易精神状态检查表（F(1,33) = 13.906；p < 0.001；pη = 0.296）、语言流畅性测试（VFL）（F(1,33) = 6.816；p < 0.013；pη = 0.171）和画钟测试（F(1,29) = 16.744；p < 0.001；pη = 0.366）方面有显著改善，而对照组没有显示出任何显著改善。此外，连线测验A有显著趋势（F(1,20) = 3.268；p < 0.086；pη = 0.140）。关于注意力矩阵测试，实验组没有发现显著差异（F(1,29) = 2.833；p < 0.103；pη = 0.089），而对照组表现有显著下降（F(1,29) = 3.947；p < 0.050；pη = 0.120）。
使用基于音乐节奏练习和音乐即兴练习的认知方案与改善轻度至中度认知障碍老年人的认知功能相关，无论个体的认知储备程度如何。版权所有© 2017约翰威立父子有限公司。
