Yakupov E Z, Nalbat A V, Semenova M V, Tlegenova K A
Kazan State Medical University, Kazan, Russia.
Zh Nevrol Psikhiatr Im S S Korsakova. 2017;117(5):14-21. doi: 10.17116/jnevro20171175114-21.
To assess the role of music therapy in the recovery of motor, speech and autonomic functions in patients with ischemic stroke (II).
Forty-five patients with II in the middle cerebral artery were examined. The patients were randomized into three groups (main, comparison and control) of 15 individuals each. With patients of the first and the second groups on the 3rd, 5th, 7th and 9th days of the rehabilitation period the special set of exercises with music and without that respectively was fulfilled. The third group received a basic set of physical exercises (a control group).The third group was control. Dynamics of patients' state was estimated by the NIHSS, the Rivermead Mobility Index, the Action Research Arm Test and the modified scale for speech evaluation on the 2nd, 4th, 6th, 8th and 10th day of disease. A study of cardiorespiratory synchronization was conducted since the 6th day of stroke.
The statistically significant efficacy of music therapy was shown for all parameters. The authors suggest that neuroplasticity may underlie the mechanisms of the programs used in the study.
评估音乐疗法在缺血性中风(II型)患者运动、言语和自主功能恢复中的作用。
对45例大脑中动脉缺血性中风患者进行检查。将患者随机分为三组(主要组、比较组和对照组),每组15人。在康复期的第3、5、7和9天,第一组和第二组患者分别进行了有音乐和无音乐的特殊运动训练。第三组进行基本的体育锻炼(对照组)。在发病的第2、4、6、8和10天,通过美国国立卫生研究院卒中量表(NIHSS)、Rivermead运动指数、动作研究手臂测试和改良言语评估量表评估患者的状态变化。自中风第6天起进行心肺同步性研究。
音乐疗法对所有参数均显示出统计学上的显著疗效。作者认为神经可塑性可能是该研究中所用方案机制的基础。