Superior Music Conservatory, Valencia, Spain.
Professional Music Conservatory, Carcaixent, Valencia, Spain.
Eur J Phys Rehabil Med. 2018 Dec;54(6):866-872. doi: 10.23736/S1973-9087.18.04996-1. Epub 2018 Feb 26.
After receiving neurologic music therapy, functional improvements in children with severe bilateral cerebral palsy have not been found in the literature. Musical training with instruments allows interrelationships between movement, emotions and cognition for task-based learning, in order to improve motor control.
To understand whether neurologic music therapy has an impact on the functionality of children with severe cerebral palsy.
A randomized controlled assessor-blind trial was carried out.
Children were recruited and treated in their own community center.
Eighteen children with severe bilateral cerebral palsy between 4 and 16 years old were studied.
The intervention group (N.=18) received music therapy for 16 weeks, in addition to its usual physiotherapy input. Two music therapists implemented a neurologic music therapy program of therapeutic instrumental music performance. The control group (N.=9) received its usual therapeutic input, similar to the intervention group, but not neurologic music therapy. Overall and specific "Chailey levels of Ability" were quantified, as well as the locomotor stages.
Significant improvements in the overall and specific "arm and hand position" as well as "activities" from the Chailey Levels of Ability and the locomotor stages were observed (P<0.05) in the group which received the music therapy. All these improvements persisted after 4 months. The control group showed no improvements after a four-month follow-up.
Optimized intervention of neurologic music therapy can improve the functionality of children with severe bilateral cerebral palsy.
Music therapy is a useful tool in rehabilitation and its positive effects remain four months after completing the treatment.
在接受神经音乐治疗后，患有严重双侧脑瘫的儿童的功能改善并未在文献中得到证实。使用乐器进行音乐训练可以为基于任务的学习建立运动、情感和认知之间的相互关系，从而改善运动控制。
了解神经音乐治疗是否对严重脑瘫儿童的功能有影响。
进行了一项随机对照评估者盲法试验。
儿童在自己的社区中心招募和接受治疗。
研究了 18 名 4 至 16 岁患有严重双侧脑瘫的儿童。
干预组（N=18）在接受常规物理治疗的同时接受了 16 周的音乐治疗。两名音乐治疗师实施了神经音乐治疗方案，包括治疗性乐器演奏。对照组（N=9）接受了与干预组相似的常规治疗输入，但不接受神经音乐治疗。对整体和特定的“Chailey 能力水平”以及运动阶段进行了量化。
接受音乐治疗的组在整体和特定的“手臂和手的位置”以及“活动”方面的“Chailey 能力水平”以及运动阶段均显示出显著改善（P<0.05）。所有这些改善在 4 个月后仍然存在。对照组在 4 个月的随访后没有改善。
优化的神经音乐治疗干预可以改善严重双侧脑瘫儿童的功能。
音乐治疗是康复的有用工具，其积极影响在完成治疗后持续 4 个月。
