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使用时间音乐失谐进行脑卒中后神经康复的 Te.M.P.O. 应用:一项初步的随机对照研究。

Te.M.P.O., an app for using temporal musical mismatch in post-stroke neurorehabilitation: A preliminary randomized controlled study.

机构信息

Fondazione Santa Lucia IRCCS, Rome, Italy.

PhD Program in Behavioral Neuroscience, Sapienza University of Rome, Rome, Italy.

出版信息

NeuroRehabilitation. 2020;47(2):201-208. doi: 10.3233/NRE-203126.

Abstract

BACKGROUND

Recently, the potential rehabilitation value of music has been examined and music-based interventions and techniques such as the Negative Mismatch (MMN) have been increasingly investigated in the neurological rehabilitation context.

OBJECTIVE

The aim of this study was to investigate the effectiveness of a negative mismatch-based therapy on the disability and quality of life in patients with stroke in sub-acute phase.

METHODS

Thirty patients with a stroke diagnosis in sub-acute phase were randomly assigned to one of two groups: Mismatch (Mg) or Control (CTRLg) group. Both groups used an innovative Android application: Temporal Musical Patterns Organisation (Te.M.P.O). The Disability Rating Scale (DRS), the Modified Barthel Index (MBI) and the Stroke Specific Quality of Life scale (SSQoL) were used at the baseline (T0) and after four weeks of training (T1), in order to assess changes over time.

RESULTS

Statistical analysis was performed using the data of 24 (Mg = 12, CTRLg = 12) subjects. The results show a major improvement of the Mg with respect to the CTRLg in all clinical scales score.

CONCLUSION

The temporal negative mismatch-based therapy performed with the Te.M.P.O. application could be useful in improving the disability and the quality of life in stroke survivors in a sub-acute phase.

摘要

背景

最近,音乐的潜在康复价值已经得到了研究,基于音乐的干预措施和技术,如负性不匹配(MMN),在神经康复领域的研究也越来越多。

目的

本研究旨在探讨基于负性不匹配的治疗对亚急性期脑卒中患者残疾和生活质量的影响。

方法

将 30 名亚急性期脑卒中患者随机分为两组:不匹配组(Mg)和对照组(CTRLg)。两组均使用一款创新的 Android 应用程序:时间音乐模式组织(Te.M.P.O)。使用残疾评定量表(DRS)、改良巴氏指数(MBI)和脑卒中特异性生活质量量表(SSQoL)在基线(T0)和四周训练后(T1)进行评估,以了解随时间的变化。

结果

使用 24 名(Mg=12,CTRLg=12)受试者的数据进行了统计分析。结果表明,与对照组相比,Mg 在所有临床量表评分上均有显著改善。

结论

使用 Te.M.P.O.应用程序进行基于时间的负性不匹配治疗可能有助于改善亚急性期脑卒中幸存者的残疾和生活质量。

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