University of Toronto, Canada.
Concordia University, Canada.
NeuroRehabilitation. 2021;48(2):209-220. doi: 10.3233/NRE-208015.
Acquired brain injuries often cause cognitive impairment, significantly impacting participation in rehabilitation and activities of daily living. Music can influence brain function, and thus may serve as a uniquely powerful cognitive rehabilitation intervention.
This feasibility study investigated the potential effectiveness of music-based cognitive rehabilitation for adults with chronic acquired brain injury.
The control group participated in three Attention Process Training (APT) sessions, while the experimental group participated in three Music Attention Control Training (MACT) sessions. Pre-and post- testing used the Trail Making A & B, Digit Symbol, and Brown-Peterson Task as neuropsychological tests.
ANOVA analyses showed no significant difference between groups for Trail A Test, Digit Symbol, and Brown-Peterson Task. Trail B showed significant differences at post-test favouring MACT over APT. The mean difference time between pre-and post-tests for the Trail B Test was also significantly different between APT and MACT in favour of MACT using a two-sample t-test as well as a follow-up nonparametric Mann Whitney U-test.
The group differences found in the Trail B tests provided preliminary evidence for the efficacy of MACT to arouse and engage attention in adults with acquired brain injury.
获得性脑损伤常导致认知障碍，显著影响康复和日常生活活动的参与。音乐可以影响大脑功能，因此可能是一种非常有效的认知康复干预手段。
本研究旨在探讨基于音乐的认知康复对慢性获得性脑损伤成人的潜在有效性。
对照组参加了 3 次注意过程训练（APT），实验组参加了 3 次音乐注意控制训练（MACT）。使用 Trail Making A 和 B、数字符号和 Brown-Peterson 任务作为神经心理学测试，在治疗前和治疗后进行测试。
方差分析显示，在 Trail A 测试、数字符号和 Brown-Peterson 任务上，两组之间无显著差异。Trail B 在治疗后测试中显示出显著差异，MACT 优于 APT。使用两样本 t 检验和后续非参数 Mann-Whitney U 检验，Trail B 测试的治疗前后平均差异时间在 APT 和 MACT 之间也有显著差异，MACT 更优。
Trail B 测试中发现的组间差异为 MACT 在唤起和吸引注意力方面对获得性脑损伤成人的疗效提供了初步证据。
