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音乐疗法作为老年人群听力康复工具的应用:一项小型综述。

Use of Music Therapy as an Audiological Rehabilitation Tool in the Elderly Population: A Mini-Review.

作者信息

Grenier Anne Sophie, Lafontaine Louise, Sharp Andréanne

机构信息

CERVO Research Center, Université Laval, Québec City, QC, Canada.

École d'Orthophonie et d'Audiologie, Université de Montréal, Montreal, QC, Canada.

出版信息

Front Neurosci. 2021 Sep 16;15:662087. doi: 10.3389/fnins.2021.662087. eCollection 2021.

Abstract

It is well known and documented that sensory perception decreases with age. In the elderly population, hearing loss and reduced vestibular function are among the most prevalently affected senses. Two important side effects of sensory deprivation are cognitive decline and decrease in social participation. Hearing loss, vestibular function impairment, and cognitive decline all lead to a decrease in social participation. Altogether, these problems have a great impact on the quality of life of the elderly. This is why a rehabilitation program covering all of these aspects would therefore be useful for clinicians. It is well known that long-term music training can lead to cortical plasticity. Behavioral improvements have been measured for cognitive abilities and sensory modalities (auditory, motor, tactile, and visual) in healthy young adults. Based on these findings, it is possible to wonder if this kind of multisensory training would be an interesting therapy to not only improve communication but also help with posture and balance, cognitive abilities, and social participation. The aim of this review is to assess and validate the impact of music therapy in the context of hearing rehabilitation in older adults. Musical therapy seems to have a positive impact on auditory perception, posture and balance, social integration, and cognition. While the benefits seem obvious, the evidence in the literature is scarce. However, there is no reason not to recommend the use of music therapy as an adjunct to audiological rehabilitation in the elderly when possible. Further investigations are needed to conclude on the extent of the benefits that music therapy could bring to older adults. More data are needed to confirm which hearing abilities can be improved based on the many characteristics of hearing loss. There is also a need to provide a clear protocol for clinicians on how this therapy should be administered to offer the greatest possible benefits.

摘要

众所周知且有文献记载,感官知觉会随着年龄增长而下降。在老年人群中,听力丧失和前庭功能减退是受影响最为普遍的感官问题。感官剥夺的两个重要副作用是认知能力下降和社会参与度降低。听力丧失、前庭功能损害和认知能力下降都会导致社会参与度降低。总之,这些问题对老年人的生活质量有很大影响。这就是为什么涵盖所有这些方面的康复计划对临床医生会很有用。众所周知,长期的音乐训练可导致皮质可塑性。在健康的年轻成年人中,已测量到认知能力和感官模式(听觉、运动、触觉和视觉)方面的行为改善。基于这些发现,人们不禁会想,这种多感官训练是否会是一种有趣的疗法,不仅能改善沟通,还能有助于姿势和平衡、认知能力以及社会参与度。本综述的目的是评估和验证音乐疗法在老年人听力康复背景下的影响。音乐疗法似乎对听觉感知、姿势和平衡、社会融合以及认知有积极影响。虽然益处似乎很明显,但文献中的证据却很少。然而,没有理由不建议在可能的情况下将音乐疗法作为老年人听力康复的辅助手段。需要进一步研究来确定音乐疗法能给老年人带来的益处程度。需要更多数据来确认基于听力损失的诸多特征哪些听力能力可以得到改善。还需要为临床医生提供一个明确的方案,说明应如何实施这种疗法以提供最大可能的益处。

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