Santonja-Medina Clara Susana, Marrades-Caballero Eugenio, Santonja-Medina Fernando, Sanz-Mengibar Jose Manuel
Professional Music Conservatory Carcaixent, Valencia, Spain.
Superior Music Conservatory, Valencia, Spain.
Front Neurol. 2022 Mar 9;13:795533. doi: 10.3389/fneur.2022.795533. eCollection 2022.
Positive effects after neurologic music therapy (NMT) have been described regarding the motor function of children with severe cerebral palsy (CP). This study aimed to quantify improvements in participation, as well as complexity on task-related manual activities in children with severe bilateral CP. This analytic quasi-experimental study exposed 17 children with severe cerebral palsy to 13 NMT sessions to improve motor learning through therapeutic instrumental music performance (TIMP), using principally percussion musical instruments. Hoisan software video recording was used to quantify participation involved in creating music. In addition, the number of active movements performed in each NMT session was quantified. Significant improvements were found in the participation variables "visual contact," "motor participation" and "motor participation repetitions." Significant differences were also found in the subcategory "reaching and stroke," "hitting with the hand" and "grasping and hitting." The use of therapeutic of TIMP in children with severe CP improves participation during manual activities utilizing percussion instruments, therefore increasing the intensity of the psychomotor intervention.
神经音乐疗法（NMT）对重度脑瘫（CP）患儿的运动功能具有积极作用。本研究旨在量化重度双侧脑瘫患儿在参与度以及与任务相关的手动活动复杂性方面的改善情况。这项分析性准实验研究让17名重度脑瘫患儿接受13次NMT治疗，通过治疗性器乐演奏（TIMP）来改善运动学习，主要使用打击乐器。使用Hoisan软件视频记录来量化参与音乐创作的情况。此外，还对每次NMT治疗中进行的主动动作数量进行了量化。在参与变量“视觉接触”“运动参与”和“运动参与重复次数”方面发现了显著改善。在“伸手和划动”“用手击打”以及“抓握和击打”子类别中也发现了显著差异。在重度脑瘫患儿中使用TIMP疗法可提高使用打击乐器进行手动活动时的参与度，从而增加心理运动干预的强度。
