Thompson Naomi, Bloska Jodie, Abington Alison, Masterson Amber, Whitten David, Street Alexander
Cambridge Institute for Music Therapy Research, Anglia Ruskin University, Cambridge CB1 1PT, UK.
The Marbrook Centre, St Neots PE19 8EP, UK.
Brain Sci. 2022 Apr 13;12(4):497. doi: 10.3390/brainsci12040497.
Music interventions support functional outcomes, improve mood, and reduce symptoms of depression in neurorehabilitation. Neurologic music therapy (NMT) has been reported as feasible and helpful in stroke rehabilitation but is not commonly part of multidisciplinary services in acute or subacute settings. This study assessed the feasibility and acceptability of delivering NMT one-day-per-week in a subacute neurorehabilitation centre over 15 months. Data were collected on the number of referrals, who referred, sessions offered, attended, and declined, and reasons why. Staff, patients, and their relatives completed questionnaires rating the interventions. Patients completed the Visual Analog Mood Scales (VAMS) pre and post a single session. Forty-nine patients received 318 NMT sessions (83% of sessions offered). NMT was rated as helpful or very helpful as part of the multidisciplinary team ( = 36). The highest ratings were for concentration, arm and hand rehabilitation, and motivation and mood. VAMS scores ( = 24) showed a reduction in 'confused' (-8.6, = 0.035, effect size 0.49) and an increase in 'happy' (6.5, = 0.021, effect size = 0.12) post NMT. The data suggest that a one-day-per-week NMT post in subacute neurorehabilitation was feasible, acceptable, and helpful, supporting patient engagement in rehabilitation exercises, mood, and motivation.
音乐干预有助于神经康复中的功能恢复、改善情绪并减轻抑郁症状。据报道，神经音乐疗法（NMT）在中风康复中是可行且有帮助的，但在急性或亚急性环境下的多学科服务中并不常见。本研究评估了在亚急性神经康复中心每周进行一天NMT，为期15个月的可行性和可接受性。收集了关于转诊数量、转诊者、提供的疗程、参加的疗程、拒绝的疗程以及原因的数据。工作人员、患者及其亲属完成了对干预措施进行评分的问卷。患者在单次疗程前后完成视觉模拟情绪量表（VAMS）。49名患者接受了318次NMT疗程（占提供疗程的83%）。作为多学科团队的一部分，NMT被评为有帮助或非常有帮助（ = 36）。评分最高的是注意力、手臂和手部康复以及动机和情绪。VAMS评分（ = 24）显示，NMT后“困惑”情绪有所减轻（-8.6， = 0.035，效应量0.49），“快乐”情绪有所增加（6.5， = 0.021，效应量 = 0.12）。数据表明，在亚急性神经康复中每周进行一天的NMT是可行、可接受且有帮助的，有助于患者参与康复锻炼、改善情绪和提高动机。
