Yanagiwara Sohei, Yasuda Tsubasa, Koike Minami, Okamoto Takatsugu, Ushida Kenta, Momosaki Ryo
Department of Rehabilitation Medicine, Mie University Graduate School of Medicine, Japan.
Department of Nursing, Tsushimi Hospital, Japan.
J Rural Med. 2022 Jul;17(3):101-107. doi: 10.2185/jrm.2022-014. Epub 2022 Jul 1.
This review aimed to investigate the effects of music therapy on functional ability in people with cerebral palsy. An electronic search of the CENTRAL, MEDLINE, and EMBASE databases was conducted. Randomized controlled trials that examined the effects of music therapy in patients with cerebral palsy were included. Eight trials were eligible for inclusion in this study. We found a low risk of bias in random sequence generation and allocation concealment in all trials. The risk of bias in blinding of the outcome assessment was low in all studies. We found that music therapy had a significant effect on the Gross Motor Function Measure score (standardized mean difference [SMD] -0.42), Functional Independence Measure for Children score (SMD 0.38), and Goal Attainment Scale score (SMD -1.43). Music therapy had no significant effect on any of the other items. There is limited evidence that music therapy improves gross motor function and activities of daily living in patients with cerebral palsy. However, this was insufficient to allow for generalizable conclusions. Further studies with larger sample sizes are required to confirm the effects of music therapy in this population.
本综述旨在研究音乐疗法对脑瘫患者功能能力的影响。我们对Cochrane系统评价数据库、医学期刊数据库和荷兰医学文摘数据库进行了电子检索。纳入了检验音乐疗法对脑瘫患者影响的随机对照试验。八项试验符合本研究的纳入标准。我们发现所有试验在随机序列生成和分配隐藏方面存在低偏倚风险。所有研究在结果评估的盲法方面的偏倚风险较低。我们发现音乐疗法对粗大运动功能测量评分（标准化均数差[SMD] -0.42）、儿童功能独立性测量评分（SMD 0.38）和目标达成量表评分（SMD -1.43）有显著影响。音乐疗法对其他任何项目均无显著影响。有有限的证据表明音乐疗法可改善脑瘫患者的粗大运动功能和日常生活活动能力。然而，这不足以得出可推广的结论。需要进一步开展更大样本量的研究来证实音乐疗法对该人群的影响。
