Pacchetti C, Aglieri R, Mancini F, Martignoni E, Nappi G
Parkinson's Disease and Movement Disorders Centre, C. Mondino Institute of Neurology, University of Pavia, Italy.
Funct Neurol. 1998 Jan-Mar;13(1):57-67.
Music therapy (MT) is an unconventional, multisensorial therapy poorly assessed in medical care but widely used to different ends in a variety of settings. MT has two branches: active and passive. In active MT the utilisation of instruments is structured to correspond to all sensory organs so as to obtain suitable motor and emotional responses. We conducted a prospective study to evaluate the effects of MT in the neurorehabilitation of patients with Parkinson's Disease (PD), a common degenerative disorder involving movement and emotional impairment. Sixteen PD patients took part in 13 weekly sessions of MT each lasting 2 hours. At the beginning and at the end of the session, every 2 weeks, the patients were evaluated by a neurologist, who assessed PD severity with UPDRS, emotional functions with Happiness Measures (HM) and quality of life using the Parkinson's Disease Quality of Life Questionnaire (PDQL). After every session a significant improvement in motor function, particularly in relation to hypokinesia, was observed both in the overall and in the pre-post session evaluations. HM, UPDRS-ADL and PDQL changes confirmed an improving effect of MT on emotional functions, activities of daily living and quality of life. In conclusion, active MT, operating at a multisensorial level, stimulates motor, affective and behavioural functions. Finally, we propose active MT as new method to include in PD rehabilitation programmes. This article describes the methods adopted during MT sessions with PD patients.
音乐疗法（MT）是一种非常规的多感官疗法，在医疗保健中评估不足，但在各种环境中被广泛用于不同目的。MT有两个分支：主动式和被动式。在主动式MT中，乐器的使用方式经过精心设计，以对应所有感觉器官，从而获得适当的运动和情感反应。我们进行了一项前瞻性研究，以评估MT在帕金森病（PD）患者神经康复中的效果，PD是一种常见的退行性疾病，会导致运动和情感障碍。16名PD患者参加了为期13周的MT治疗，每周一次，每次持续2小时。在每次治疗开始和结束时，以及每两周一次的时间点，由神经科医生对患者进行评估，神经科医生使用统一帕金森病评定量表（UPDRS）评估PD严重程度，使用幸福度量表（HM）评估情感功能，并使用帕金森病生活质量问卷（PDQL）评估生活质量。每次治疗后，无论是在总体评估还是治疗前后评估中，均观察到运动功能有显著改善，尤其是在运动迟缓方面。HM、UPDRS-ADL和PDQL的变化证实了MT对情感功能、日常生活活动和生活质量的改善作用。总之，主动式MT在多感官层面发挥作用，刺激运动、情感和行为功能。最后，我们建议将主动式MT作为一种新方法纳入PD康复计划。本文描述了对PD患者进行MT治疗时所采用的方法。
