Effects of music therapy on functional ability in people with cerebral palsy: a systematic review.

Sohei Yanagiwara, Tsubasa Yasuda, Minami Koike, Takatsugu Okamoto, Kenta Ushida, Ryo Momosaki
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Abstract

Objective: This review aimed to investigate the effects of music therapy on functional ability in people with cerebral palsy. Materials and Methods: 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. Results: 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. Conclusion: 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.

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音乐治疗对脑瘫患者功能能力的影响:一项系统综述。
目的:探讨音乐治疗对脑瘫患者功能能力的影响。材料和方法:对CENTRAL、MEDLINE和EMBASE数据库进行电子检索。这些随机对照试验检验了音乐治疗对脑瘫患者的影响。结果:8项试验符合纳入本研究的条件。我们发现在所有试验中随机序列生成和分配隐藏的偏倚风险较低。所有研究结果评估的盲法偏倚风险均较低。我们发现,音乐治疗对大运动功能测量得分(标准化平均差[SMD] -0.42)、儿童功能独立测量得分(SMD 0.38)和目标实现量表得分(SMD -1.43)有显著影响。音乐疗法对其他项目没有显著影响。结论:音乐治疗能改善脑瘫患者的大运动功能和日常生活能力的证据有限。然而,这不足以得出可推广的结论。需要更大样本量的进一步研究来证实音乐治疗对这一人群的影响。
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