神经可塑性作为音乐干预对发育障碍儿童有益影响的驱动因素

Eckart Altenmüller
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摘要

制作和欣赏音乐的潜力是人类遗传的,是儿童和青少年快乐和生活质量的重要来源。音乐制作诱导皮层和皮层下结构的短期和长期神经可塑性适应。学习演奏乐器的正常发育儿童表现出更好的听觉模式识别和听觉记忆。此外,感觉运动、智力和情感的成熟也加快了。这些效果也可以通过音乐干预在患有神经发育障碍、听力障碍或脑瘫的儿童和青少年中得到有益的应用。患有自闭症谱系障碍的儿童通过音乐干预学习更好的自我控制和注意力管理,并在接触和沟通技巧方面得到支持。对于植入人工耳蜗的儿童,音乐训练不仅可以改善音乐感知,还可以改善语言感知。最后,学习一种乐器和相关的感觉-运动-听觉和情感整合可能有助于婴儿脑瘫儿童提高精细运动技能,也有助于情绪稳定性。由于许多积极的结果(尽管经常是在数量少、质量低的研究中),我们提倡在儿童神经病学中增加使用合格的音乐干预及其伴随的科学评估。
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Neuroplasticity as a driver of beneficial effects in music interventions in children with developmental disorders
The potential to make and to enjoy music is genetically enrooted in humans and is an important resource of joy and quality of live for children and adolescents. Music making induces short-term and long-term neuroplastic adaptations in cortical and subcortical structures. Normally developing children who learn to play a musical instrument show better auditory pattern recognition and auditory memory. Furthermore sensorimotor, intellectual, and emotional maturation are accelerated. These effects can also be used beneficially through music interventions in children and adolescents suffering from neurodevelopmental disorders, from hearing disorders, or from cerebral palsy. Children with autism spectrum disorders learn better self-control and attention management through musical interventions and are supported in contact and communication skills. For children with cochlear implants, musical training can improve long-term outcomes not only in music perception but also in speech perception. Finally, learning a musical instrument and the associated sensorimotor-auditory and emotional integration may help children with infantile cerebral palsy improve fine motor skills but also emotional stability. Due to the numerous positive results (albeit frequently in studies with small numbers and lower quality), we advocate the increased use of qualified music intervention in child neurology and its accompanying scientific evaluation.
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