个性化音乐聆听对中风后认知障碍的影响:随机对照试验

IF 2.2 3区 医学 Q2 INTEGRATIVE & COMPLEMENTARY MEDICINE Complementary Therapies in Clinical Practice Pub Date : 2024-07-22 DOI:10.1016/j.ctcp.2024.101885
Li-ping Fan , Alonso Quijano-Ruiz , Chen Wang , Hong-wei Zhao , Dan-ni Wang , Han-ming Wu , Lin Liu , Yi-hong Zhan , Xian-bao Zhou
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引用次数: 0

摘要

背景和目的先前的研究表明,聆听音乐有可能对中风后认知障碍(PSCI)患者的认知功能和情绪产生积极影响,而偏好自选音乐可能会产生更好的效果。然而,目前还没有足够的临床证据表明在常规康复护理中使用音乐聆听来治疗脑卒中后认知障碍。这项随机对照试验(RCT)旨在研究个性化音乐聆听对PSCI患者情绪改善、日常生活活动(ADL)和认知功能的影响。音乐组患者接受为期三个月的个性化音乐聆听干预。干预措施包括聆听根据每个人的文化、种族和社会背景、生活经历以及个人音乐偏好量身定制的个性化播放列表。相比之下,对照组患者则聆听白噪音作为安慰剂。结果经过三个月的治疗,音乐组的蒙特利尔认知评估(MoCA)得分明显高于对照组(P=0.027),尤其是在延迟回忆(P=0.019)和定向力(P=0.023)方面。此外,与对照组相比,音乐组在美国国立卫生研究院脑卒中量表(NIHSS)(p=0.008)、巴特尔指数(BI)(p=0.019)和扎里特照顾者负担访谈(ZBI)(p=0.008)方面的得分明显更高。结论个性化音乐聆听可促进 PSCI 患者认知和神经功能的恢复、改善日常活动能力并减轻护理人员的负担。
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Effects of personalized music listening on post-stroke cognitive impairment: A randomized controlled trial

Background and purpose

Previous studies have suggested that music listening has the potential to positively affect cognitive functions and mood in individuals with post-stroke cognitive impairment (PSCI), with a preference for self-selected music likely to yield better outcomes. However, there is insufficient clinical evidence to suggest the use of music listening in routine rehabilitation care to treat PSCI. This randomized control trial (RCT) aims to investigate the effects of personalized music listening on mood improvement, activities of daily living (ADLs), and cognitive functions in individuals with PSCI.

Materials and methods

A total of 34 patients with PSCI were randomly assigned to either the music group or the control group. Patients in the music group underwent a three-month personalized music-listening intervention. The intervention involved listening to a personalized playlist tailored to each individual's cultural, ethnic, and social background, life experiences, and personal music preferences. In contrast, the control group patients listened to white noise as a placebo. Cognitive function, neurological function, mood, and ADLs were assessed.

Results

After three months of treatment, the music group showed significantly higher Montreal Cognitive Assessment (MoCA) scores compared to the control group (p=0.027), particularly in the domains of delayed recall (p=0.019) and orientation (p=0.023). Moreover, the music group demonstrated significantly better scores in National Institutes of Health Stroke Scale (NIHSS) (p=0.008), Barthel Index (BI) (p=0.019), and Zarit Caregiver Burden Interview (ZBI) (p=0.008) compared to the control group. No effects were found on mood as measured by the Hamilton Anxiety Rating Scale (HAMA) and the Hamilton Depression Rating Scale (HAMD).

Conclusion

Personalized music listening promotes the recovery of cognitive and neurological functions, improves ADLs, and reduces caregiver burden in patients with PSCI.

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来源期刊
Complementary Therapies in Clinical Practice
Complementary Therapies in Clinical Practice INTEGRATIVE & COMPLEMENTARY MEDICINE-
CiteScore
6.30
自引率
6.70%
发文量
157
审稿时长
40 days
期刊介绍: Complementary Therapies in Clinical Practice is an internationally refereed journal published to meet the broad ranging needs of the healthcare profession in the effective and professional integration of complementary therapies within clinical practice. Complementary Therapies in Clinical Practice aims to provide rigorous peer reviewed papers addressing research, implementation of complementary therapies (CTs) in the clinical setting, legal and ethical concerns, evaluative accounts of therapy in practice, philosophical analysis of emergent social trends in CTs, excellence in clinical judgement, best practice, problem management, therapy information, policy development and management of change in order to promote safe and efficacious clinical practice. Complementary Therapies in Clinical Practice welcomes and considers accounts of reflective practice.
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