音乐治疗对脑卒中后认知障碍的效果

doi:10.3969/j.issn.1006-9771.2023.06.013

Abstract

Abstract:

Objective To observe the effect of music therapy on cognitive function, motor function, and activities of daily living (ADL) of patients with post-stroke cognitive impairment.
Methods From December, 2020 to July, 2022, 48 patients with post-stroke cognitive impairment in Beijing Bo'ai Hospital were enrolled and randomly divided into control group (n = 24) and experimental group (n = 24). Both groups received conventional medication, nursing, and conventional rehabilitation, while the experimental group received music therapy additionally, for eight weeks. Before and after intervention, the cognitive function was assessed by Loewenstein Occupational Therapy Cognitive Assessment (LOTCA), and motor function and ADL were assessed with Fugl-Meyer Assessment (FMA) and modified Barthel Index (MBI), respectively.
Results Six cases in the control group dropped down. The increase in the scores of LOTCA and FMA was more in the experimental group than in the control group (t > 2.665, P < 0.05), however, no significant difference was found in the increase of MBI score between two groups.
Conclusion Music therapy could improve the cognitive function and motor function of patients with post-stroke cognitive impairment.

Key words: stroke, post-stroke cognitive impairment, music therapy, motor function, activities of daily living

CLC Number:

R743.3

LIN Yufan, WEI Tianyuan, ZHANG Xiaoying, LI Chaojinzi, HE Jingjie, DU Xiaoxia. Effect of music therapy on post-stroke cognitive impairment[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(6): 714-719.

Figures/Tables 5

References 38

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组别	n	性别(男/女)/n	年龄/岁	受教育程度/年	卒中类型(缺血/出血)/n	病程/ d	病灶部位(左/右)/n
对照组	18	13/5	57.33±12.94	13.50±2.96	10/8	44.72±36.56	15/3
试验组	24	18/6	57.38±11.80	12.83±3.41	14/10	49.04±32.91	20/4
χ²/t值		0.041	0.011	-0.663	0.032	0.401	0.000
P值		0.839	0.991	0.511	0.857	0.690	1.000

项目	对照组 (n = 18)		试验组 (n = 24)		t值^a	P值^a	t值^b	P值^b	t值^c	P值^c
项目	治疗前	治疗后	治疗前	治疗后	t值^a	P值^a	t值^b	P值^b	t值^c	P值^c
定向	5.50±2.73	7.61±2.17	5.92±2.28	7.96±2.27	0.538	0.593	-7.007	< 0.001	-11.017	< 0.001
视知觉	8.44±1.58	10.28±1.53	8.67±1.24	11.54±1.72	0.511	0.612	-11.000	< 0.001	-12.625	< 0.001
空间知觉	6.61±1.98	8.50±1.76	6.88±1.36	10.08±1.59	0.513	0.611	-13.746	< 0.001	-16.086	< 0.001
动作运用	8.72±2.35	10.22±2.65	9.38±1.69	10.29±1.65	1.049	0.300	-6.101	< 0.001	-5.100	< 0.001
视运动组织	13.39±3.70	15.06±3.59	14.54±3.11	16.17±3.64	1.097	0.279	-9.220	< 0.001	-7.855	< 0.001
思维操作	6.61±2.20	9.78±2.51	6.79±1.50	12.79±2.48	0.316	0.754	-21.727	< 0.001	-19.936	< 0.001
总分	49.28±13.93	61.44±13.02	52.17±10.38	68.83±11.73	0.771	0.445	-18.631	< 0.001	-21.257	< 0.001

组别	n	定向	视知觉	空间知觉	动作运用	视运动组织	思维操作	总分
对照组	18	2.11±1.28	1.83±0.71	1.89±0.58	1.50±1.04	1.67±0.77	3.17±0.62	12.17±2.77
试验组	24	2.04±0.91	2.88±1.12	3.21±0.98	0.92±0.88	1.63±1.01	6.00±1.47	16.67±3.84
t值		-0.206	3.691	5.448	-1.963	-0.146	8.473	4.211
P值		0.838	0.001	< 0.001	0.057	0.885	< 0.001	< 0.001

组别	n	治疗前	治疗后	治疗前后差值	t值	P值
对照组	18	46.00±43.30	51.11±40.88	5.11±4.30	-5.041	< 0.001
试验组	24	25.04±21.67	39.83±27.24	14.79±17.09	-4.241	< 0.001
t值		-1.884		2.665
P值		0.072		0.013

组别	n	治疗前	治疗后	治疗前后差值	t值	P值
对照组	18	44.72±29.23	61.11±28.62	16.39±12.46	-5.041	< 0.001
试验组	24	31.67±21.55	50.63±21.18	18.96±13.27	-4.241	< 0.001
t值		-1.668		0.637
P值		0.103		0.528

Effect of music therapy on post-stroke cognitive impairment

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