手控节律音乐治疗对脑卒中后单侧空间忽略的效果

doi:10.3969/j.issn.1006-9771.2023.07.013

Abstract

Abstract:

Objective To observe the clinical effect of hand controlled rhythm music therapy on unilateral spatial neglect for stroke patients.

Methods From September, 2020 to September, 2022, 52 patients with unilateral spatial neglect after stroke in Wuxi Central Rehabilitation Hospital were randomly divided into control group (n = 26) and observation group (n = 26). Both groups accepted routine rehabilitation, and the observation group accepted hand controlled rhythm music therapy in addition, for eight weeks. Before and after treatment, the patients were assessed with Chinese Behavioral Inattention Test-Hong Kong version (CBIT-HK) routine tests (line crossing, letter cancellation, star cancellation, line bisection, figure and shape copying, and representational drawing) and modified Barthel Index (MBI).

Results After treatment, six scores of CBIT-HK routine tests and the scores of MBI increased in both groups (|t| > 3.077, P< 0.05), and they were higher in the observation group than in the control group (|t| > 2.639, P< 0.05).

Conclusion Hand controlled rhythm music therapy could effectively alleviate the symptoms of unilateral spatial neglect after stroke, and improve the activities of daily living.

Key words: stroke, unilateral spatial neglect, hand controlled rhythm music therapy

CLC Number:

R743.3

HUA Ling, ZHANG Yi'nan, ZHENG Yu, SUN Qiaoyi, FANG Hui, SONG Da. Effect of hand controlled rhythm music therapy on unilateral spatial neglect after stroke[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(7): 833-838.

Figures/Tables 3

References 34

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组别	n	性别(男/女)/n	年龄/岁	病程/d	受教育年限/年	病变性质(梗死/出血)/n	MMSE
对照组	26	14/12	60.35±10.54	44.50±18.33	9.15±3.31	16/10	21.62±3.09
试验组	26	17/9	64.15±8.76	43.27±19.29	9.31±2.90	18/8	20.81±3.32
χ²/t值		0.325	-1.417	0.236	-0.178	0.340	-0.908
P值		0.569	0.163	0.814	0.859	0.560	0.368

项目	对照组(n = 26)		试验组(n = 26)		t值^a	P值^a	t值^b	P值^b	t值^c	P值^c	t值^d	P值^d
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	t值^d	P值^d
短线删除	21.85±3.52	24.18±3.98	22.38±4.76	27.73±4.17	-8.830	< 0.001	-18.233	< 0.001	0.463	0.645	-2.639	0.011
字母删除	17.50±3.26	20.19±3.83	16.96±3.25	24.04±4.06	-6.386	< 0.001	-12.515	< 0.001	-0.595	0.554	-3.487	< 0.001
星星删除	22.96±3.48	27.65±2.88	23.83±3.56	33.77±3.69	-10.352	< 0.001	-15.269	< 0.001	0.788	0.435	-6.657	< 0.001
临摹图形	0.65±0.61	1.38±0.57	0.77±0.51	2.00±0.62	-6.985	< 0.001	-12.200	< 0.001	0.724	0.472	-3.682	0.001
二等分线段	2.15±0.94	3.19±0.98	2.35±1.09	4.27±1.31	-8.844	< 0.001	-14.245	< 0.001	0.672	0.505	-3.350	0.002
代表性绘图	0.46±0.43	0.85±0.61	0.54±0.38	1.53±0.50	-3.077	0.005	-10.408	< 0.001	0.508	0.614	-4.434	< 0.001
总分	65.73±8.93	78.15±9.37	66.73±9.15	93.3±10.64	-14.278	< 0.001	-24.483	< 0.001	0.460	0.648	-5.524	< 0.001

组别	n	治疗前	治疗后	t值	P值
对照组	26	37.19±12.49	56.04±13.30	-15.790	< 0.001
试验组	26	38.58±10.57	68.35±10.09	-17.446	< 0.001
t值		0.431	3.759
P值		0.668	< 0.001

Effect of hand controlled rhythm music therapy on unilateral spatial neglect after stroke

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