ObjectiveTo explore the effect of music therapy on post-stroke depression (PSD) with left basal ganglia aphasia. MethodsFrom April, 2013 to July, 2016, 60 patients with PSD and left basal ganglia aphasia were selected as control group (n=30) and research group (n=30). Both groups accepted routine medicine and rehabilitation, and the research group accepted music therapy in addition, for three months. They were assessed with modified Stroke Aphasic Depression Questionnaire Hospital Version (SADQ-H) and China Rehabilitation Research Center Aphasia Examination (CRRCAE) before and after treatment. ResultsThe incidence of serious depression was less in the research group than in the control group after treatment, according to the score of SADQ-H (χ2=8.926, P<0.05). The research group improved more in listening comprehension, repetition and name scores than those of the control group (t>5.707, P<0.001). ConclusionMusic therapy helps to relief depression and improve speech in patients with PSD and basal ganglia aphasia.
YE Jing
,
YE Xiang-ming
,
TAO Dan-hong
,
SHEN Fang
. Effect of Music Therapy on Post-stroke Depression with Left Basal Ganglia Aphasia[J]. Chinese Journal of Rehabilitation Theory and Practice, 2017
, 23(3)
: 330
-333
.
DOI: 10.3969/j.issn.1006-9771.2017.03.018
[1] 张疏,罗本燕. 关注卒中后抑郁的识别与治疗[J]. 中国卒中杂志, 2012, 7(10): 793-797.
[2] Dafer RA, Rao M, Shareef A, et al. Poststroke depression [J]. Top Stroke Rehabil, 2008, 15(1): 13-21.
[3] 毛琳,李德强,罗本燕,等. 脑缺血与慢性应激对依赖海马的学习记忆的影响[J]. 中华神经科杂志, 2011, 44(11): 768-773.
[4] 田亮,叶祥明,李厥宝,等. 认知功能训练对基底核区脑卒中患者运动及执行功能的影响[J]. 中华物理医学与康复杂志, 2013, 35(9): 708-711.
[5] Altenmüller E, Schlaug G. Apollo's gift: new aspects of neurologic music therapy [J]. Prog Brain Res, 2015, 217: 237-252.
[6] 隆昱洲,柳华,艾青龙. 基底节失语[J]. 国际脑血管病杂志, 2008, 16(12): 913-916.
[7] Conklyn D, Novak E, Boissy A, et al. The effects of modified melodic intonation therapy on nonfluent aphasia: a pilot study [J]. J Speech Lang Hear Res, 2012, 5(5): 1463-1471.
[8] 卫冬洁,李胜利. 音乐音调治疗法对重度失语症患者的疗效观察[J]. 中国康复理论与实践, 2008, 14(5): 483-484.
[9] van der Meulen I, van de Sandt-Koenderman MW, Heijenbrok MH, et al. Melodic intonation therapy in chronic aphasia: evidence from a pilot randomized controlled trial [J]. Front Hum Neurosci, 2016, 10: 533.
[10] 中华神经科学会,中华神经外科学会. 各类脑血管疾病诊断要点[J]. 中华神经科杂志, 1996, 29(6): 379-380.
[11] 李胜利. 语言治疗学[M]. 2版. 北京:人民卫生出版社, 2013: 99.
[12] 张庆苏. 语言治疗学训练指导[M]. 北京:人民卫生出版社, 2013: 1-18.
[13] 王维清,刘晓加. 卒中后失语患者抑郁问卷(医院版)的修订及标准化研究[D]. 广州:南方医科大学, 2010.
[14] Norton A, Zipse L, Marchina S, et al. Melodic intonation therapy: shared insights on how it is done and why it might help [J]. Ann N Y Acad Sci, 2009, 1169: 431-436.
[15] Akanuma K, Meguro K, Satoh M, et al. Singing can improve speech function in aphasics associated with intact right basal ganglia and preserve right temporal glucose metabolism: Implications for singing therapy indication [J]. Int J Neurosci, 2016, 126(1): 39-45.
[16] 钱红,郝又国. 音乐疗法结合语言训练在脑卒中失语症康复中的应用研究[J]. 中国康复, 2016, 31(5): 349-351.
[17] Jacqueline S, Gore L, Lauren C, et al. Perceived stress and depression in left and right hemisphere post-stroke patients [J]. Neuropsychol Rehabil, 2013, 23(6): 783-797.
[18] 陈伟,王安黎,郭大芬,等. 卒中后失语患者抑郁情绪调查分析[J]. 现代医药卫生, 2016, 32(16): 2465-2466.
[19] 黄满丽,罗本燕. 首发抑郁症患者认知功能损害：从神经心理学测量到神经影像学研究[D]. 杭州:浙江大学, 2012.
[20] MendezOrellana CP, van de Sandt-Koenderman ME, Saliasi E, et al. Insight into the neurophysiological processes of melodically intoned language with functional MRI [J]. Brain Behav, 2014, 4(5): 615-625.
[21] 孙长慧,胡瑞萍,白玉龙. 音乐疗法在言语康复中的应用进展[J]. 中国康复理论与实践, 2013, 19(7): 623-625.
[22] 郑玉章,陈菁菁. 音乐治疗学的定义、形成及其在中国的发展[J]. 音乐探索, 2004, 60(3): 91-94.
[23] Schmithorst VJ. Separete cortical networks involved in music perception: preliminary functional MRI evidence for modularity of music processing [J]. Neuroimage, 2005, 25(2): 444-451.
[24] 马洪卓. 心理结合语言康复在脑卒中后语言及心理障碍病人中的应用研究[J]. 中西医结合脑血管病杂志, 2016, 14(11): 1279-1281.
[25] Stahl B, Kotz SA. Facing the music: three issues in current research on singing and aphasia [J]. Front Psychol, 2014, 5: 1033.
[26] 毛琳,罗本燕. 卒中后抑郁大鼠学习记忆障碍的研究[D]. 杭州:浙江大学, 2012.
[27] 马建强,彭辰. 音乐治疗在脑出血Broca失语患者中的应用研究[J]. 中国康复, 2015, 30(3): 213-214.
[28] Lee SM, Kim BK, Kim TW, et al. Music application alleviates short-term memory impairments through increasing cell proliferation in the hippocampus of valproic acid-induced autistic rat pups [J]. J Exerc Rehabil, 2016, 12(3): 148-155.
