治疗性唱歌诱导的吞运动,用于晚期帕金森病晚期食障碍的治疗
Myung Sun Yeo1, Jihye Hwang2,3, Hye Kyoung Lee2,3
1Music Therapy Education, Graduate School of Education, Ewha Womans University, Seoul, Republic of Korea.
Frontiers in neurology
|April 17, 2024
概括
治疗性歌唱练习有助于在晚期帕金森病 (PD) 患者中保持吞功能. 这种干预维持了功能,与通常的护理不同,有可能改善PD晚期患者的生活质量.
科学领域:
- 神经学 神经学
- 语音语言病理学 语言病理学
- 音乐治疗 音乐治疗
背景情况:
- 晚期帕金森病 (PD) 除了痴呆和跌倒之外,还会带来挑战,包括吞功能受损.
- 以前的研究表明,唱歌干预可以改善与声音相关的生活质量.
- 在晚期PD中研究治疗性歌唱的吞功能对于患者的福祉至关重要.
研究的目的:
- 量化和定性地评估个人治疗歌唱对晚期PD中吞功能的影响.
- 为了比较治疗唱歌干预的结果与匹配的常规护理对照组.
- 测试治疗性歌唱练习在高级PD中维持吞功能的假设.
主要方法:
- 一项前性匹配对照研究,涉及晚期PD患者.
- 干预组接受了6周的个人音乐治疗歌唱课以及传统的物理治疗.
- 对照组仅接受了为期6周的常规物理治疗;视频光镜失调度量表 (VDS) 是主要结果.
主要成果:
- 治疗歌唱组保持了吞功能,而对照组显示了恶化.
- 在透-吸收量 (PAS) 和NIH-吞安全量 (NIH-SSS) 评分中观察到显著的时间依赖的变化.
- 干预组在液体食品的PAS和NIH-SSS中没有显著的测试前后差异,这表明功能性保存.
结论:
- 治疗性歌唱练习似乎有效地维持了晚期PD患者的吞功能.
- 这种干预措施可能会提高晚期帕金森病患者的吞相关生活质量.
- 个性化唱歌干预提供了一种有希望的方法来管理PD中晚期的食欲障碍.
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