Home > Riviste > European Journal of Physical and Rehabilitation Medicine > Fascicoli precedenti > European Journal of Physical and Rehabilitation Medicine 2018 December;54(6) > European Journal of Physical and Rehabilitation Medicine 2018 December;54(6):866-72

ULTIMO FASCICOLO
 

JOURNAL TOOLS

eTOC
Per abbonarsi
Sottometti un articolo
Segnala alla tua biblioteca
 

ARTICLE TOOLS

Publication history
Estratti
Per citare questo articolo

 

ORIGINAL ARTICLE   Freefree

European Journal of Physical and Rehabilitation Medicine 2018 December;54(6):866-72

DOI: 10.23736/S1973-9087.18.04996-1

Copyright © 2018 EDIZIONI MINERVA MEDICA

lingua: Inglese

Neurologic music therapy in upper-limb rehabilitation in children with severe bilateral cerebral palsy: a randomized controlled trial

Eugenio MARRADES-CABALLERO 1, Clara S. SANTONJA-MEDINA 2, Jose M. SANZ-MENGIBAR 3,4, Fernando SANTONJA-MEDINA 5, 6

1 Superior Music Conservatory, Valencia, Spain; 2 Professional Music Conservatory, Carcaixent, Valencia, Spain; 3 Clinic of Rehabilitation, Madrid, Spain; 4 Balancephysio Vojta Therapy, London, UK; 5 Faculty of Medicine, University of Murcia, Murcia, Spain; 6 Department of Traumatology, V. de la Arrixaca University Hospital, Murcia, Spain



BACKGROUND: After receiving neurologic music therapy, functional improvements in children with severe bilateral cerebral palsy have not been found in the literature. Musical training with instruments allows interrelationships between movement, emotions and cognition for task-based learning, in order to improve motor control.
AIM: To understand whether neurologic music therapy has an impact on the functionality of children with severe cerebral palsy.
DESIGN: A randomized controlled assessor-blind trial was carried out.
SETTING: Children were recruited and treated in their own community center.
POPULATION: Eighteen children with severe bilateral cerebral palsy between 4 and 16 years old were studied.
METHODS: The intervention group (N.=18) received music therapy for 16 weeks, in addition to its usual physiotherapy input. Two music therapists implemented a neurologic music therapy program of therapeutic instrumental music performance. The control group (N.=9) received its usual therapeutic input, similar to the intervention group, but not neurologic music therapy. Overall and specific “Chailey levels of Ability” were quantified, as well as the locomotor stages.
RESULTS: Significant improvements in the overall and specific “arm and hand position” as well as “activities” from the Chailey Levels of Ability and the locomotor stages were observed (P<0.05) in the group which received the music therapy. All these improvements persisted after 4 months. The control group showed no improvements after a four-month follow-up.
CONCLUSIONS: Optimized intervention of neurologic music therapy can improve the functionality of children with severe bilateral cerebral palsy.
CLINICAL REHABILITATION IMPACT: Music therapy is a useful tool in rehabilitation and its positive effects remain four months after completing the treatment.


KEY WORDS: Cerebral palsy - Rehabilitation - Upper extremity - Music therapy

inizio pagina