Music-based physical therapy in Parkinson's disease: An approach based on international Classification of Functioning,Disability and Health |
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| Affiliation: | 1. Professor of Physical Therapy, Federal University of Triângulo Mineiro, Uberaba, Minas Gerais, Brazil;2. Undergraduate of Federal University of Triângulo Mineiro, Uberaba, Minas Gerais, Brazil;3. Master in Physical Therapy of Federal University of Triângulo Mineiro, Uberaba, Minas Gerais, Brazil;1. Department of Biomechanics, University of Nebraska at Omaha, Omaha, NE 68184, United States;2. Department of Neurological Sciences, University of Nebraska Medical Center, Omaha, NE 68198, United States;1. Program in Physical Therapy, Washington University in St. Louis School of Medicine, St. Louis, MO, USA;2. Department of Neurology, Washington University in St. Louis School of Medicine, St. Louis, MO, USA;3. Department of Neuroscience, Washington University in St. Louis School of Medicine, St. Louis, MO, USA;1. Department of Neurology and Neurorehabilitation, Istituto Auxologico Italiano, IRCCS, Piancavallo, Verbania, Italy;2. Clinica Le Terrazze, Cunardo, Varese, Italy;3. Department of Translational Medicine, Section of Neurology, University of Eastern Piedmont “Amedeo Avogadro”, Novara, Italy;4. Fondazione Maugeri, Turin, Italy;5. University of Turin, “Rita Levi Montalcini, Department”, Italy;1. Department of Kinesiology, University of North Carolina at Greensboro, Greensboro, NC, USA;2. Department of Applied Physiology and Kinesiology, University of Florida, Gainesville, FL, USA;1. CNRF, Physical Medicine and Sport Traumatology Department, University Hospital of Liege, Rue Champ des Alouettes 30, 4557 Tinlot, Belgium;2. Coma Science Group, GIGA-Consciousness, University of Liège, Belgium;3. WHO Collaborating Center for Public Health aspects of musculo-skeletal health and ageing, Division of Public Health, Epidemiology and Health Economics, University of Liège, Belgium;4. Physiotherapy Department, Haute École Robert Schuman of Libramont, Libramont, Belgium |
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| Abstract: | IntroductionSeveral studies suggests that the provision of auditory cues with music could be beneficial for people with Parkinson's Disease (PD). The aim of the study was to evaluate the effects of music-based physical therapy on the international Classification of Functioning, Disability and Health (ICF) components: disability, cognition, muscle strength, balance, and functional mobility.MethodsThis was a controlled, non-randomized clinical trial involving 13 individuals with PD assessed at three times: baseline, period 1 (treatment), and period 2 (no treatment). The variables analyzed were: disability by Unified Parkinson's Disease Rating Scale (UPDRS) and Hoehn & Yahr (H&Y), cognitive function by Trail Making Test, muscle strength by Medical Research Council (MRC) and sitting-rising (SR) test, balance and functional mobility by Berg Balance Scale (BBS) and Timed up and Go (TUG). ANOVA with post-hoc multiple comparison was used to determine statistical differences between the baseline, period 1 and 2.Resultsthere was statistically significant difference among the period 1 and 2 for the cognitive function; there was a statistically significant difference between the period 1 and 2 in SR test; in the balance evaluation by BBS, an increase was observed between the baseline and the period 1, followed by a decrease in period 2; in the TUG, there was an increase between the period 1 and 2.Conclusionthe music-based physical therapy, according to the ICF construct, was able to improve balance and functional mobility in individuals with PD. The functional gains were not maintained when the therapy was discontinued. |
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| Keywords: | Parkinson's disease Music Physical therapy Rehabilitation ICF |
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