音乐疗法对脑卒中所致单侧空间忽略的疗效观察

目的:观察应用音乐疗法对脑卒中单侧空间忽略患者的临床疗效。方法:将发病3个月内的54例脑卒中后偏侧忽略患者随机观察组和对照组,各27例。2组患者均接受常规康复治疗及宣教,观察组在此基础上予以音乐疗法干预,共8周。治疗前后采用凯瑟琳-波哥量表检查(CBS)、上肢简易Fugl-Meyer评分(FMA)和改良Barthel指数(MBI)评估2组患者单侧忽略的程度、上肢运动控制情况及日常生活活动能力的变化。结果:治疗8周后,2组CBS评分均较治疗前明显降低(均P0.05),观察组更低于对照组(P0.05);2组FMA及MBI评分较治疗前明显提高(均P0.05),观察组更高于对照组(P0.05)。结论:音乐疗法可在卒中后发病初期有效改善单侧空间忽略患者单侧忽略的程度,提高患者的上肢运动功能和日常生活活动能力。

Therapeutic effectiveness of music therapy for unilateral spatial neglect caused by stroke

Objective: To study the effectiveness of music therapy for unilateral spatial neglect (USN) caused by stroke. Methods: Fifth-four cases of USN caused by cerebral stroke in 3 months were randomly and equally divided into treatment group and control group. All patients received conventional rehabilitation therapy and propaganda, and treatment group received music therapy additionally. The efficacy in the two groups was assessed by Catherine Bergego Scale (CBS), Fugl-Meyer Assessment (FMA, for upper extremities), and Modified Barthel index (MBI). The assessment was performed before and 8 weeks after treatment. Results: After 8-week systematic rehabilitation, the scores of each assessment in two groups were increased significantly as compared with pre treatment (P<0.05). The scores of CBS, FMA and MBI in the treatment group were significantly higher than in the control group in the early stage after stroke (P<0.05). Conclusion: Conventional rehabilitation therapy combined with music therapy can effectively improve the ability of activities of daily living and ipsilateral athletic ability in USN patients.