音频训练对卒中患者执行功能障碍的作用

目的探讨Tomatis音频训练对卒中患者执行功能的影响。方法前瞻性纳入唐山市工人医院康复分院卒中患者80例,采用随机数字表法将研究对象分为音乐组和对照组各40例。两组均在常规康复训练的基础上进行音乐训练,给予对照组患者Tomatis常规音乐训练(无音频处理的常规频率音乐),给予音乐组患者Tomatis音频训练。两组同时进行训练,1次/d,60~90 min/次,共训练两个周期,其中第1周期为14 d,第2周期为10 d,两个周期间隔30 d,共54 d。音乐训练前后采用执行缺陷综合征行为学评价(BADS)系统对执行功能评测并行组间比较。结果训练后音乐组BADS的6个子项目:规则转换卡片测验、动作计划测验、找钥匙测验、时间判断测验、动物园布图测验、修订六元素测验及总标准分中位数分别为2.0(1.2,2.7)、2.0(1.0,2.0)、2.0(1.0,2.0)、2.0(1.0,2.0)、2.0(2.0,2.0)、2.0(2.0,3.0)和11.0(11.0,12.0),与对照组评分[分别为1.0(1.0,2.0)、1.0(1.0,2.0)、1.0(1.0,2.0)、1.0(1.0,2.0)、1.0(1.0,2.0)、1.0(1.0,1.0)和8.0(8.0,10.0)]比较,差异均有统计学意义(均P0.05)。结论 Tomatis音频训练可有效改善卒中患者的执行功能。

Effect of audio training on executive dysfunction in patients with stroke

Objective To investigate the effect of Tomatis audio training on executive dysfunction in patients with stroke. Methods A total of 80 stroke patients from the Rehabilitation Branch,Tangshan Worker′s Hospital were enrolled prospectively. They were divided into either a music group or a control group (n = 40 in each group)according to random number table. On the basis of conventional rehabilitation training,both groups received music training. The patients of the control group received conventional music training (conventional frequency music without audio processing);the patients of the music group received Tomatis audio training. Both groups were trained at the same time,once a day for 60 -90 min,and they were trained for 2 cycles. The first cycle was 14 days and the second one was 10 days,the interval of the 2 cycles was 30 days (a total of 54 days). The Behavioral Assessment of Dys-executive Syndrome (BADS)was used to assess their executive dysfunction before and after music training. Results The 6 sub-projects of BADS in the music group after music training:the rule shift cards test,action program test,key seek test, temporal judgment test,zoo map test,modified six elements test,and total standard score (median 75 ])2. 0 (1. 2,2. 7),2. 0 (1. 0,2. 0),2. 0 (1. 0,2. 0),2. 0 (1. 0,2. 0),2. 0 (2. 0,2. 0),2. 0 (2. 0,3. 0),and 11. 0 (11. 0,12. 0),respectively). They were compared with those of the control group (1. 0[1. 0,2. 0],1. 0[1. 0,2. 0],1. 0[1. 0,2. 0],1. 0[1. 0,2. 0],1. 0[1. 0,2. 0],1. 0[1. 0,1. 0],and 8. 0[8. 0,10. 0],respectively]. There were significant differences between the 2 groups (all P < 0. 05). Conclusion Tomatis audio training may effectively improve the executive function in patients with stroke.