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Effects of short-term piano training on measures of finger tapping, somatosensory perception and motor-related brain activity in patients with cerebral palsy

机译:短期钢琴训练对脑瘫患者手指敲击,体感知觉和运动相关脑活动的影响

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Playing a musical instrument demands the integration of sensory and perceptual information with motor processes in order to produce a harmonic musical piece. The diversity of brain mechanisms involved and the joyful character of playing an instrument make musical instrument training a potential vehicle for neurorehabilitation of motor skills in patients with cerebral palsy (CP). This clinical condition is characterized by motor impairments that can affect, among others, manual function, and limit severely the execution of basic daily activities. In this study, adolescents and adult patients with CP, as well as a group of typically developing children learned to play piano for 4 consecutive weeks, having completed a total of 8?hours of training. For ten of the participants, learning was supported by a special technical system aimed at helping people with sensorimotor deficits to better discriminate fingers and orient themselves along the piano keyboard. Potential effects of piano training were assessed with tests of finger tapping at the piano and tests of perception of vibratory stimulation of fingers, and by measuring neuronal correlates of motor learning in the absence of and after piano training. Results were highly variable especially among participants with CP. Nevertheless, a significant effect of training on the ability to perceive the localization of vibrations over fingers was found. No effects of training on the performance of simple finger tapping sequences at the piano or on motor-associated brain responses were registered. Longer periods of training are likely required to produce detectable changes.
机译:演奏乐器需要将感官和知觉信息与运动过程相结合,以产生谐和的音乐作品。所涉及的大脑机制的多样性和弹奏乐器的快乐特性使乐器培训成为脑瘫(CP)患者运动技能的神经康复的潜在载体。这种临床状况的特征是运动障碍,其中可能会影响手动功能,并严重限制基本日常活动的执行。在这项研究中,青少年和成人CP患者,以及一群典型的发育中儿童,已经完成了总共8个小时的训练,连续4周学会弹钢琴。对于十名参与者,学习受到特殊技术系统的支持,该系统旨在帮助有感觉运动缺陷的人更好地辨别手指并沿着钢琴键盘定向自己。通过在钢琴上敲击手指的测试和手指振动刺激的感知测试,以及在没有或没有钢琴训练之后,通过测量运动学习的神经元相关性,来评估钢琴训练的潜在效果。结果差异很大,尤其是在CP参与者中。然而,发现训练对感知手指上的振动的定位的能力具有显着影响。没有记录到训练对钢琴上简单的手指轻敲序列的演奏或与运动相关的大脑反应的影响。可能需要更长的培训时间才能产生可​​察觉的变化。

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