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An integrative cognitive rehabilitation using neurologic music therapy in multiple sclerosis: A pilot study

机译：使用多发性硬化症中的神经系统音乐治疗的一体化认知康复：试点研究

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Background: Multiple sclerosis (MS) is a demyelinating disease, affecting both the sensorimotor and cognitive systems. The typical pattern of cognitive impairment includes reduced speed of information processing, decreased phonological and semantic speech fluency, deficits in verbal and visual episodic memory, as well as attention and executive dysfunctions. We aimed to investigate the influence of the neurologic music therapy (NMT) on mood, motivation, emotion status, and cognitive functions in patients with MS. Methods: Thirty patients with MS were randomly divided in 2 groups: the control group (CG) undergoing conventional cognitive rehabilitation (CCR), 6 times a week for 8 weeks, and the experimental group (EG) undergoing CCR 3 times a week for 8 weeks plus NMT techniques, performed 3 times a week for 8 weeks. All the participants were submitted to the same amount of treatment. Each patient was evaluated before (baseline: T0) and immediately after the end of each training (T1). Main outcomes measures: We used as main outcome measure: the brief repeatable battery of neuropsychological test to assess various cognitive abilities; and the multiple sclerosis quality of life-54 (MSQoL-54). Results: Both the groups benefit from 8 weeks of CR. In particular, the EG got better results in cognitive function, with regard to selective reminding test long term storage ( P .000), long term retrieval ( P = .007), and delayed recall of the 10/36 spatial recall test ( P = .001), as compared with the CG. Moreover, the improvement in emotional status, motivation, mood and quality of life (with regard to the mental component; P .000) was more evident in the EG. Conclusions: NMT could be considered a complementary approach to enhance CCR in patients affected by MS.
机译：背景：多发性硬化症（MS）是一种脱髓鞘疾病，影响感觉电机和认知系统。认知障碍的典型模式包括减少信息处理的速度，降低语音和语义语义流畅性，口头和视觉情节内存的缺陷，以及注意力和行政功能障碍。我们的目标是探讨神经系统音乐治疗（NMT）对MS患者情绪，动机，情感状态和认知功能的影响。方法：30名患者患者随机分为2组：治疗常规认知康复（CCR）的对照组（CC），每周持续8周，每周进行4次CCR的实验组（例如）3次几周加上NMT技术，每周进行3次持续8周。所有参与者都提交到相同的待遇。每位患者在每次训练结束后（T1）后立即评估每位患者。主要成果措施：我们用作主要结果措施：短暂的可重复电池的神经心理学测试，以评估各种认知能力;和寿命的多发性硬化质量-54（MSQOL-54）。结果：群体均可从8周的CR中受益。特别地，例如在认知函数中获得更好的结果，关于选择性提醒测试长期存储（P <.00），长期检索（P = .007），并延迟回忆10/36空间召回测试（ P = .001），与CG相比。此外，在EG的情况下改善了情绪状况，动机，情绪和生活质量（关于精神组分; P <.00）更明显。结论：NMT可以被认为是增强受MS影响的患者CCR的互补方法。

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