Effects of movement music therapy with a percussion instrument on physical and frontal lobe function in older adults with mild cognitive impairment: a randomized controlled trial

Autor: Nobuko Shimizu, Masahiro Matsunaga, Tomohiro Umemura, Takayoshi Hirai
Rok vydání: 2017
Předmět:
Male
medicine.medical_specialty
InformationSystems_INFORMATIONINTERFACESANDPRESENTATION(e.g.
HCI)
Prefrontal Cortex
behavioral disciplines and activities
law.invention
Task (project management)
03 medical and health sciences
0302 clinical medicine
Rhythm
Physical medicine and rehabilitation
Randomized controlled trial
030502 gerontology
law
mental disorders
medicine
Humans
Cognitive Dysfunction
Single-Blind Method
Cognitive impairment
Music Therapy
Aged
Aged
80 and over
Spectroscopy
Near-Infrared
Movement (music)
Percussion
Cognition
Exercise Therapy
Psychiatry and Mental health
Treatment Outcome
Frontal lobe
Cerebrovascular Circulation
Physical therapy
Female
Geriatrics and Gerontology
Pshychiatric Mental Health
0305 other medical science
Psychology
Gerontology
psychological phenomena and processes
030217 neurology & neurosurgery
Psychomotor Performance
Zdroj: Agingmental health. 22(12)
ISSN: 1364-6915
Popis: We tested the hypothesis that performing a rhythmic physical task accompanied by a cognitive task, such as multitask movement music therapy (MMT) involving repetitive rhythmic movement with a musical instrument (the Naruko clapper), may improve pre-frontal cortex (PFC) function and cognitive performance.Forty-five older adult participants with MCI (74.62 ± 5.05 years) participated in this randomized, controlled, single-blind intervention trial. 35 were assigned to the MMT group and 10 to the control STT group. Before and after the 12-week exercise program, we administered six physical function tests, the Frontal Assessment Battery (FAB), and measured relative oxyhemoglobin concentrations using 45-multichannel functional near-infrared spectroscopy as a reflection of hemodynamic responses in the PFC.We observed significant improvements in FAB scores only in the MMT group. Cerebral blood flow (CBF) in the PFC during the exercise was significantly increased in the MMT group compared with the STT group. The CBF increase was significantly correlated among various channels in the MMT group.The MMT program appeared to stimulate the PFC and improve cognitive performance in our older adult participants with MCI, suggesting that the repetitive, rhythmic movements of MMT can activate the prefrontal area in older adults.Clinical Trial Registry Numbers: R000026130, UMIN000022671 (2016/06/08) [(University Hospital Medical Information Network (UMIN) Center] retrospectively registered.
Databáze: OpenAIRE
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