Article

Neurologic music therapy has demonstrated improved walking
performance in persons with neurologic disease; however,
little evidence supports
the use of music with functional resistance exercise to improve motor capacity
and daily functions for children with cerebral palsy.
OBJECTIVE: To investigate
the effect of additional patterned sensory enhancement (PSE) music combined with
exercise for children with spastic diplegia. METHODS: An assessor-blind,
randomized controlled trial with 6- and 12-week follow-ups was carried out.
Thirty-six children with spastic diplegia, aged 5 to 13 years, were assigned to a
PSE group (n = 18) or a no-music group (n = 18). Both groups received 6-week,
home-based, loaded sit-to-stand exercise, but only the PSE group exercised with
prerecorded PSE music. The primary outcome was Gross Motor Function Measure
(GMFM). Secondary outcomes included Pediatric Evaluation of Disability Inventory
(PEDI) mobility and self-care domains, 1-repetition maximum of sit-to-stand, and
walking speeds. RESULTS: Three children did not complete the program.
Intention-to-treat analysis showed both groups improved in GMFM D, E, and Goal
dimensions; Functional Skills Scales of PEDI mobility domain; and 1-repetition
maximum of sit-to-stand at posttest and follow-ups (P </= .005). The PSE group
improved significantly greater than the no-music group in the GMFM D and Goal
dimensions (P < .005) after training, and the improvement persisted for at least
6 or 12 weeks (P </= .013). No significant improvements in the rest PEDI scales
and walking speeds were found. CONCLUSIONS: Adding neurologic music therapy to
functional resistance exercise could induce greater improvements in gross motor
capacity for children with cerebral palsy.

Langue : ANGLAIS