Group-based music intervention in Parkinson's disease - findings from a mixed-methods study
Pohl P, Wressle E, Lundin F, Enthoven P, Dizdar N
Clinical rehabilitation · 57 citations
How it was studied
- Design
- Randomized controlled trial (indexed by PubMed)
- Studied in
- People
- Main outcome
- Health markers and function
Who paid for it
- Funding
- Independent funding
- Nonprofit
- Stiftelsen Tornspiran
- University or hospital
- Linkӧping University Hospital Research Fund
- Government
- Region Östergӧtland
- Nonprofit
- Neuro Sweden
- Nonprofit
- Henry and Ella Margareta Ståhls Foundation
- Nonprofit
- stiftelsen tornspiran
- Nonprofit
- Swedish Parkinson’s foundation
Based on 7 listed funder(s).
Publication
- Published
- 2020-02-19 · Clin Rehabil · vol. 34 · issue 4 · pp. 533–544
- Publisher
- SAGE Publishing
- Cited
- 93 citations · more than 98% of similar papers · 7.3× the field average
- Impact
- Top 10% most cited in its field
- References
- 42 works
- Access
- Open access (hybrid journal) · CC-BY
- Research areas
- Music Therapy and Health · Balance, Gait, and Falls Prevention · Occupational Therapy Practice and Research
- Keywords
- Physical therapy, Randomized controlled trial, Intervention (counseling), Medicine, Neurorehabilitation, Mood, Quality of life (healthcare), Psychological intervention, Parkinson's disease, Psychology, Rehabilitation, Physical medicine and rehabilitation, Clinical psychology, Disease, Psychiatry, Nursing, Internal medicine
- MeSH
- humans, parkinson disease, gait, music therapy, single-blind method, attention, accidental falls, quality of life, aged, middle aged, female, male, physical therapy modalities, postural balance, neurological rehabilitation
5 authors
From SE
- Petra Pohl · correspondingLinköping University
- Ewa WressleLinköping University
- Fredrik LundinLinköping University
- Paul EnthovenLinköping University
- Nil DizdarLinköping University
Abstract
Objective
To evaluate a group-based music intervention in patients with Parkinson's disease.
Design
Parallel group randomized controlled trial with qualitative triangulation.
Setting
Neurorehabilitation in primary care.
Subjects
Forty-six patients with Parkinson's disease were randomized into intervention group (n = 26), which received training with the music-based intervention, and control group (n = 20) without training.
Interventions
The intervention was delivered twice weekly for 12 weeks.
Main measures
Primary outcome was Timed-Up-and-Go subtracting serial 7's (dual-task ability). Secondary outcomes were cognition, balance, concerns about falling, freezing of gait, and quality of life. All outcomes were evaluated at baseline, post-intervention, and three months post-intervention. Focus groups and individual interviews were conducted with the intervention group and with the delivering physiotherapists.
Results
No between-group differences were observed for dual-task ability. Between-group differences were observed for Falls Efficacy Scale (mean difference (MD) = 6.5 points; 95% confidence interval (CI) = 3.0 to 10.0, P = 0.001) and for Parkinson Disease Questionnaire-39 items (MD = 8.3; 95% CI = 2.7 to 13.8, P = 0.005) when compared to the control group post-intervention, but these were not maintained at three months post-intervention. Three themes were derived from the interviews: Expectations versus Results, Perspectives on Treatment Contents, and Key Factors for Success.
Conclusion
Patient-reported outcomes and interviews suggest that the group-based music intervention adds value to mood, alertness, and quality of life in patients with Parkinson's disease. The study does not support the efficacy in producing immediate or lasting gains in dual-tasking, cognition, balance, or freezing of gait.
Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY).
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