Music-based interventions in neurological rehabilitation.

Author: Sihvonen AJ1, Särkämö T2, Leo V2, Tervaniemi M3, Altenmüller E4, Soinila S5
Affiliation:
1Faculty of Medicine, University of Turku, Turku, Finland; Cognitive Brain Research Unit, Department of Psychology and Logopedics, Faculty of Medicine, University of Helsinki, Finland. Electronic address: ajsihv@utu.fi.
2Cognitive Brain Research Unit, Department of Psychology and Logopedics, Faculty of Medicine, University of Helsinki, Finland.
3Cognitive Brain Research Unit, Department of Psychology and Logopedics, Faculty of Medicine, University of Helsinki, Finland; CICERO Learning, University of Helsinki, Finland.
4Institute of Music Physiology and Musicians' Medicine, University of Music and Drama Hannover, Hanover, Germany.
5Department of Neurology, University of Turku, Turku, Finland; Division of Clinical Neurosciences, Turku University Hospital, Turku, Finland.
Conference/Journal: Lancet Neurol.
Date published: 2017 Jun 23
Other: Pages: S1474-4422(17)30168-0 , Special Notes: doi: 10.1016/S1474-4422(17)30168-0. [Epub ahead of print] , Word Count: 156


During the past ten years, an increasing number of controlled studies have assessed the potential rehabilitative effects of music-based interventions, such as music listening, singing, or playing an instrument, in several neurological diseases. Although the number of studies and extent of available evidence is greatest in stroke and dementia, there is also evidence for the effects of music-based interventions on supporting cognition, motor function, or emotional wellbeing in people with Parkinson's disease, epilepsy, or multiple sclerosis. Music-based interventions can affect divergent functions such as motor performance, speech, or cognition in these patient groups. However, the psychological effects and neurobiological mechanisms underlying the effects of music interventions are likely to share common neural systems for reward, arousal, affect regulation, learning, and activity-driven plasticity. Although further controlled studies are needed to establish the efficacy of music in neurological recovery, music-based interventions are emerging as promising rehabilitation strategies.

Copyright © 2017 Elsevier Ltd. All rights reserved.

PMID: 28663005 DOI: 10.1016/S1474-4422(17)30168-0

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