Exercising to music combined with transcranial direct current stimulation improves the motor and cognitive functioning of persons with Parkinson′s disease
10.3760/cma.j.issn.0254-1424.2023.08.002
- VernacularTitle:音乐运动疗法联合经颅直流电刺激对帕金森病患者运动及认知功能的影响
- Author:
Shaopu WU
1
;
Xue LI
;
Yawei QI
;
Heng WANG
;
Jianjun MA
Author Information
1. 河南省人民医院(郑州大学人民医院)神经内科,郑州 450003
- Keywords:
Parkinson′s disease;
Music exercise therapy;
Transcranial direct current stimulation;
Motor functioning;
Cognitive functioning
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2023;45(8):678-682
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To observe any effect of combining music exercise with transcranial direct current stimulation (tDCS) on the motor control, balance and cognition of persons with Parkinson′s disease (PD).Methods:A total of 120 PD patients were randomly divided into a control group, a music exercise group, a tDCS group and a combined group, each of 30. All received routine rehabilitation training, while the music exercise, tDCS and combined groups were additionally provided with music exercise therapy, tDCS treatment or both, respectively. Version three of the unified Parkinson′s disease scale (UPDRSIII), a 10m reentry movement test, the Berg balance scale (BBS), the Activity Balance Confidence scale (ABC) and Montreal cognitive assessments were applied before and after 4 weeks of the treatments.Results:After the treatment, the average UPDRSIII score and 10m reentry movement time of the music exercise group were significantly lower than in the control group, while the average BBS and ABC scores were significantly higher than the control group′s averages. The tDCS group′s average MoCA scores on all of the items and its total score were significantly higher than those of the music exercise and control groups. The average UPDRSIII score and 10m reentry movement time of the combined group were the lowest after the treatment, and that group′s average BBS, ABC, MoCA and total scores were the highest, significantly better than the other three groups.Conclusion:Combining music exercise training with tDCS can effectively improve the motor functioning, balance and cognition of persons with PD.