Music Therapy in Parkinson's Disease

摘要

ObjectivesParkinson's disease (PD) is a chronic progressive neurologic disorder involving degeneration of the dopaminergic system. Its clinical manifestations include motor and nonmotor symptoms. Several nonpharmacologic therapies, such as music therapy (MT), have recently been developed in order to improve the clinical manifestations of this disease. The aim of this narrative literature review is to analyze the scientific evidence for the therapeutic effects of music in PD. DesignWe undertook a search in the databases of PubMed, PsycINFO, Scopus, MEDLINE, and Science Direct. Settingand ParticipantsInclusion criteria were articles including persons with PD rehabilitated with an MT intervention. MeasuresKeywords used weremusic therapy,Parkinson's disease,auditory cueing,non-motor symptoms,motor symptoms, andquality of life. ResultsWe detected a total of 27 articles, all of which analyzed the therapeutic effects of MT in PD. Of these, 20 studies analyzed the effects in motor symptoms (16 showed beneficial effects and 4, nonbeneficial effects); 9 studies analyzed the effects in nonmotor symptoms, 7 of which demonstrated beneficial effects; and 8 studies analyzed the effects on quality of life, with 6 reporting benefits. None of the articles analyzing nonmotor symptoms and quality of life showed negative effects. Conclusions/ImplicationsMost of the studies analyzed demonstrated that MT has beneficial effects for the nonpharmacologic treatment of motor and nonmotor symptoms and quality of life of persons with PD. The use of music as a therapeutic tool combined with conventional therapies should be taken into account.