Efficacy of Multidisciplinary Rehabilitation

http://www.neurology.org/cgi/content/meeting_abstract/78/1_MeetingAbstracts/P06.069

Neurology, 78(2012), pp. 6-69.

Title: Efficacy of Multidisciplinary Rehabilitation Combined Music Therapy with Physical Therapy and Occupational Therapy for Motor and Nonmotor Symptoms in Parkinson’s Disease Patients (P06.069)

Authors: Shiho Okuda, Minako Kajita, Takahiro Urabe, Toshihide Inagaki, Ikumi Yamagata, Masayuki Shirakawa, Takehiro Ueda, Fumio Kanda8 and Shin Takano – Department of Neurology Hyogo Rehabilitation Center Hospital, Kobe, Japan.

Abstract
Objective: To evaluate efficacy of the multidisciplinary rehabilitation combined music therapy (MT) with physical therapy (PT) and occupational therapy (OT) for Parkinson’s disease (PD) patients.

Background Gait deficits are often resistant to pharmacologic treatment despite the general effectiveness of dopaminergic drug therapy. The use of auditory cue to facilitate locomotor activity has been mentioned as one form of nonpharmacologic treatment.

Design/Methods: Fifteen in-patients with idiopathic PD (Hoehn-Yahr stage II-IV) entered a 5-week rehabilitation program consisting of a combination of PT, OT with rhythmic auditory stimulation for a total of 1.5 hours per day, 5 days per week. They also received active MT for 40 minutes per day, 4 days per week. Active MT was based on the improvisation of music by the therapist and each patient, who play an active part by using instruments and voice. Patients were evaluated with the Unified Parkinson’s Disease Rating Scale (UPDRS), Functional Independence Measure (FIM), basic gait parameters, 50 m long with 4 turns, Zung’s Self Rating Depression Scale, Wisconsin Card Sorting Test, % vital capacity, maximum phonation time (MPT), clinical assessment for spontaneity (CAS), music therapy checklist (MTCL) at baseline and after 5 weeks.

Results: Significant improvements of the UPDRS scores (part II, part III), FIM (motor, cognitive), basic gait parameters (gait velocity, stride length), 50 m long with 4 turns, MPT, CAS, and MTCL were present after the rehabilitation phase.

Conclusions: The multidisciplinary rehabilitation combined MT with PT and OT for PD patients can improve their ADL, gait ability and spontaneity.

Disclosure: Dr. Okuda has nothing to disclose. Dr. Kajita has nothing to disclose. Dr. Urabe has nothing to disclose. Dr. Inagaki has nothing to disclose. Dr. Yamagata has nothing to disclose. Dr. Shirakawa has nothing to disclose. Dr. Ueda has nothing to disclose. Dr. Kanda has nothing to disclose. Dr. Takano has nothing to disclose.

KEYWORDS: Neurology, Music Therapy, Physical Therapy, Occupational Therapy, Multidisciplinary research, Parkinson’s disease