Value of musical instruments used by the therapist to elicit responses from individuals in various stages of Alzheimer's disease
Value of musical instruments used by the therapist to elicit responses from individuals in various stages of Alzheimer's disease
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DOI：
10.1093/jmt/43.3.226
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发表时间：
2006-09-01
影响因子：
1.9
通讯作者：
Grant, Roy E.
中科院分区：
文献类型：
--
作者：
Cevasco, Andrea M.;Grant, Roy E.
本研究的目的是确定治疗师使用的指定乐器的价值，以引起阿尔茨海默病（AD）患者在小组会议期间的反应。在实验1中，15个人在早期和中期阶段的AD呼应节奏模式发挥治疗师通过djembe，claves，桨鼓，和maraca。结果表明，使用的节奏模式，p <0.05;使用的仪器类型，p <0.05。仪器与节奏的相互作用存在显著差异，p <0.001。当治疗师在djembe上呈现节奏时，节奏准确性最高，其次是桨鼓，maraca和claves。最准确的节奏模式是8个八分之一音符，第二个是4个四分之一音符，第三个是2个八分之一音符，重复。10个处于AD中晚期的个体参与实验2。治疗条件包括治疗师使用的6种乐器，以在运动、唱歌和节奏活动中引起反应。在6种治疗条件下，任何级别（唱歌和移动/演奏，仅唱歌和移动/演奏）的平均参与率在无伴奏合唱期间最高（63%），其次是Djembe（61%），键盘（60%），吉他和Djembe（57%），然后是吉他（54%）和自动竖琴（54%）。在不考虑乐器的情况下，四项活动中任何级别的平均参与率如下：节奏活动为83%，运动活动为51%，第一次和第二次唱歌活动为49%。结果表明，治疗条件的显著差异，p <0.001，活动类型的显著差异，p <0.05。治疗条件与活动的相互作用存在显著差异，p <0.01。
The purpose of this study was to determine the value of designated musical instruments used by the therapist to elicit responses from persons with Alzheimer's disease (AD) during group sessions. In Experiment 1, 15 individuals in the early and middle stages of AD echoed rhythm patterns played by the therapist via the djembe, claves, paddle drum, and maraca. Results indicated significance for the rhythm patterns used, p < .05; and the types of instruments used, p < .05. A significant difference occurred for interaction of instruments by rhythms, p < .001. Rhythmic accuracy was highest when the therapist presented rhythms on the djembe, followed by the paddle drum, maraca, and claves. The most accurate rhythm pattern was 8 eighth-notes, the second most accurate was 4 quarter-notes, and the third was 2 eighths followed by a quarter note, repeated. Ten individuals in the middle to later stages of AD participated in Experiment 2. The treatment conditions consisted of 6 musical instruments used by the therapists to elicit responses during movement, singing, and rhythm activities. Average participation at any level (singing and moving/playing, singing only, and moving/playing only) in the 6 treatment conditions was highest during a cappella singing (63%), followed by djembe (61%), keyboard (60%), guitar and djembe (57%), and then guitar (54%) and autoharp (54%). Average participation at any level in the four activities, without any consideration of instruments, was as follows: 83% for the rhythm activity, 51% for the movement activity, and 49% for the first as well as second singing activity. Results indicated significant differences for the treatment conditions, p < .001, and for types of activities, p < .05. Significant difference, p < .01, occurred for interaction of treatment condition by activity.