Influence of Rhythmic Auditory Stimulation using music associated with physical therapy on depressive symptoms in Parkinson’s

Authors

DOI:

https://doi.org/10.1590/1809-2950/200258011022PT

Keywords:

Parkinson´s Disease, Music, Depression, Acoustic Stimulation

Abstract

Depressive symptoms are commonly found
in Parkinson’s disease and are considered an important
factor for an individual’s poor quality of life and disability.
Therapeutic interventions based on rhythm and music, such
as rhythmic auditory stimulation, have been used to treat
the mobility and seem to positively influence on mood.
This study aims to evaluate the effect of rhythmic auditory
stimulation using music associated with physical therapy on
mood in individuals with Parkinson’s, with an emphasis on
depressive symptoms. This is a quasi-experimental study
with a final sample of 18 patients aged 40–80 years, with a
clinical diagnosis of idiopathic Parkinson’s disease, in the mild
to moderate stages of the disease. Patients were randomized
into two groups: Rhythmic Auditory Stimulation and Control
Groups. Depressive symptoms were assessed using the
Portuguese version of the Beck Depression Inventory. Both
groups reduced their The Beck Depression Inventory scores. However, only in the Rhythmic Auditory Stimulation Group the
reduction was significant, with a mean difference in the inventory
score three times greater than the Control Group.

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References

Barbosa MT, Caramelli P, Maia DP, Cunningham MCQ, Guerra

HL, Lima-Costa MF, et al. Parkinsonism and Parkinson’s disease

in the elderly: a community-based survey in Brazil (the Bambuí

study). Mov Disord. 2006;21(6):800-8. doi: 10.1002/mds.20806.

Knipe MDW, Wickremaratchi MM, Wyatt-Haines E, Morris

HR, Ben-Sholomo Y. Quality of life in young- compared with

late-onset Parkinson’s disease. Mov Disord. 2011;26(11):2011-8.

doi: 10.1002/mds.23763.

Souza RG, Borge V, Silva SMCA, Ferraz HB. Quality of life

scale in Parkinson’s disease: PDQ-39 – (Brazilian Portuguese

version) to assess patients with and without levodopa

motor fluctuation. Arq Neuropsiquiatr. 2007;65(3-B):787-91.

doi: 10.1590/S0004-282X2007000500010.

Sveinbjornsdottir S. The clinical symptoms of Parkinson’s

disease. J Neurochem. 2016;139(Suppl 1):318-24.

doi: 10.1111/jnc.13691.

Schrag A, Barone P, Brown RG, Leentjens AFG, McDonald

WM, Starkstein S, et al. Depression rating scales in Parkinson’s

disease: critique and recommendations. Mov Disord.

;22(8):1077-92. doi: 10.1002/mds.21333.

Marsh L. Depression and Parkinson’s disease: current

knowledge. Curr Neurol Neurosci Rep. 2013;13(12):409.

doi: 10.1007/s11910-013-0409-5.

Raglio A, Attardo L, Gontero G, Rollino S, Groppo E,

Granieri E. Effects of music and music therapy on mood in

neurological patients. World J Psychiatry. 2015;5(1):68-78.

doi: 10.5498/wjp.v5.i1.68.

Thaut MH, McIntosh GC, Rice RR, Miller RA, Rathbun J,

Brault JM. Rhythmic auditory stimulation in gait training for

Parkinson’s disease patients. Mov Disord. 1996;11(2):193-200.

doi: 10.1002/mds.870110213.

Koshimori Y, Thaut MH. Future perspectives on neural

mechanisms underlying rhythm and music based

neurorehabilitation in Parkinson’s disease. Ageing Res Rev.

;47:133-9. doi: 10.1016/j.arr.2018.07.001.

François C, Grau-Sánchez J, Duarte E, Rodriguez-Fornells A.

Musical training as an alternative and effective method for

neuro-education and neuro-rehabilitation. Front Psychol.

;6:475. doi: 10.3389/fpsyg.2015.00475.

Bella SD, Dotov D, Bardy B, Cock VC. Individualization of musicbased rhythmic auditory cueing in Parkinson’s disease. Ann

N Y Acad Sci. 2018;1423(1):308-17. doi: 10.1111/nyas.13859.

Sihvonen AJ, Särkämö T, Leo V, Tervaniemi M,

Altenmüller E, Soinila S. Music-based interventions in

neurological rehabilitation. Lancet Neurol. 2017;16(8):648-60.

doi: 10.1016/S1474-4422(17)30168-0.

Zhou Z, Zhou R, Wei W, Luan R, Li K. Effects of music-based

movement therapy on motor function, balance, gait, mental

health, and quality of life for patients with Parkinson’s

disease: a systematic review and meta-analysis. Clin Rehabil.

;35(7):937-51. doi: 10.1177/0269215521990526.

Brasil. Ministério da Saúde. Portaria Conjunta nº 10, de

de outubro de 2017: aprova o Protocolo Clínico e Diretrizes

Terapêuticas da Doença de Parkinson. Diário Oficial da União [Internet]. 2017 nov 9 [cited 2022 nov 8];1:60. Available

from: https://www.in.gov.br/materia/-/asset_publisher/

Kujrw0TZC2Mb/content/id/19402535/do1-2017-11-09-portariaconjunta-n-10-de-31-de-outubro-de-2017-19402408

Hoehn MM, Yahr MD. Parkinsonism: onset, progression, and

mortality. Neurology. 1967;17(5):427-42.

Folstein MF, Folstein SE, Mchugh PR. “Mini-mental state”:

a practical method for grading the cognitive state of

patients for the clinician. J Psychiatric Res. 1975;12(3):189-98.

doi: 10.1016/0022-3956(75)90026-6.

Watson MJ. Refining the ten-metre walking test for use with

neurologically impaired people. Physiotherapy. 2002;88(7):

-97. doi: 10.1016/S0031-9406(05)61264-3.

Azevedo IM, Gondim ITGO, Silva KMC, Oliveira CA, Lins CCSA,

Coriolano MGWS. Repercussões da estimulação auditiva rítmica

sobre a funcionalidade na doença de Parkinson. Fisioter Mov.

;34:e34116. doi: 10.1590/fm.2021.34116.

Gondim ITGO, Azevedo IM, Lins CCSA, Lins OG, Cori MGWS.

Efeitos do uso de um aplicativo com Estimulação Auditiva

Rítmica com música associado a um protocolo de fisioterapia

sobre a marcha e a mobilidade funcional na doença de

Parkinson: uma série de casos. Estud Interdiscip Envelhec.

;25(Suppl):100-14. doi: 10.22456/2316-2171.118159.

Keus SHJ, Bloem BR, Verbaan D, Jonge PA, Hofman M,

van Hilten BJ, et al. Physiotherapy in Parkinson’s disease:

utilisation and patient satisfaction. J Neurol. 2004;251(6):680-7.

doi: 10.1007/s00415-004-0402-7.

Keus SHJ, Bloem BR, Hendriks EJM, Bredero-Cohen AB,

Munneke M. Evidence-based analysis of physical therapy in

Parkinson’s disease with recommendations for practice and

research. Mov Disord. 2007;22(4):451-60. doi: 10.1002/mds.21244.

Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An inventory

for measuring depression. Arch Gen Psychiatry. 1961;4(6):561-71.

doi: 10.1001/archpsyc.1961.01710120031004.

Gomes-Oliveira MH, Gorenstein C, Lotufo Neto F,

Andrade LH, Wang YP. Validação da versão brasileira em

português do Inventário de Depressão de Beck-II numa

amostra da comunidade. Rev Bras Psiquiatr. 2012;34(4):

-94. doi: 10.1016/j.rbp.2012.03.005.

Brancatisano O, Baird A, Thompson WF. Why is music

therapeutic for neurological disorders? The Therapeutic Music

Capacities Model. Neurosci Biobehav Rev. 2020;112:600-15.

doi: 10.1016/j.neubiorev.2020.02.008.

García-Casares N, Martín-Colom JE, García-Arnés JA.

Music therapy in Parkinson’s disease. J Am Med Dir Assoc.

;19(12):1054-62. doi: 10.1016/j.jamda.2018.09.025.

Särkämö T. Music for the ageing brain: cognitive, emotional,

social, and neural benefits of musical leisure activities

in stroke and dementia. Dementia. 2018;17(6):670-85.

doi: 10.1177/1471301217729237.

Särkämö T, Ripollés P, Vepsäläinen H, Autti T, Silvennoinen

HM, Salli E, et al. Structural changes induced by daily music

listening in the recovering brain after middle cerebral artery

stroke: a voxel-based morphometry study. Front Hum Neurosci.

;8:245. doi: 10.3389/fnhum.2014.00245.

Alcântara-Silva TR, Freitas-Junior R, Freitas NMA, Paula

W Jr, Silva DJ, Machado GDP, et al. Music therapy reduces

radiotherapy-induced fatigue in patients with breast or

gynecological cancer: a randomized trial. Integr Cancer Ther.

;17(3):628-35. doi: 10.1177/1534735418757349.

Lewis C, Annett LE, Davenport S, Hall AA, Lovatt P. Mood

changes following social dance sessions in people with

Parkinson’s disease. J Health Psychol. 2016;21(4):483-92.

doi: 10.1177/1359105314529681.

Bhattacharyya KB, Rosa-Grilo M. Chapter Twenty-Nine – Sexual

dysfunctions in Parkinson’s disease: an underrated problem in

a much discussed disorder. Int Rev Neurobiol. 2017;134:859-76.

doi: 10.1016/bs.irn.2017.05.019.

Aalbers S, Fusar-Poli L, Freeman RE, Spreen M, Ket JCF,

Vink AC, et al. Music therapy for depression. Cochrane

Database Syst Rev. 2017;(11):CD004517. doi: 10.1002/14651858.

CD004517.pub3.

Published

2022-12-12

Issue

Section

Original Research

How to Cite

Influence of Rhythmic Auditory Stimulation using music associated with physical therapy on depressive symptoms in Parkinson’s. (2022). Fisioterapia E Pesquisa, 29(4), 336-341. https://doi.org/10.1590/1809-2950/200258011022PT