Musical dual-task training in patients with mild-to-moderate dementia: a randomized controlled trial

Yu-Ling Chen,1,2 Yu-Cheng Pei3–6 1Department of Music, Southwestern Oklahoma State University, Weatherford, OK, USA; 2Division of Music Education and Music Therapy, University of Kansas, Lawrence, KS, USA; 3Department of Physical Medicine and Rehabilitation, Chang Gung Memorial Hospital,...

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Autores principales:	Chen YL, Pei YC
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2018
Materias:	Music therapy dementia attention agitation incidental falls Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/149f8058f0b9428c8e52512c3617d286
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spelling	oai:doaj.org-article:149f8058f0b9428c8e52512c3617d2862021-12-02T01:50:06ZMusical dual-task training in patients with mild-to-moderate dementia: a randomized controlled trial1178-2021https://doaj.org/article/149f8058f0b9428c8e52512c3617d2862018-05-01T00:00:00Zhttps://www.dovepress.com/musical-dual-task-training-in-patients-with-mild-to-moderate-dementia--peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Yu-Ling Chen,1,2 Yu-Cheng Pei3–6 1Department of Music, Southwestern Oklahoma State University, Weatherford, OK, USA; 2Division of Music Education and Music Therapy, University of Kansas, Lawrence, KS, USA; 3Department of Physical Medicine and Rehabilitation, Chang Gung Memorial Hospital, Taoyuan, Taiwan; 4Center of Vascularized Tissue Allograft, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan; 5School of Medicine, Chang Gung University, Taoyuan, Taiwan; 6Healthy Aging Research Center, Chang Gung University, Taoyuan, Taiwan Background/aims: Dual-task training may improve dual-task gait performance, balance, and cognition in older adults with and without cognitive impairment. Although music has been widely utilized in dementia management, there are no existing protocols for music-based dual-task training. This randomized controlled study developed a Musical Dual-Task Training (MDTT) protocol that patients with dementia can use to practice walking and making music simultaneously, to enhance attention control in patients during dual-tasking.Methods: Twenty-eight adults diagnosed with mild-to-moderate dementia were assigned to the MDTT (n=15) or control groups (n=13). The MDTT group received MDTT, while the control group participated in non-musical cognitive and walking activities. The effects of MDTT were evaluated through the primary outcome of attention control, and secondary outcomes of dual-task performance, balance, falls efficacy, and agitation.Results: The MDTT group showed a significant improvement in attention control, while the control group did not (P<0.001). A significant effect favored MDTT over control treatment for the secondary outcome of falls efficacy (P=0.02) and agitation (P<0.01).Conclusion: MDTT, a music therapy intervention that demands a high level of cognitive processing, enhances attention control, falls efficacy, and helps alleviate agitation in patients with mild-to-moderate dementia. Keywords: music therapy, dementia, attention, agitation, incidental falls Chen YLPei YCDove Medical PressarticleMusic therapydementiaattentionagitationincidental fallsNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 14, Pp 1381-1393 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	Music therapy dementia attention agitation incidental falls Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	Music therapy dementia attention agitation incidental falls Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Chen YL Pei YC Musical dual-task training in patients with mild-to-moderate dementia: a randomized controlled trial
description	Yu-Ling Chen,1,2 Yu-Cheng Pei3–6 1Department of Music, Southwestern Oklahoma State University, Weatherford, OK, USA; 2Division of Music Education and Music Therapy, University of Kansas, Lawrence, KS, USA; 3Department of Physical Medicine and Rehabilitation, Chang Gung Memorial Hospital, Taoyuan, Taiwan; 4Center of Vascularized Tissue Allograft, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan; 5School of Medicine, Chang Gung University, Taoyuan, Taiwan; 6Healthy Aging Research Center, Chang Gung University, Taoyuan, Taiwan Background/aims: Dual-task training may improve dual-task gait performance, balance, and cognition in older adults with and without cognitive impairment. Although music has been widely utilized in dementia management, there are no existing protocols for music-based dual-task training. This randomized controlled study developed a Musical Dual-Task Training (MDTT) protocol that patients with dementia can use to practice walking and making music simultaneously, to enhance attention control in patients during dual-tasking.Methods: Twenty-eight adults diagnosed with mild-to-moderate dementia were assigned to the MDTT (n=15) or control groups (n=13). The MDTT group received MDTT, while the control group participated in non-musical cognitive and walking activities. The effects of MDTT were evaluated through the primary outcome of attention control, and secondary outcomes of dual-task performance, balance, falls efficacy, and agitation.Results: The MDTT group showed a significant improvement in attention control, while the control group did not (P<0.001). A significant effect favored MDTT over control treatment for the secondary outcome of falls efficacy (P=0.02) and agitation (P<0.01).Conclusion: MDTT, a music therapy intervention that demands a high level of cognitive processing, enhances attention control, falls efficacy, and helps alleviate agitation in patients with mild-to-moderate dementia. Keywords: music therapy, dementia, attention, agitation, incidental falls
format	article
author	Chen YL Pei YC
author_facet	Chen YL Pei YC
author_sort	Chen YL
title	Musical dual-task training in patients with mild-to-moderate dementia: a randomized controlled trial
title_short	Musical dual-task training in patients with mild-to-moderate dementia: a randomized controlled trial
title_full	Musical dual-task training in patients with mild-to-moderate dementia: a randomized controlled trial
title_fullStr	Musical dual-task training in patients with mild-to-moderate dementia: a randomized controlled trial
title_full_unstemmed	Musical dual-task training in patients with mild-to-moderate dementia: a randomized controlled trial
title_sort	musical dual-task training in patients with mild-to-moderate dementia: a randomized controlled trial
publisher	Dove Medical Press
publishDate	2018
url	https://doaj.org/article/149f8058f0b9428c8e52512c3617d286
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Musical dual-task training in patients with mild-to-moderate dementia: a randomized controlled trial

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