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The effect of group music therapy on mood, speech, and singing in individuals with Parkinson's disease--a feasibility study.

Abstract

BACKGROUND

Parkinson's disease (PD) is a progressive neurodegenerative disorder where patients exhibit impairments in speech production. Few studies have investigated the influence of music interventions on vocal abilities of individuals with PD.

OBJECTIVES

To evaluate the influence of a group voice and singing intervention on speech, singing, and depressive symptoms in individuals with PD.

METHODS

Ten patients diagnosed with PD participated in this one-group, repeated measures design study. Participants received the sixty-minute intervention, in a small group setting once a week for 20 consecutive weeks. Speech and singing quality were acoustically analyzed using a KayPentax Multi-Dimensional Voice Program, voice ability using the Voice Handicap Index (VHI), and depressive symptoms using the Montgomery and Asberg Depression rating scale (MADRS). Measures were taken at baseline (Time 1), after 10 weeks of weekly sessions (Time 2), and after 20 weeks of weekly sessions (Time 3).

RESULTS

Significant changes were observed for five of the six singing quality outcomes at Time 2 and 3, as well as voice range and the VHI physical subscale at Time 3. No significant changes were found for speaking quality or depressive symptom outcomes; however, there was an absence of decline on speaking quality outcomes over the intervention period.

CONCLUSIONS

Significant improvements in singing quality and voice range, coupled with the absence of decline in speaking quality support group singing as a promising intervention for persons with PD. A two-group randomized control study is needed to determine whether the intervention contributes to maintenance of speaking quality in persons with PD.

Authors+Show Affiliations

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Grieg Academy, University of Bergen, Bergen, Norway.

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Source

Journal of music therapy 49:3 2012 pg 278-302

MeSH

Adult
Feasibility Studies
Female
Humans
Male
Middle Aged
Mood Disorders
Music Therapy
Parkinson Disease
Patient Satisfaction
Psychotherapy, Group
Quality of Life
Speech Disorders
Treatment Outcome
Voice Disorders
Voice Training

Pub Type(s)

Journal Article

Language

eng

PubMed ID

23259231

Citation

TY - JOUR T1 - The effect of group music therapy on mood, speech, and singing in individuals with Parkinson's disease--a feasibility study. AU - Elefant,Cochavit, AU - Baker,Felicity A, AU - Lotan,Meir, AU - Lagesen,Simen Krogstie, AU - Skeie,Geir Olve, PY - 2012/12/25/entrez PY - 2012/12/25/pubmed PY - 2013/1/11/medline SP - 278 EP - 302 JF - Journal of music therapy JO - J Music Ther VL - 49 IS - 3 N2 - BACKGROUND: Parkinson's disease (PD) is a progressive neurodegenerative disorder where patients exhibit impairments in speech production. Few studies have investigated the influence of music interventions on vocal abilities of individuals with PD. OBJECTIVES: To evaluate the influence of a group voice and singing intervention on speech, singing, and depressive symptoms in individuals with PD. METHODS: Ten patients diagnosed with PD participated in this one-group, repeated measures design study. Participants received the sixty-minute intervention, in a small group setting once a week for 20 consecutive weeks. Speech and singing quality were acoustically analyzed using a KayPentax Multi-Dimensional Voice Program, voice ability using the Voice Handicap Index (VHI), and depressive symptoms using the Montgomery and Asberg Depression rating scale (MADRS). Measures were taken at baseline (Time 1), after 10 weeks of weekly sessions (Time 2), and after 20 weeks of weekly sessions (Time 3). RESULTS: Significant changes were observed for five of the six singing quality outcomes at Time 2 and 3, as well as voice range and the VHI physical subscale at Time 3. No significant changes were found for speaking quality or depressive symptom outcomes; however, there was an absence of decline on speaking quality outcomes over the intervention period. CONCLUSIONS: Significant improvements in singing quality and voice range, coupled with the absence of decline in speaking quality support group singing as a promising intervention for persons with PD. A two-group randomized control study is needed to determine whether the intervention contributes to maintenance of speaking quality in persons with PD. SN - 0022-2917 UR - https://www.unboundmedicine.com/medline/citation/23259231/The_effect_of_group_music_therapy_on_mood_speech_and_singing_in_individuals_with_Parkinson's_disease__a_feasibility_study_ L2 - https://medlineplus.gov/mooddisorders.html ER -