Movement Music Therapy Research Articles

PENGARUH MUSIC MOVEMENT THERAPY TERHADAP KEMAMPUAN AKTIVITAS HARIAN PADA PASIEN STROKE DI RSUP. PROF. DR. R.D. KANDOU MANADO

ABSTRAK
 Pendahuluan: Stroke adalah kondisi gangguan peredaran darah yang mengakibatkan perubahan fungsi otak. Stroke mengakibatkan penurunan kemampuan aktivitas harian yang berdampak pada kualitas hidup penderita stroke. Penanganan yang baik dapat mencegah komplikasi, dan meningkatkan kemampuan aktivitas harian pasien stroke. Tujuan: Penelitian ini bertujuan untuk mengidentifikasi pengaruh music movemet therapy (MMT) terhadap kemampuan aktivitas harian pasien stroke di RSUP. Prof. Dr. R.D. Kandou Manado Metode: Metode penelitian Quasi experiment one group pretest and posttest. Penentuan sampel menggunakan teknik consecutive sampling, 65 responden yang diberikan penanganan standar rumah sakit dan MMT 5x/Minggu (30 menit setiap terapi) selama dua minggu. Hasil: Hasil penelitian didapatkan kemampuan aktivitas harian pasien sebelum intervensi 47,7% berada di ketergantungan total, sangat tergantung 46,2%, ketergantungan sebagian 4,6% dan sedikit tergantung 1,5% sedangkan kemampuan aktivitas harian sesudah intervensi MMT berada pada sangat tergantung 38,5%, ketergantungan sebagian 26,2%, mandiri 24,6%, ketergantungan total 7,7% dan sedikit tergantung 3.1%. uji Wilcoxon menunjukkan pengaruh MMT terhadap kemampuan aktivitas harian pasien stroke (p-value 0.000). Diskusi: Penelitian ini merekomendasikan penggunaan MMT sebagai dasar pertimbangan untuk terapi alternatif dalam meningkatkan kemampuan aktivitas harian pasien stroke. 
 
 Keywords: Music, movement, therapy, aktivitas, harian.

Drums Alive® – bubnování na gymnastických míčích jako prostředek rozvoje koordinace

Quality of coordination of movement significantly influences everyday life of a man and creates preconditions for effective acquiring motor skills. Stability, locomotor movement and manipulative movement belong among fundamental motor skills (Doty, McEven, Parker & Laskin, 1999). People with disability are not often able to perform many of them on the same level as their same-age peers without disability. Imperfections in movement coordination can be negatively reflected in quality of their life. On the basis of published knowledge about appropriate movement interventions on development of movement coordination by people without disability we can apply individually adjusted specific movement programs for people with various disabilities. Our paper is focused on use of new specialization of music-movement therapy Drums Alive® (drumming on exercise balls in holders). Drums Alive® joins the dynamic and dance movements with the pulsating rhythms of the drums. It is sensorimotor program, which the author Carrie Ekins designed as combination of drumming activities and targeted movement activity (Ekins, 2012). By means of these activities it is possible to influence the quality and level of motor skills and better movement coordination used primarily in common life of disabled people.

Effects of Movement Music Therapy with the Naruko Clapper on Psychological, Physical and Physiological Indices among Elderly Females: A Randomized Controlled Trial

Background: Recent interventional studies have indicated that some exercise programs have beneficial physical and immunological effects for older people. Some evidence suggests that exercise programs involving music and/or a rhythmic movement component may be particularly beneficial. Objective: To assess the effects of a new type of movement music therapy (MMT) on physical, immunological, hormonal and psychosocial health parameters among older adults. Methods: 112 elderly female subjects (average age 73.62 ± 5.50 years) who performed little habitual exercise participated in this randomized, controlled, single-blinded intervention trial. The subjects were divided into two groups which participated in different exercise programs (experimental group: MMT; control group: simple exercise program). We assessed a comprehensive range of indices before and after the interventions, which lasted a total of 8 weeks. These indices included (1) the Philadelphia Geriatric Center morale scale, (2) self-rated health status, (3) physical function tests (e.g. blood pressure, pulmonary function, body balance, gait ability, muscle endurance, muscle-strength, and functional mobility), and (4) saliva analysis for physiological function indices (e.g. secretory immunoglobulin A (SIgA), chromogranin A, cortisol, and total protein). Results: In comparisons between the MMT and control interventions in younger elderly subjects (≤74 years old), systolic blood pressure decreased (p = 0.02), pulmonary function improved (p = 0.05) and body balance improved (p = 0.04) in the MMT group, but not in the control group. The SIgA secretion rate of the experimental group remained significantly elevated (p = 0.02) 15 min after exercise compared with before exercise. There were no significant differences between interventions in psychosocial indices. In contrast, no significant differences were detected between interventions in any measures in the older elderly group (≥75 years old). Conclusion: These results indicate that the MMT, even with a short (8-week) intervention period, improves physical and physiological functions to a significantly greater extent in younger elderly individuals compared with a control intervention without music.

The effect of music‐movement therapy on physical and psychological states of stroke patients

This study evaluated the effects of combined music-movement therapy on physical and psychological functioning of hospitalised stroke patients. Few studies have focused on music-movement therapy's effects on physical and psychological functioning of stroke patients. A quasi-experimental design with pre- and post-tests was used. A convenience sample was used: patients hospitalised for stroke and within two weeks of the onset of stroke were randomised to either an experimental group (received music-movement therapy in their wheelchairs for 60 minutes three times per week for 8 weeks) or control group (received only routine treatment). The effect of music-movement therapy was assessed in terms of physical outcomes (range of motion, muscle strength and activities of daily living) and psychological outcomes (mood states, depression), measured in both groups pre- and post-test. The experimental group had significantly increased shoulder flexion and elbow joint flexion in physical function and improved mood state in psychological function, compared with the control group. Early rehabilitation of hospitalised stroke patients within two weeks of the onset of stroke was effective by using music-movement therapy. It improved their mood state and increased shoulder flexion and elbow joint flexion. The findings of this study suggest that rehabilitation for stroke patients should begin as early as possible, even during their hospitalisation. Nursing practice should incorporate the concept of combining music and movements to improve stroke patients' physical and psychological states starting from the acute phase.