2011, Number 1
Systematic review Music and auditory signals as adjuvants in parkinson’s disease rehabilitation. Qualitative systematic review
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ABSTRACTBackground: As the aging population increases, the impact of neurological disorders will be higher and thus subjects with disabilities. Nowadays there are few investigations about application of rhythm to improve movement patterns in various neurological disorders, ignoring their efficiency, level of evidence and grade of recommendation. Method: A systematic review was conducted from May to July 2010, with articles published in the last 20 years. We included randomized clinical trials with all levels of evidence, reviews, published and unpublished records about music, auditory signaling and rehabilitation programs in patients with Parkinson. The methodological quality assessment was performed by 2 independent investigators, in the event of disagreement was required the intervention of a third. The inter-observer agreement was assessed using the Kappa index. Results: Of 36 articles, 5 had clinical significance. Kappa indices regarding methodological quality were good to very good. Concl usion: The music is not efficient as an adjuvant in the rehabilitation of patients with Parkinson. The auditory signal, active music therapy and music embedded auditory signal if a level of evidence 2 ++ and a grade of recommendation C.
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