1 |
Magee et al. (2017)MAGEE, W. et al. Music Therapy Assessment Tool for Awareness in Disorders of Consciousness: assessment of Awareness in DOC. Archives of Physical Medicine and Rehabilitation, Amsterdã, v. 98, n. 10, p. e85-e86, 2017. http://dx.doi.org/10.1016/j.apmr.2017.08.270. http://dx.doi.org/10.1016/j.apmr.2017.08...
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Interventional-double blind controlled clinical trial |
The authors concluded that auditory responsiveness is the main factor in the responses to stimuli provoked by music in patients with DC |
1B |
A |
2 |
Puggina and Silva (2015)PUGGINA, A. C. G.; SILVA, M. J. P. Pacientes com desordem de consciência: respostas vitais, faciais e musculares frente música ou mensagem. Revista Brasileira de Enfermagem, Brasília, v. 68, n. 1, p. 102-110, 2015. http://dx.doi.org/10.1590/0034-7167.2015680114p. http://dx.doi.org/10.1590/0034-7167.2015...
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Cross-sectional |
Statistically significant alterations in the variables temperature, facial expression, electroneuromyography and Glasgow Scale; more frequent alterations in session 2, in patients with coma and vegetative state, in the frontal muscle and in the experimental group. |
1B |
A |
3 |
Sun and Chen (2015)SUN, J.; CHEN, W. Music therapy for coma patients: preliminary results. European Review for Medical and Pharmacological Sciences, Rome, v. 19, n. 7, p. 1209-1218, 2015. PMid:25912580.
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Interventional-controlled clinical trial |
The value of the Glasgow Coma Scale increased in the music group after treatment when compared to the control group. The difference between the two groups was significant (p < 0.05). The value of the quantitative electroencephalogram (EEG) (value δ + θ/α + β) of the music group decreased after treatment and the difference was significant in comparison with the control group (p < 0.05). They found that music therapy has an effect on the promotion of recovering consciousness. The quantitative EEG (δ + θ/α + β value) can be used as an objective index to evaluate the state of cerebral function. |
1B |
A |
4 |
Heine et al. (2015)HEINE, L. et al. Exploration of functional connectivity during preferred music stimulation in patients with disorders of consciousness. Frontiers in Psychology, Pully, v. 6, p. 1-11, 2015. http://dx.doi.org/10.3389/fpsyg.2015.01704. PMid:26617542. http://dx.doi.org/10.3389/fpsyg.2015.017...
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Interventional-quasi experimental |
The auditory network showed greater functional connectivity with the left precentral gyrus and the left dorsolateral pre-frontal cortex during music, compared to the control condition. In addition, the functional connectivity of the external network improved during the music condition at the temporal-parietal junction. Although it is necessary to be careful due to the small size of the sample, these results suggest that exposure to favorite music may have effects on the auditory network of patients (implicated in the perception of rhythmic music) and in the brain regions linked to autobiographical memory. |
1B |
A |
5 |
Riganello et al. (2015)RIGANELLO, F. et al. How can music influence the autonomic nervous system response in patients with severe disorder of consciousness? Frontiers in Neuroscience, Lausanne, v. 9, p. 1-9, 2015. http://dx.doi.org/10.3389/fnins.2015.00461. PMid:26696818. http://dx.doi.org/10.3389/fnins.2015.004...
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Interventional-controlled clinical trial |
The results showed that the internal structure of music (rhythm, melody, tones, semitones, voice) can change the autonomic response in patients with disorders of consciousness. |
1B |
A |
6 |
Magee et al. (2014)MAGEE, W. L. et al. Music Therapy Assessment Tool for Awareness in Disorders of Consciousness (MATADOC). Neuropsychological Rehabilitation, Hove, v. 24, n. 1, p. 101-124, 2014. http://dx.doi.org/10.1080/09602011.2013.844174. PMid:24134739. http://dx.doi.org/10.1080/09602011.2013....
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Cross-sectional |
The protocol that mainly uses musical stimuli (MATADOC) for evaluation and treatment of patients with DC showed sensitivity to measure auditory responsiveness and intra reliability. |
1B |
A |
7 |
O’Kelly et al. (2013)O’KELLY, J. et al. Neurophysiological and behavioral responses to music therapy in vegetative and minimally conscious states. Frontiers in Human Neuroscience, Lausanne, v. 7, p. 1-15, 2013. http://dx.doi.org/10.3389/fnhum.2013.00884. PMid:24399950. http://dx.doi.org/10.3389/fnhum.2013.008...
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Interventional-quasi experimental |
Music therapy provoke a series of responses indicative of arousal and selective attention. Combined music therapy and neurophysiological evaluation could provide a distinct contribution, revealing an intact response to protruding stimuli (eye and mouth movements, eye blink), even in patients in vegetative state. |
1B |
A |
8 |
Raglio et al. (2014)RAGLIO, A. et al. Active music therapy approach in disorders of consciousness: a controlled observational case series. Journal of Neurology, Berlin, v. 261, n. 12, p. 2460-2462, 2014. http://dx.doi.org/10.1007/s00415-014-7543-0. PMid:25319023. http://dx.doi.org/10.1007/s00415-014-754...
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Observational |
The systematic observations showed improvements, especially in the minimally conscious state group (G1), in some behaviors observed: eye contacts, smiles, communicative use of instruments/voice, and reduction of irritation and expressions of suffering. In the vegetative state group (G2), only ocular contacts strongly increased during treatment. |
1C |
A |
9 |
Magee et al. (2016)MAGEE, W. L. et al. Music therapy assessment tool for awareness in disorders of consciousness (MATADOC): reliability and Validity of a measure to assess awareness in patients with disorders of consciousness. Journal of Music Therapy, Laurence, v. 53, n. 1, p. 1-26, 2016. http://dx.doi.org/10.1093/jmt/thv017. PMid:26647402. http://dx.doi.org/10.1093/jmt/thv017...
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Longitudinal |
The selection of stimuli with emotional, autobiographical or self-correlated characteristics is fundamental in the use of music in people with DC |
2B |
B |
10 |
Castro et al. (2015)CASTRO, M. et al. Boosting cognition with music in patients with disorders of consciousness. Neurorehabilitation and Neural Repair, New York, v. 29, n. 8, p. 734-742, 2015. http://dx.doi.org/10.1177/1545968314565464. PMid:25650390. http://dx.doi.org/10.1177/15459683145654...
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Cross-sectional |
The cerebral response to the patient's first name was more frequent in the music condition than in the control condition. In addition, the presence or absence of a discriminative response in the music condition seems to be associated with a favorable or unfavorable outcome, respectively. |
2C |
B |
11 |
Verger et al. (2014)VERGER, J. et al. Effets bénéfiques de la musique préférée sur les capacités cognitives des patients en état de conscience minimale. Revue Neurologique, Paris, v. 170, n. 11, p. 693-699, 2014. http://dx.doi.org/10.1016/j.neurol.2014.06.005. PMid:25287735. http://dx.doi.org/10.1016/j.neurol.2014....
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Observational |
This new protocol suggests that favorite music has a beneficial effect on the patients’ cognitive abilities. The results also suggest that brain plasticity can improve in autobiographical contexts (emotional and family). The suggestion is to enlarge the findings with a larger number of patients to validate the hypothesis of the beneficial effect of music on cognitive recovery. |
2C |
B |
12 |
Vogl et al. (2015)VOGL, J. et al. Neuroscientific and neuroanthropological perspectives in music therapy research and practice with patients with disorders of consciousness. Frontiers in Neuroscience, Lausanne, v. 9, p. 1-6, 2015. http://dx.doi.org/10.3389/fnins.2015.00273. PMid:26300720. http://dx.doi.org/10.3389/fnins.2015.002...
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Qualitative |
Brain images such as PET cannot sufficiently determine the impact on patients’' lives. An additional behavioral observation, such as video analysis, can provide information about a patient’s condition. However, it is static and inflexible, as it captures only a short period. Neuroanthropology can help to close this gap, reflecting on the information collected in the patient's environment, which is necessary for a careful interpretation of the data. |
4 |
C |
13 |
Abrahan, Fischer and Justel (2017)ABRAHAN, V. D.; FISCHER, M.; JUSTEL, N. Intervenciones musicoterapéuticas para la activación del sistema reticular. Interdisciplinaria, Buenos Aires, v. 34, n. 1, p. 141-156, 2017.
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Descrpitive |
It was possible to highlight the relevance of patients’ relatives and friends’ collaboration in the therapeutic process, providing information and possible resources at all levels of awareness, for a therapeutic process adequate evaluation and planning and when the professional selects the music, to do it according to the condition, age, gender and musical background of the patient. |
5 |
D |
14 |
Schnakers, Magee and Harris (2016)SCHNAKERS, C.; MAGEE, W. L.; HARRIS, B. Sensory stimulation and music therapy programs for treating disorders of consciousness. Frontiers in Psychology, Pully, v. 7, p. 1-6, 2016. http://dx.doi.org/10.3389/fpsyg.2016.00297. PMid:27014119. http://dx.doi.org/10.3389/fpsyg.2016.002...
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Descriptive |
The results indicated that interventions with music both baseline and post-treatment provoked higher-level responses involving behaviors that demonstrate greater complexity, particularly in the auditory and language domains. These results are relevant to contribute to the differential diagnosis in patients with DC. |
5 |
D |