神經音樂治療介入動作障礙之探討

Neurologic Music Therapy in Motor Disabilities

10.6217/SEQ.202206_(163).19-28

莊廣盈(Kuang-Ying Chuang)

神經音樂治療 ； 動作障礙 ； 證據本位實務 ； Neurologic Music Therapy ； motor disabilities ； evidence-based practices

特殊教育季刊

163期（2022 / 06 / 01）

19 - 28

繁體中文;英文

神經音樂治療是一個依循證據本位實務模式的治療方案，定義為將音樂用於治療人類因神經系統疾病或損傷而導致的認知、情感、感覺、語言和動作障礙。它基於音樂與神經科學之間的關係，透過音樂促進非音樂大腦和行為功能的影響。本文乃聚焦其於動作障礙領域之探討，包含：動作理念基礎、過程與方法、實施步驟、技術與設備，並介紹近年來神經音樂治療介入動作障礙的相關研究，最後提出結論與建議。

Neurologic Music Therapy is an evidence-based practice model which is defined as the therapeutic application of music to cognitive, affective, sensory, language, and motor dysfunctions that have occurred due to disease or injury to the human nervous system. It is based on neuroscientific models of music perception, music production and the influence of music on changes in the non-musical brain and on behavior function. The article focuses on Neurologic Music Therapy in motor disabilities. First, the author introduces the elementary rules for learning-oriented motor therapy, progress and method, treatment, techniques, device and settings. Second, the writer discusses the current state of clinical research in motor disabilities. Finally, the author explains the conclusion and offers suggestions.

1. Bukowska, A. A.,Krężałek, P.,Mirek, E.,Bujas, P.,Marchewka, A.(2016).Neurologic music therapy training for mobility and stability rehabilitation with Parkinson's disease : A pilot study.Frontiers in Human Neuroscience,9,710.
2. Chou, M. Y.,Chang, N. W.,Chen, C.,Lee, W. T.,Hsin, Y. J.,Siu, K. K.,Chen, C. J.,Wang, L. J.,Hung, P. L.(2019).The effectiveness of music therapy for individuals with Rett syndrome and their families.Journal of the Formosan Medical Association,118(12),1633-1643.
3. Cibrian, F. L.,Madrigal, M.,Avelais, M.,Tentori, M.(2020).Supporting coordination of children with ASD using neurological music therapy: A pilot randomized control trial comparing an elastic touch-display with tambourines.Research in Developmental Disabilities,106,1-14.
4. Cibrian, F. L.,Peña, O.,Ortega, D.,Tentori, M.(2017).BendableSound: An elastic multisensory surface using touch-based interactions to assist children with severe autism during music therapy.International Journal of Human-Computer Studies,107,22-37.
5. Cole, L. P.,Henechowicz, T. L.,Kang, K.,Pranjić, M.,Richard, N. M.,Tian, G. L. J.,Hurt-Thaut, C.(2021).Neurologic music therapy via telehealth: A survey of clinician experiences, trends, and recommendations during the COVID-19 pandemic.Frontiers in Neuroscience,15,1-15.
6. Devlin, K.,Alshaikh, J. T.,Pantelyat, A.(2019).Music therapy and music-based interventions for movement disorders.Current Neurology and Neuroscience Reports,19(11),1-13.
7. Hume, K.,Steinbrenner, J. R.,Odom, S. L.,Morin, K. L.,Nowell, S. W.,Tomaszewski, B.,Szendrey, S.,McIntyre, N. S.,Yücesoy-Özkan, S.,Savage, M. N.(2021).Evidence-based practices for children, youth, and young adults with autism: Third generation review.Journal of Autism and Developmental Disorders,51(11),4013-4032.
8. Hurt-Thaut, C. P.(2016).Clinical practice in music therapy.The Oxford handbook of music psychology
9. Hurt-Thaut, C. P.,Johnson, S. B.(2015).Neurologic Music Therapy.Music therapy handbook
10. Janzen, T. B.,Thaut, M. H.(2018).Rethinking the role of music in the neurodevelopment of autism spectrum disorder.Music & Science,1,1-18.
11. Latif, N.,Di Francesco, C.,Custo-Blanch, M.,Hyde, K.,Sharda, M.,Nadig, A.(2021).Joint engagement and movement: Active ingredients of a music-based intervention with school-age children with autism.NeuroRehabilitation,48(2),167-185.
12. López-Ortiz, C.,Gaebler-Spira, D. J.,Mckeeman, S. N.,Mcnish, R. N.,Green, D.(2019).Dance and rehabilitation in cerebral palsy: A systematic search and review.Developmental Medicine & Child Neurology,61(4),393-398.
13. Marrades-Caballero, E.,Santonja-Medina, C. S.,Sanz-Mengibar, J. M.,Santonja-Medina, F.(2018).Neurologic music therapy in upper-limb rehabilitation in children with severe bilateral cerebral palsy: A randomized controlled trial.European Journal of Physical and Rehabilitation Medicine,54(6),866-872.
14. Pitale, J. T.,Bolte, J. H., 4th(2018).A heel-strike real-time auditory feedback device to promote motor learning in children who have cerebral palsy: A pilot study to test device accuracy and feasibility to use a music and dance-based learning paradigm.Pilot and Feasibility Studies,4,1-7.
15. Scholz, D. S.,Rohde, S.,Nikmaram, N.,Brückner, H. P.,Großbach, M.,Rollnik, J. D.,Altenmüller, E. O.(2016).Sonification of arm movements in stroke rehabilitation : A novel approach in neurologic music therapy.Frontiers in Neurology,7,106.
16. Sihvonen, A. J.,Särkämö, T.,Leo, V.,Tervaniemi, M.,Altenmüller, E.,Soinila, S.(2017).Music-based interventions in neurological rehabilitation.The Lancet Neurology,16(8),648-660.
17. Thaut, M. H.,Hoemberg, V.(2014).Handbook of neurologic music therapy.Oxford University.
18. Thaut, M. H.,McIntosh, G. C.,Prassas, S. G.,Rice, R. R.(1992).Effect of rhythmic auditory cuing on temporal stride parameters and EMG patterns in normal gait.Journal of Neurologic Rehabilitation,6(4),185-190.
19. The Academy of Neurologic Music Therapy. (2021). Key elements of the NMT evidence-based model. https://nmtacademy.co/
20. United States Department of Education. (2001). No child left behind act. https://www2.ed.gov/nclb/landing.jhtml
21. Wong, C.,Odom, S. L.,Hume, K. A.,Cox, A. W.,Fettig, A.,Kucharczyk, S.,Brock, M. E.,Plavnick, J. B.,Fleury, V. P.,Schultz, T. R.(2015).Evidence-based practices for children, youth, and young adults with autism spectrum disorder: A comprehensive review.Journal of Autism and Developmental Disorders,45(7),1951-1966.
22. 林口長庚實證醫學中心（2021）。何為實證醫學，https://www1.cgmh.org.tw/intr/intr2/ebmlink/html/define.html
23. 鈕文英(2010)。特殊教育證據本位實務之建立、鑑識與運用。南屏特殊教育，1，1-24。