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Master Thesis

L’intérêt des thérapies musicales neurologiques dans la rééducation des patients atteints de sclérose en plaques

Abstract : Introduction: Multiple sclerosis is behind many motor disorders, which causes a deterioration in their quality of life. The management of patients with multiple sclerosis in physiotherapy reeducation turns out to be difficult. Since that, the use of music could prove to be relevant in order to overcome this degradation. Objective(s): To find arguments in favor of a potential efficiency of these two neurological music therapies techniques in the management of patients with multiple sclerosis. The two subjects of study will be rhythmic auditory stimulation (RAS) and Therapeutic Instrumental Music Performance (TIMP). Research Methodology: The research process on various databases (PubMed, PEDro and Cochrane Library) associated with previously established inclusion and exclusion criteria’s allowed the selection of 5 articles on neurological music therapies. Four studies concern RAS with the clinical endpoints : speed and walking distance, stride length and quality of life. With regard to the TIMP, one study focuses on: manual dexterity and the improvement of hand functional capacities. Results and analyses: Data analysis didn’t allow to highlight any relevant results on the effectiveness of RAS on walking parameters improvement. Indeed, the post-treatment Cis encountered are not sufficiently important nor significant. Nevertheless, the study of Gatti 2014 showed some effectiveness of this technique in the hand functional capacities improving. Indeed, the effect size is precise and relevant on the statistical plan. An increase in motivation is also noted in rehabilitation in these patients. Discussion: No scientific truth can be established on the efficacy of RAS and TIMP in this review due to the lack of statistical significance of the results but also by the presence of multiple limitations present in this review which deteriorate the validity of the results and their comparison (low number of studies, small samples, differences in the characteristics of the groups studied). But also, because of the plurality of treatment protocols implemented (frequency and duration). Regarding TIMP, the lack of other studies to compare the results of Gatti2014, does not allow to impute the effectiveness of this technique. Conclusion: Some neurological music therapy techniques could constitute a good alternative in the treatment of patients with multiple sclerosis. However, the studies are still few in number and must in the future, contain larger samples, while increasing their methodological quality in order to obtain more clinically relevant results and open up the field of possibilities in improving the management of this pathology.
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Master Thesis
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Submitted on : Tuesday, September 28, 2021 - 1:28:41 PM
Last modification on : Tuesday, October 19, 2021 - 10:35:24 PM
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Jonathan Gaudin. L’intérêt des thérapies musicales neurologiques dans la rééducation des patients atteints de sclérose en plaques. Médecine humaine et pathologie. 2021. ⟨dumas-03356750⟩



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