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Review of the Research in China on Music Interventions for Adult Patients With Brain Injuries

중국 내 성인 뇌손상 환자 대상 음악중재 연구 고찰

  • Received : 2021.11.10
  • Accepted : 2021.11.24
  • Published : 2021.11.30

Abstract

This study reviewed the research in China on music interventions for adult brain injury patients. Eighty-three studies that met the inclusion criteria were included for analysis. Our review revealed that the number of intervention studies using music with adult brain injury patients has been on the rise since 2012, and random control research design methods have been dominant. Studies focused on the physical domain and emotional domain together were most common. Researchers in fields outside of music therapy conducted 43 of the studies, and music therapists carried out 14 of the studies as intervention providers. Most of the studies carried out by experts in fields other than music therapy used listening activities involving preexisting recorded music. However, most of the studies conducted by music therapists adopted reconstructed music and played it live during their intervention. The specificity of the described content of the interventions and level and relevance of stated rationale to the target goal of the intervention suggests that high quality of intervention was conducted with a therapist/investigator who has completed adequate professional education/training, which would emphasize the importance of music therapy professionalism. This study provides the baseline data for how music intervention research has been implemented in China and presents implications for future clinical practice and research.

본 연구에서는 중국 내 성인 뇌손상 환자를 대상으로 음악을 활용한 중재 연구들을 고찰하여 전반적인 특징과 음악중재 및 음악 특성에 대해 분석하였다. 연구 내 자료 선정기준에 따라 총 83편의 연구를 수집하여 분석한 결과는 다음과 같다. 2012년 이후 음악을 활용한 중재연구가 증가하였고, 이 중 무작위 대조군 연구설계가 가장 많았으며 뇌졸중 환자를 대상으로 진행한 연구가 가장 높은 비중을 차지하였다. 중재영역별로 분류한 결과 신체영역과 정서영역은 유사한 비중을 차지하였고, 음악치료사가 시행한 연구는 14편(24.5%)으로, 타 분야의 연구자에 의해 시행된 43편(75.4%)보다 적은 것으로 확인되었다. 중재 제공자의 전문 분야에 따라 중재의 특성에도 차이가 있었다. 타 분야 연구자가 중재한 연구들은 정서영역을 목표로 하여 기존의 녹음 음악을 사용한 감상 활동을 주로 진행 한 반면, 음악치료 전공자가 중재한 연구들은 신체영역의 목표를 위해 치료사가 재구성한 음악을 라이브로 제공한 경우가 많았다. 중재 내용의 기술 수준 및 기법의 적절성 평가 결과를 살펴보면 향후 중국 내 음악치료 연구에서 음악의 치료적 고유성과 중재자 전문성에 기반한 중재연구가 진행되어야 할 뿐 아니라, 연구 내 중재 기법을 구성하는 치료적 근거가 명확하게 기술되어야 함을 시사한다.

Keywords

References

  1. Chong, H. J. (2015). Music therapy: Understanding and application (2nd ed.). Seoul: Ewha Womans University Press.
  2. Chong, H. J., Lim, J. H., & Hwang, S. Y. (2018). Review of studies using a rhythm task intervention and the rationale for its formulation. Journal of Music and Human Behavior, 15(1), 95-118. https://doi.org/10.21187/JMHB.2018.15.1.095
  3. Guo, Z. H. (2016). 三种不同疗法治疗中风后痉挛性偏瘫的临床研究. 广州中医药大学硕士学位论文. [Guo, Z. H. (2016). Clinical study of three different on spastic hemiplegia after stroke (Unpublished master's thesis). Guangzhou University, Guangzhou.]
  4. He, Q., Zhang, B., Li, Y. Y., Bai, Y. l., Wu, Y., & Hu, Y. (2013). The cost-effectiveness of rehabilitation programs for stroke patients. Chinese Journal Physical Medicine Rehabilitation, 35(4), 303-306. https://doi.org/10.3760/cma.j.issn.0254-1424.2013.04.016
  5. Herrojo Ruiz, M., Rusconi, M., Brucke, C., Haynes, J. D., Schonecker, T., & Kuhn, A. A. (2014). Encoding of sequence boundaries in the subthalamic nucleus of patients with Parkinson's disease. Brain, 137(10), 2715-2730. https://doi.org/10.1093/brain/awu191
  6. Kim, J. H. (2019). Therapeutic rationale for music therapy interventions with older adults: An analysis of the literature. Journal of Music and Human Behavior, 16(2), 53-77.
  7. Kong, L. Y., Gao, H. Y., Gao, Q., Wang, X. Q., Wang, Y., & Zhang, Q. (2019). 音乐疗法治疗脑卒 中的进展与展望. 神经病学与神经康复学杂志, 15(4), 149-155. [Kong, L. Y., Gao, H. Y., Gao, Q., Wang, X. Q., Wang, Y., & Zhang, Q. (2019). Progress and prospect of music therapy in the treatment stroke. Neural Injury and Functional Reconstruction, 15(4), 149-155.]
  8. Lewis, P. (1996). Depth psychotherapy in dance/movement therapy. American Journal of Dance Therapy, 18(2), 95-114. https://doi.org/10.1007/BF02359319
  9. Liu, H. (2019). Research trends analysis of music intervention studies in China (Unpublished master's thesis). Ewha Womans University, Seoul.
  10. Moran, A., Gu, D., Zhao, D., Coxson, P., Wang, Y. C., Chen, C. S., ... Goldman, L. (2010). Future cardiovascular disease in China: Markov model and risk factor scenario projections from the coronary heart disease policy model-China. Circulation: Cardiovascular Quality Outcomes, 3(3), 243-252. https://doi.org/10.1161/CIRCOUTCOMES.109.910711
  11. Oh, H. S. (2001). The analysis of the effects of intervention program of sensory stimulation for comatous patients on their consciousness status. Journal of Korean Academy Nursing, 31(5), 885-896. https://doi.org/10.4040/jkan.2001.31.5.885
  12. Raglio, A., Bellandi, D., Baiardi, P., Gianotti, M., Ubezio, M. C., Zanacchi, E., ... Stramba-Badiale, M. (2015). Effect of active music therapy and individualized listening to music on dementia: A multicenter randomized controlled trial. Journal of the American Geriatrics Society, 63(8), 1534-1539. https://doi.org/10.1111/jgs.13558
  13. Robb, S. L., Carpenter, J. S., & Burns, D. S. (2011). Reporting guidelines for music-based interventions. Journal of Health Psychology, 16(2), 342-352. https://doi.org/10.1177/1359105310374781
  14. Simpson-Jones, M. E., & Hunt, A. W. (2019). Vision rehabilitation interventions following mild traumatic brain injury: A scoping review. Disability & Rehabilitation, 41(18), 2206-2222. https://doi.org/10.1080/09638288.2018.1460407
  15. Wang, L. D., Liu, J. M., Yang. G., Peng. B., & Wang, Y. L. (2019). 我国脑卒中防治仍面临巨大挑 战-中国脑卒中防治报告2018概要. 中国循环杂志, 34(2), 105-119. [Wang, L. D., Liu, J. M., Yang. G., Peng. B., & Wang, Y. L. (2019). China's stroke prevention and treatment still faces huge challenges: Summary of China's stroke prevention and treatment report 2018. Chinese Journal of Circulation, 34(2), 105-119.]
  16. Wang, X. N. (2020). 腹针联合bobath疗法治疗脑卒中后偏瘫肩痛的临床研究. 广西中医药大学 硕士 学位论文. [Wang, X. N. (2020). Clinical study of abdominal acupuncture combined with bobath therapy in treating hemiplegia shoulder pain (Unpublished master's thesis). Guangzhou University, Guangzhou.]
  17. Xu, L. Y., Liu, Y., Qi, L. N., & Ma, S. H. (2020). 我国内地作业治疗师对脑损伤后视力障碍康复治 疗现状的调查与分析. 卫生职业教育, 38(4), 135-137. [Xu, L. Y., Liu, Y., Qi, L. N., & Ma, S. H. (2020). Investigation and analysis of the status quo of rehabilitation treatment for vision impairment after brain injury by occupational therapists in mainland my country. Health Vocational Education, 38(4), 135-137.]
  18. Zhang, H. Y., & Zhang, Y. (2014). 我国当代音乐治疗:现状分析与发展对策. 人民音乐, 5, 68-73. [Zhang, H. Y., & Zhang, Y. (2014). Contemporary music therapy in my country: Current status and development strategies. People's Music, 5, 68-73.]