TÜRKİYE’DE NÖROLOJİK REHABİLİTASYON KAPSAMINDA BİR MÜZİK TERAPİ PROJESİNİN GELİŞTİRİLMESİ

Öz

Müzik terapi (MT) müzikal aktivitelerle zihinsel, fiziksel ve duygusal sağlığı geliştirmek için kullanılan faydalı bir teröpatik araçtır. Bu projenin amacı, nörolojik rehabilitasyon kapsamında MT ile ilgili klinik araştırma çalışmalarını başlatmak ve bu alanda MT programı geliştirmektir. Bu çalışma kapsamında her bir hasta için rehabilitasyon ekibi tarafından özel hedefler belirlenmiş ve hedeflere ulaşmak için şarkı söyleme-dinleme,enstrüman çalma ve müzik ile dans etme (basit salsa ve temel tango adımlarıyla) gibi müzikal aktiviteler gerçekleştirilmiştir. Müzikal aktiviteler bireysel ve grup terapisi olarak düzenlenmiştir. 24 ay içinde 90 serebral palsili (SP), 98 inmeli hasta MT programına dahil olmuştur. MT’nin SP’li çocukların dikkat, hafıza ve yaşam kaliteleri üzerine, perküsyon enstrümanı çalmanın el fonksiyonlarına etkisi; hemiplejik inmeli hastalarda salsa ve tangonun yürüme ve denge üzerine etkisi ile ilgili başlatılan klinik araştırmalar devam etmektedir. Bu proje nörolojik rehabilitasyon kapsamında Türkiye’de oluşturulan ilk MT programıdır. Prospektif randomize kontrollü çalışmalar ile elde edilecek bilimsel veriler sonrasında MT nörolojik rehabilitasyonda faydalı bir adjuvan tedavi yöntemi olabilir.  

Anahtar Kelimeler

• Serebral Palsi,inme,müzik terapi

TÜRKİYE’DE NÖROLOJİK REHABİLİTASYON KAPSAMINDA BİR MÜZİK TERAPİ PROJESİNİN GELİŞTİRİLMESİ

Abstract

Music therapy (MT) is the skillful use of music as a therapeutic tool to reach specific goals through musical activities in order to improve mental, physical, and emotional health. The aim of this project was to develop a profound MT program in a multimodal neurological rehabilitation setting; and to initiate clinical research studies on MT. Specific objectives are set for each patient and musical activities such as listening, singing, playing instruments (simple percussion instruments like maracas, tambourine, drum, wooden spoons, triangle etc), and moving to music (simple steps to salsa and tango basics) are used to reach these goals. Musical activities were applied both as single and group therapy sessions. 90 patients with cerebral palsy (CP), 98 with stroke received MT within 24 months. Clinical research studies investigating effectiveness of MT on attention, memory, and quality of life; playing percussive instruments on hand functions; and salsa/tango on gait and balance of CP or stroke patients were initiated. This project is the first MT program in a neurological rehabilitation setting in Turkey. MT can be a useful adjunctive treatment modality in neurological rehabilitation which requires scientific proof to be generated by prospective randomized controlled trials. 

Keywords

• Cerebral palsy,stroke,music therapy

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