Musical and Photographic Stimulations on the Symptomatology of Alzheimer’s Disease in Elderly

Jam Silva, Mayara Ayane da Silva, Maykon Wanderley Leite Alves-da-Silva, Douglas Nijenhuis de Castro, Euclídes Marinho Trindade Filho, J. D. Pai, L. Zambrano, V. B. Felix, Elionai Dias Soares, Camila Conceição Luz Soares, A. J. D. M. S. Filho, Magnúcia de Lima Leite, E. Carvalho, Matheus Santos Freitas, José Claudio da Silva
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Abstract

Background: Alzheimer’s disease is a progressive and neurodegenerative disorder characterized by deterioration of brain functions. Psychosocial interventions such as music and photographic stimuli may contribute to cognitive and sensory exercise or rehabilitation. Objective: Evaluate musical and photographic stimuli in elderly people with Alzheimer’s disease. Methods: It is an uncontrolled clinical trial, before-after type, eleven subjects composing the sample. Participants were submitted to Katz Index, Autobiographical Memory Test, GDS-15, Mini-Mental State Examination. The collection instruments were used on the first and last day of intervention, individually. There were 2 sessions in the week with duration of 50 minutes totaling 20 sessions. Data were analyzed by descriptive and inferential statistics and as variables expressed as mean standard deviation. Results: There was a significant effect of cognitive activity (P , it was observed that a small advance (P = 0.05) of the daily life activities. With the analysis of GDS-15, it is verified that they are more effective for the increase of the previous self-estimation of the therapy (P = 0.94). In the application of the AMT, it is observed that there was a better recruitment of the memory for the neutral words. Conclusion: Musical and photographic stimuli had a positive effect on the cognitive level, daily life activities and autobiographical memory in seniors with Alzheimer’s disease.
音乐和摄影刺激对老年阿尔茨海默病症状的影响
背景:阿尔茨海默病是一种以脑功能恶化为特征的进行性神经退行性疾病。社会心理干预,如音乐和摄影刺激,可能有助于认知和感觉锻炼或康复。目的:评价音乐和摄影刺激对老年阿尔茨海默病的影响。方法:采用前后对照临床试验,11名受试者组成样本。受试者进行卡茨指数、自传式记忆测验、GDS-15、简易精神状态测验。收集工具分别在干预的第一天和最后一天使用。每周有2次,每次50分钟,总共20次。数据采用描述统计和推理统计进行分析,并以平均标准差表示变量。结果:对认知活动有显著影响(P),对日常生活活动有小幅改善(P = 0.05)。通过GDS-15的分析,验证了它们对于提高先前治疗的自我估计更有效(P = 0.94)。在AMT的应用中,我们观察到对中性词的记忆有更好的招募。结论:音乐和摄影刺激对老年阿尔茨海默病患者的认知水平、日常生活活动和自传体记忆有积极影响。
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