It is well known and documented that sensory perception decreases with age. In the elderly population, hearing loss and reduced vestibular function are among the most prevalently affected senses. Two important side effects of sensory deprivation are cognitive decline and decrease in social participation. Hearing loss, vestibular function impairment, and cognitive decline all lead to a decrease in social participation. Altogether, these problems have a great impact on the quality of life of the elderly. This is why a rehabilitation program covering all of these aspects would therefore be useful for clinicians. It is well known that long-term music training can lead to cortical plasticity. Behavioral improvements have been measured for cognitive abilities and sensory modalities (auditory, motor, tactile, and visual) in healthy young adults. Based on these findings, it is possible to wonder if this kind of multisensory training would be an interesting therapy to not only improve communication but also help with posture and balance, cognitive abilities, and social participation. The aim of this review is to assess and validate the impact of music therapy in the context of hearing rehabilitation in older adults. Musical therapy seems to have a positive impact on auditory perception, posture and balance, social integration, and cognition. While the benefits seem obvious, the evidence in the literature is scarce. However, there is no reason not to recommend the use of music therapy as an adjunct to audiological rehabilitation in the elderly when possible. Further investigations are needed to conclude on the extent of the benefits that music therapy could bring to older adults. More data are needed to confirm which hearing abilities can be improved based on the many characteristics of hearing loss. There is also a need to provide a clear protocol for clinicians on how this therapy should be administered to offer the greatest possible benefits.
Les antipsychotiques de première génération (APG) et les antipsychotiques de seconde génération (ASG) aident au traitement symptomatique des troubles psychotiques. Or, ils peuvent parfois induire des réactions extrapyramidales, notamment le parkinsonisme, lesquelles peuvent exacerber les déficits cognitifs déjà présents. La présente étude explore la relation entre la mémoire de travail et le parkinsonisme induit par des antipsychotiques chez les personnes composant avec un trouble psychotique. Sept participants de 20 à 35 ans traités avec des antipsychotiques de seconde génération pour un trouble psychotique sont recrutés. La MATRICS Consensus Cognitive Battery (MCCB) et l’Extrapyramidal Symptom Rating Scale (ESRS) sont utilisés pour évaluer la mémoire de travail et le parkinsonisme induit par des antipsychotiques. Il est attendu qu’une corrélation significative et négative s’observe entre la mémoire de travail et le parkinsonisme induit par des antipsychotiques. Toutefois, les résultats suggèrent une corrélation non significative, ρ = 0,273, p = 0,554. En ce sens, le parkinsonisme ne serait pas significativement associé à la mémoire de travail. La présente étude favorise la compréhension de l’effet du parkinsonisme induit par des antipsychotiques chez une jeune population présentant un premier épisode psychotique. L’utilisation d’un outil plus sensible serait à considérer dans l’évaluation du parkinsonisme de faible amplitude.
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