Background: Patients in intensive care unit (ICU) experience intense anxiety during their treatment which might also affect their physiological parameters. Aim: Study aimed to assess the effectiveness of music therapy on ICU induced anxiety and physiological parameters among intensive care unit patients in a tertiary care hospital of India. Methodology/Design: An experimental research approach with two groups pre-test post-test control design was used. 70 intensive care unit patients were randomized into two groups, experimental and conventional care group (35 in each group). The experimental group received 20 min tailored music therapy in addition to standard treatment thrice a day for continuous three days. In contrast, only standard care was provided to the other group. The socio-demographic sheet, clinical profile sheet, Zung Self Rating Anxiety Scale (SAS) and physiological parameter sheet was used to measure study parameters. Results: Music therapy was highly effective (t = 15.136 (34) p=<0.001) in reducing anxiety among experimental group subjects after the intervention whereas no change is seen in conventional care group on fourth day of the intervention. Similarly, music therapy was significantly effective in stabilizing physiological parameters among experimental group subjects during post test as compared to conventional care group. Conclusion: Music therapy is a non-invasive, non-pharmaceutical and an efficient practice to abate the ICU induced anxiety among intensive care unit patients. It also possesses the ability to stabilize the main physiological parameters of intensive care unit patients. Study recommends the use of music therapy for ICU patients to stabilize their psychological and physiological parameter.

No abstract

Background:There are very less data on the comparison between the cognitive profile in Parkinson's disease (PD) and Parkinson’s-plus groups, especially in India.Aims:The aim of this study is to compare the cognitive profile across PD, progressive supranuclear palsy (PSP), and multiple system atrophy (MSA) groups and compare them using Mini–Mental State Examination (MMSE), frontal assessment battery (FAB), and verbal fluency tests.Settings and Design:This was a cross-sectional study.Materials and Methods:MMSE, FAB, and verbal fluency tests were administered in a total of 73 patients constituting 22 patients in MSA, 26 patients in PD, and 25 patients in PSP group, respectively. Twenty-six participants both age- and gender-matched were enrolled in control group.Statistical Analysis:Statistical analysis was done using SPSS Version 20.0. Descriptive statistics were done to find out the mean and standard deviation of different variables. ANOVA was done for followed by post hoc Bonferroni test to assess the cognitive function in three groups.Results:ANOVA showed that there is a significant difference for MMSE scores (P = 0.038) being worse scores for PSP and maximum for MSA. A significant difference was found for FAB scores within three groups. There is a significant difference for FAB scores (P = 0.00003) being worse scores for PSP and highest scores obtained for PD. All the subtests of FAB test differed significantly except motor programming across MSA, PSP, and PD groups.Conclusions:Our data suggest that global cognitive impairment and executive dysfunction are worst in PSP among the three groups. Patients with MSA had significant cognitive decline as opposed to previous experience. FAB scores and verbal fluency tests are good tests to assess cognitive impairment in these diseases. Subsets of FAB score have significant differences but cannot help differentiating conclusively between these three diseases.

No abstract

No abstract