老年医学与保健2026，Vol.32Issue(4)：579-585,7.DOI:10.3969/j.issn.1008-8296.2026.04.019
音乐-手语联觉训练对老年人认知与手部功能保健研究
Study of effects of music-sign language synesthesia training on cognition and hand function healthcare in older adults
张焱 1杨芳 1周彦敏 1王燕霞 1尹秀雪 1钱晶珏 1缪羽菲 1李婉婕 2张敏 3朱婷婷 1奚洁 1鲁秀玲 4顾芬 1沈义 1吕静 1毕娜 1江瑜 1吴妮慧1
作者信息
- 1. 复旦大学附属华东医院护理部,上海 200040
- 2. 上海艺瓣文化传播有限公司"耳界"音乐疗愈实验室,上海 200041
- 3. 上海市老年医学临床重点实验室,上海 200040
- 4. 复旦大学附属华东医院耳鼻咽喉头颈外科,上海 200040||复旦大学附属华东医院老年耳鸣耳聋中心,上海 200040
- 折叠
摘要
Abstract
Objective To design a music training program incorporating sign language elements,and evaluate its feasibility and effectiveness as a non-pharmacological intervention in promoting the brain functions(particularly auditory cognitive functions)and hand functions in older adults care and health services.Methods A prospective study was conducted in inpatients and outpatients from January to December 2025 in the Geriatrics Department of Huadong Hospital Affiliated to Fudan University,a music training rehabilitation nursing team was established.A total of 91 older adults(mean age 82.3±9.4 years)were enrolled and completed an 8-week music training course(1 session per week,1.5 h per session)in four batches.The training content included breathing exercises synchronized with music,rhythm tapping using small instruments such as tambourine sticks,alternating finger manipulation of ear acupoints,and learning sign language songs.Auditory discrimination(frequency,intensity,temporal resolution),auditory attention(Go/No-go test),auditory memory(auditory digit span test),auditory executive function(auditory Stroop test),and finger function(finger-tapping test)were assessed before and after the intervention.Repeated-measures ANOVA and ANCOVA were used for statistical analyses.Results After the music training,their overall auditory perception and discrimination ability significantly improved compared to before the training(P＜0.05).Among them,the improvements in frequency and temporal discrimination were particularly significant(P＜0.05),while the change in intensity resolution was not statistically significant(P=0.815).The auditory digit memory span and auditory attention significantly improved compared to before the training(P＜0.05).Under the condition of verbal sound-meaning interference,their task response speed significantly accelerated(P＜0.05).In terms of hand function,the tapping speed of fingers on both hands improved compared to before training.Among them,the differences in the alternating speed between the middle finger and ring finger of the left hand,between the ring finger and little finger,as well as the alternating speed of fingers on the right hand,all had statistical significance(P＜0.05).Conclusion Music training incorporating sign language elements is an innovative and accessible healthcare intervention model for the older adults.It can effectively enhance their brain function and hand function to a certain extent,especially showing positive effects in auditory cognitive ability and hand dexterity.This training is both interesting and practical,with potential for promotion.It can provide a non-pharmacological nursing and healthcarepromotion strategy with practical value for the prevention of cognitive and functional decline in the older adults.关键词
音乐训练/老年保健/手语/听觉认知/手功能Key words
music training/older adults healthcare/sign language/auditory cognition/hand function引用本文复制引用
张焱,杨芳,周彦敏,王燕霞,尹秀雪,钱晶珏,缪羽菲,李婉婕,张敏,朱婷婷,奚洁,鲁秀玲,顾芬,沈义,吕静,毕娜,江瑜,吴妮慧..音乐-手语联觉训练对老年人认知与手部功能保健研究[J].老年医学与保健,2026,32(4):579-585,7.
