Page 176 - HA Convention 2015

Service Priorities and Programmes Free Papers

SPP5.6 Healthcare Advances, Research and Innovations 09:00 Room 221

Road to Wellness: Review of “Movement with Music Programme” for Elderly with Depressive Symptoms in
Psychogeriatric Day Hospital
Lo PYK1, Chau RMW 1, Lam MMY 1, Lau PWL1, Ng AKC 1, Ng JMH 1, Choi KYT 1, Lau PMY 2
1Physiotherapy Department, Kowloon Hospital, 2Physiotherapy Department, Kowloon Central Cluster, Hospital Authority,

Hong Kong

Introduction

Depression challenges social and medical systems as it encumbers quality of life and was reported to be even life-
threatening. Movement with music not only improves the physiological health, but is also believed to activate endorphin-
related brain’s pleasure circuits. It could be one of the potential therapeutics for depressed elderly.

Objectives

To investigate the effects of “Movement with Music” programme in Psychogeriatric Day Hospital (PGDH) of Kowloon Hospital
(KH).

Tuesday, 19 May Methodology

A quasi-experimental study with single-group Pretest-Posttest design was conducted from August 2013 to September 2014.
Patients diagnosed with depression and mood disorders were recruited. “Movement with Music” consisted of 30-minute
exercise session on a weekly basis for 12 weeks. Timed Up and Go test (TUG) and Berg Balance Scale (BBS) were used
for measuring physical abilities. Geriatric Depression Scale Short Form(GDS-SF), Epworth Sleepiness Scale(ESS) and Mini
Mental State Examination(MMSE) were employed to evaluate mental health. Numeric Pain Rating Scale (NPRS) was adopted
for pain measurement. Exit-questionnaire on the perceived impact and programme evaluation was also conducted. Paired
t-test was used to analyse the result.

Results

30 patients (24 females and 6 males) with mean age of 78.6±6.2 completed the programme. Physically, TUG improved
from 15.78±5.76 seconds to 14.67±6.14 seconds (p<0.05) and BBS increased from 42.73±9.91 to 46.13±9.79 (p<0.05).
Psychologically, GDS and ESS improved from 6.70±2.58 to 4.80±2.89 (p<0.05) and 7.33±5.13 to 4.20±3.81 (p<0.05)
respectively. NPRS decreased from 4.17±2.68 to 3.00±2.26 (p<0.05). MMSE increased from 21.93±5.56 to 22.87±4.99,
although not statistically significant. Furthermore, positive result of perceived impact with average score of 87.7±7.9% was
reported. The effects of movement with music on physical and mood enhancement were demonstrated in this study. Familiar
music could motivate people’s exercise compliance and promoted the sense of well-being. The positive results suggested
“Movement with Music” could be an inexpensive and feasible way for improving physical fitness and subjective well-being of
the depressed elderly. Further study on the potential benefits in applying movement with music as a type of exercise therapy
for depressed elderly is recommended.

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