Effect of 5 Musical Notes Therapy on Sleep Disorders in Patients With Parkinson Disease

Objective: The 5-tone music therapy is a traditional Chinese medical practice that uses the therapeutic properties of specific musical notes to regulate physiological functions and promote psychological well-being. The aim of this study was to evaluate the effects of the 5 musical notes therapy on sleep disorders in individuals with Parkinson disease. Methods: The data of 74 patients with Parkinson disease who received treatment at our hospital between September 2021 and September 2023 were retrospectively analyzed. The patients who received 5 musical notes therapy were assigned to the study group (n=37), and the patients who received the routine care were assigned to the routine care group (n=37). The Pittsburgh Sleep Quality Index (PSQI), National Institutes of Health Stroke Scale (NIHSS), Mini-Mental State Examination (MMSE), Self-Rating Anxiety Scale (SAS), and Self-Rating Depression Scale (SDS) scores were assessed and compared between the 2 groups. Results: One month after the intervention, PSQI scores were significantly lower in both groups compared with baseline ( P <0.05), with the study group demonstrating a greater reduction than the routine care group ( P <0.05). MMSE scores increased significantly ( P <0.05), and the study group exhibited higher MMSE scores than the routine care group ( P <0.05). The SAS and SDS scores decreased in both groups post-intervention, with greater reductions observed in the study group compared with the routine care group ( P <0.05). In addition, NHISS scores were significantly lower in the study group than in the routine care group ( P <0.05). No significant differences were observed in the overall incidence of complications between the 2 groups ( P >0.05). Conclusions: The application of the 5 musical notes therapy in the management of sleep disorders among patients with Parkinson disease demonstrated significant benefits, including improved sleep quality, enhanced cognitive function, and alleviation of anxiety and depression. This therapeutic approach also contributed to a reduction in NIHSS scores and is recommended for broader clinical implementation.