H47 Musical attention control training (MACT) for patients with huntington’s disease; a case report

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BackgroundMACT is one of the Neurologic Music Therapy interventions. MACT is based on stimulating music perception and production parts in the human brain and the effects thereof on nonmusical and behavior functions e.g., attention. MACT is used in patients with diseases such as multiple sclerosis, Parkinson’s disease and dementia. However, it is unknown whether MACT is effective in patients with Huntington’s disease (HD) in order to maintain and improve sustained and alternating attention.Case reportA female patient (45 years) in an early stage of HD; age at diagnosis was 41 years. She visits Atlant’s nursing home outpatient HD clinic. Neuro psychological assessment showed problems in cognitive functioning such as loss of concentration and attention. Patient indicated to experience difficulties in sustained and alternating attention. Once every two weeks she received MACT, during three months.MACT included training of both attention functions in order to enable patient to focus on daily life, in particular doing her housekeeping and raising her children.During MACT patient experienced improvement of sustained attention and alternating attention from 6 to 8 for the sustained attention, and 5.5 to 8 for alternating attention; both on a scale from 0 – 10. In time, it took less energy to comply with the therapy. She indicated: ‘Because we practice it with these instruments, it costs me less energy at home to switch from one task to another’. After treatment, patient rated her confidence in her attention skills as 8 on a scale from 1–10.ConclusionsIn this case study sustained and alternating attention improved during treatment. It might be worthwhile to further explore the possibilities of MACT in HD patients.

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