Effects of Number of Sessions and Group or Individual Music Therapy on the Mood and Behavior of People Who Have Had Strokes or Traumatic Brain Injuries

Wheeler, Barbara L.; Shiflett, Samuel C.; Nayak, Sangeetha

doi:10.1080/08098130309478084

Cited by 21 publications

(29 citation statements)

References 32 publications

(38 reference statements)

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“…Literature is limited on the impact of music therapy in persons with TBI suggesting a possible positive impact on mood, socialization, and awareness, with decreases in undesired behaviors such as inertia and psychomotor agitation (Baker et al 2005; Formisano et al 2001; Magee and Davidson 2002; Magee 2005; Nayak et al 2000; Wheeler et al 2003). However, the evidence is based on case reports and small, largely uncontrolled studies and is thus preliminary in nature, indicating the need for further investigation.…”

Section: Alternative and Complementary Treatmentsmentioning

confidence: 99%

Traumatic brain injury: future assessment tools and treatment prospects

Flanagan¹

2008

NDT

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Traumatic brain injury (TBI) is widespread and leads to death and disability in millions of individuals around the world each year. Overall incidence and prevalence of TBI are likely to increase in absolute terms in the future. Tackling the problem of treating TBI successfully will require improvements in the understanding of normal cerebral anatomy, physiology, and function throughout the lifespan, as well as the pathological and recuperative responses that result from trauma. New treatment approaches and combinations will need to be targeted to the heterogeneous needs of TBI populations. This article explores and evaluates the research evidence in areas that will likely lead to a reduction in TBI-related morbidity and improved outcomes. These include emerging assessment instruments and techniques in areas of structural/chemical and functional neuroimaging and neuropsychology, advances in the realms of cell-based therapies and genetics, promising cognitive rehabilitation techniques including cognitive remediation and the use of electronic technologies including assistive devices and virtual reality, and the emerging fi eld of complementary and alternative medicine. Keywords: traumatic brain injury, assessments, treatments Traumatic brain injury future prospectsTraumatic brain injury (TBI) is an extremely common condition, accounting for 50,000 deaths and 235,000 hospitalizations yearly (Langlois et al 2004). The prevalence of individuals with chronic TBI-related problems in the US is 5.3 million (Cohen et al 2007; Thurman et al 1999) with many manifesting a combination of physical, cognitive and behavioral problems. Although this fi gure is extremely large, it may underestimate the true burden of TBI, as many individuals with milder injuries are often unknown to the medical system (Krause and Arthur 1999). This is partly because physical impairments, which are easily detectable, are frequently mild or absent after TBI, while the more common disabling problems of cognitive and behavioral impairments are often overlooked or misdiagnosed by medical professionals. However, it is the latter group of problems that prevent participation in expected and desired societal roles and result in the greatest burden associated with TBI. In the coming decades, the aging population will make this problem even worse, as older individuals are at increased risk of TBI and generally have poorer outcomes. This will greatly increase the overall prevalence of TBI and add to the societal burden presented by more individuals requiring both medical and custodial care.Although considerable strides have been made in decreasing overall TBI-related mortality by the application of evidence-based medicine, many individuals develop chronic problems, often resulting in life-long disability. While some pilot projects have reported promising fi ndings, such as decreasing 30-day mortality with progesterone (Wright et al 2007), most studies examining effectiveness of post-acute interventions have failed to defi nitively demonstrate a thera...

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Section: Alternative and Complementary Treatmentsmentioning

confidence: 99%

Traumatic brain injury: future assessment tools and treatment prospects

Flanagan¹

2008

NDT

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“…The aftermath of trauma may also stimulate feelings of guilt, self-blame, anger, and frustration (Baker & Tamplin, 2006). Dealing with these emotions is particularly important in a rehabilitation setting as unvoiced or unresolved emotions may lead to mood and behaviour disturbances and impact on a client's ability to participate in rehabilitation (Wheeler, Shiflett, & Nayak, 2003). Adjustments disability involvesa combination of factors, including self-acceptance, emotional maturity, and mental health status (Olney & Kim, 2001).…”

Section: Trauma and Adjustmentmentioning

confidence: 99%

“…The expression and processing of feelings following a traumatic event is necessary for healthy emotional well-being. It can also assist in the rehabilitation process (Wheeler et al, 2003). More importantly, the blocking or suppressing of emotions following traumatic injury or illness may negatively impact on a person's ability to cope with new issues that may arise during the rehabilitation process (De Carvalho etal., 1998).…”

Section: The Need For Emotional Expression In Rehabilitationmentioning

confidence: 99%

“…A number of studies have shown that music and music therapy can facilitate expression of feelings and positive mood change for clients with TBI (Baker, Kennelly, & Tamplin, 2005b;Baker & Wigram, 2004;Magee & Davidson, 2002;Nayak, Wheeler, Shiflett, & Agostinelli, 2000;Wheeler et al, 2003) and SCI (Amir, 1990). Collectively, these studies have used a variety of music therapy interventions to attain similar results (see Table 2).…”

Section: The Need For Emotional Expression In Rehabilitationmentioning

confidence: 99%

“…This fear emotional expression may relate to perceivi societal expectations or gender issues and is ofti exacerbated by a lack of modeling and experien in articulating feelings. (Magee & Davidson, 2002;Nayak et al, 2000;Wheeler et al, 2003) (Baker & Wigram, 2004;Nayak et al, 2000;Wheeler et al, 2003) (Baker et al, 2005a(Baker et al, , 2005bBaker, Kennelly, & Tamplin, 2005c;Wheeler et al, 2003) (Magee & Davidson, 2002;Nayak et al, 2000;Wheeler et al, 2003) (Nayak et al, 2000;Wheeler et al, 2003) (Nayak et al, 2000) (Amir, 1990) …”

Section: Sct For Clients Who Have Difficult Articulating Feelingsmentioning

confidence: 99%

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Song Collage Technique: A New Approach to Songwriting

Tamplin¹

2006

Nordic Journal of Music Therapy

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Song Collage Technique is a therapeutic songwriting intervention. The presentation and discussion of this technique provides music therapy clinicians with detailed resources, consistent terminology with which to describe treatment, and therapeutic applications for clients who have cognitive impairments, difficulty articulating feelings due to cultural or gender issues, or time restrictions in therapy. A discussion of traditional therapeutic songwriting techniques provides a foundation for the evolution of Song Collage Technique. Trauma, disability and the need for emotional expression in rehabilitation are presented to provide a clinical context for the use of Song Collage Technique. Case examples and contraindications are offered to highlight clinical application of the technique with clients undergoing rehabilitation for spinal cord injury and traumatic brain injury.

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