The music therapy assessment tool for low awareness states

Daveson, Barbara A; Magee, Wendy L.; Crewe, L; Beaumont, Graeme; Kenealy, Pamela

doi:10.12968/ijtr.2007.14.12.27760

Cited by 10 publications

(3 citation statements)

References 12 publications

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“…Además de la improvisación vocal y del canto de canciones, las intervenciones apuntarán a que el paciente pueda participar de una activi dad musical sencilla, ubicando los instrumentos de manera que se facilite al má-ximo su acceso para su manipulación o fijándolos a alguna parte de su cuerpo cuando el paciente no pueda tomarlos, sirvién dole de guía y colaborando con él para promover su activación neurológica (Baker & Tamplin, 2006;Daveson, Magee, Crewe, Beaumont & Kenealy, 2007).…”

Section: Intervenciones Musicoterapéuticas Con Paciente Con Estado Deunclassified

Intervenciones musicoterapéuticas para la activación del sistema reticular

Abrahan¹,

Fischer²,

Justel³

2017

Interd

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resUMenLa musicoterapia es una disciplina que progresivamente está ampliando su campo de abordaje. Dentro de las nuevas intervenciones se pueden mencionar las implementadas en pacientes con estado alterado de conciencia y cuadros patológicos, producto de lesiones neuronales adquiridas que involucran al sistema reticular. La formación reticular es una red neuronal que establece conexiones con gran parte del sistema nervioso, regulando el alerta general, la dirección de la atención y la transición entre sueño y vigilia. A partir de esto, el trabajo que se informa está centrado en una descripción general de los diferentes estados alterados de concien cia y las intervenciones de una disciplina científica, con técnicas no invasivas que utiliza el sonido y sus elementos específicamente en el diag nóstico y abordaje terapéutico de pacientes en estado de mínima conciencia y su efecto en la forma ción reticular, teniendo como objetivo principal la rehabilitación del paciente y el aumento de sus niveles de alerta. Las técnicas en musicoterapia se basan en los resultados positivos del efecto de ciertos parámetros sonoros tales como la melodía, los aspectos temporales, la armonía, sobre indicadores fisiológicos (frecuencia respiratoria y cardíaca, conductancia de la piel, niveles de cortisol, etc.), que proporcionan un marco organizativo. A través de dicho marco las personas pueden responder e interactuar por medio de las propuestas musicales, determinadas por caracte rísticas, tales como la simplicidad, la utilización de la voz sin acompañamiento, improvisando vocales, melodías repetitivas, mú-sica de baja densidad cronométrica unida a la velocidad respiratoria del paciente y que pertenezca a su entorno familiar.

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Section: Intervenciones Musicoterapéuticas Con Paciente Con Estado Deunclassified

Intervenciones musicoterapéuticas para la activación del sistema reticular

Abrahan¹,

Fischer²,

Justel³

2017

Interd

View full text Add to dashboard Cite

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“…Understandably, because engineers are not clinicians, the team struggled at first to agree the purpose of a practice evaluation tool; that it differs from that of a tool devised to assess improvement in a patient's condition. A key factor that guided the team was that music therapists set patient centred goals, but that these can range from psycho-social goals to restorative goals; for example supporting a patient through emotional adjustment to injury, as compared with helping a patient recover skills (Daveson, Magee, Crewe, Beaumont, & Kenealy, 2007). As the unifying factor across all music therapy approaches is the developing relationship between therapist and patient, it was established that the research should prove the concept of tracking musical changes that take into account the patient's musical expression in relation to the therapist's musical expression.…”

Section: Inter-disciplinary Collaborationmentioning

confidence: 99%

Computer aided music therapy evaluation: Testing the Music Therapy Logbook prototype 1 system

Streeter

Davies

Reiss

et al. 2012

The Arts in Psychotherapy

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Research indicates that music therapists are likely to make use of computer software, designed to measure changes in the way a patient and therapist make use of music in music therapy sessions. A proof of concept study investigated whether music analysis algorithms (designed to retrieve information from commercial music recordings) can be adapted to meet the needs of music therapists. Computational music analysis techniques were applied to multi-track audio recordings of simulated sessions, then to recordings of individual music therapy sessions; these were recorded by a music therapist as part of her ongoing practice with patients with acquired brain injury.The music therapist wanted to evaluate two hypotheses: one, whether changes in her tempo were affecting the tempo of a patient's play on acoustic percussion instruments, and two, whether her musical interventions were helping the patient reduce habituated, rhythmic patterning. Automatic diagrams were generated that gave a quick overview of the instrumental activity contained within each session: when, and for how long each instrument was played. From these, computational analysis was applied to musical areas of specific interest. The results of the interdisciplinary team work, audio recording tests computer analysis tests, and music therapy field tests are presented and discussed.

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“…Despite the divergence in these approaches, there exists a shared belief in the utility of music’s non-verbal and emotional qualities for this work (O’Kelly and Magee, 2013a ). To promote arousal and behavioral responses indicative of awareness, procedures using simple improvised melodies entrained to respiration, and live performance of preferred music are advocated (Aldridge et al, 1990 ; Gustorff, 2002 ; Magee, 2005 ; Baker and Tamplin, 2006 ), together with the systematic assessment of responses to different musical elements (i.e., high and low frequencies) (Magee, 2005 , 2007 ; Daveson et al, 2007 ). The Music Therapy Assessment Tool for Awareness in Disorders of Consciousness (MATADOC) has recently been standardized to provide reliable data on patients’ responses to a range of musical stimuli (Magee et al, 2013 ).…”

Section: Introductionmentioning

confidence: 99%

Neurophysiological and Behavioral Responses to Music Therapy in Vegetative and Minimally Conscious States

O'Kelly

James

Palaniappan

et al. 2013

Front. Hum. Neurosci.

110

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Assessment of awareness for those with disorders of consciousness is a challenging undertaking, due to the complex presentation of the population. Debate surrounds whether behavioral assessments provide greatest accuracy in diagnosis compared to neuro-imaging methods, and despite developments in both, misdiagnosis rates remain high. Music therapy may be effective in the assessment and rehabilitation with this population due to effects of musical stimuli on arousal, attention, and emotion, irrespective of verbal or motor deficits. However, an evidence base is lacking as to which procedures are most effective. To address this, a neurophysiological and behavioral study was undertaken comparing electroencephalogram (EEG), heart rate variability, respiration, and behavioral responses of 20 healthy subjects with 21 individuals in vegetative or minimally conscious states (VS or MCS). Subjects were presented with live preferred music and improvised music entrained to respiration (procedures typically used in music therapy), recordings of disliked music, white noise, and silence. ANOVA tests indicated a range of significant responses (p ≤ 0.05) across healthy subjects corresponding to arousal and attention in response to preferred music including concurrent increases in respiration rate with globally enhanced EEG power spectra responses (p = 0.05–0.0001) across frequency bandwidths. Whilst physiological responses were heterogeneous across patient cohorts, significant post hoc EEG amplitude increases for stimuli associated with preferred music were found for frontal midline theta in six VS and four MCS subjects, and frontal alpha in three VS and four MCS subjects (p = 0.05–0.0001). Furthermore, behavioral data showed a significantly increased blink rate for preferred music (p = 0.029) within the VS cohort. Two VS cases are presented with concurrent changes (p ≤ 0.05) across measures indicative of discriminatory responses to both music therapy procedures. A third MCS case study is presented highlighting how more sensitive selective attention may distinguish MCS from VS. The findings suggest that further investigation is warranted to explore the use of music therapy for prognostic indicators, and its potential to support neuroplasticity in rehabilitation programs.

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The music therapy assessment tool for low awareness states

Cited by 10 publications

References 12 publications

Intervenciones musicoterapéuticas para la activación del sistema reticular

Intervenciones musicoterapéuticas para la activación del sistema reticular

Computer aided music therapy evaluation: Testing the Music Therapy Logbook prototype 1 system

Neurophysiological and Behavioral Responses to Music Therapy in Vegetative and Minimally Conscious States

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