Music Listening, Music Therapy, Phenomenology and Neuroscience

(Nancy Kaufman) #1

Appendix 3.03 Survey of The Neurosciences


and Music III Conference 2008


Disorders and Plasticity


Title, Category


Aim

Mus. Material, Cultural Ref.

Technology & Procedure

Main focus of interest

Conclusion

60S

. Bernardi et al.
(417-


421)
Rhythm cueing of cognitive functions
Cat. 4: Rhythm Cat. 10: Training
61S

. Brandes et al.
(422


-425)
Music programs to remedy burnout Cat. 11: Deficit Cat. 12: Therapy
62S

. Forsblom et al.
(426


-430)
Music listening in stroke rehabilitation
Ca

t. 11: Deficit
Cat. 12: Recovery
63S

. Norton et al.


(431

-436)

Melodic intonation therapy
Cat. 11: Deficit Cat. 12: Therapy

To investigate the interaction between rhythm cueing and cognitive programming of complex actions in a patient suffering from ideomotor apaxia (IA), an impairment of high

-level voluntary motor
control
To test whether specially designed receptive m

usic

programs and protocols might reduce the symptoms of burnout

syndrome

To gain more insight into the therapeutic role of mus

ic

listening in stroke rehabilitation
To gain insight in the effect of Melodic Intonation Therapy (MIT) on language recovery in patients with nonfluent aphasia

Rhythm cueing consisting of an isochronous metronome





like square wave tone. The speed of r

hythm was changed

flexibly with the training CR: Neutral Recorded music:
Two specifically designed music programs, P1 and P2, called Individualized Music-Focu

sed Audio Therapy
(I- MAT). Plus a program consisting of unspecific nature sounds (PN)

. CR: W


estern

Recorded music:
Music selected by patients
CR: Western, Western traditional, Western popular
Singing short phrases, from
2-3 to 5 or

more syllables, on

two pitches matching the phrases’ natural prosody
CR: Neutral

A 32 year

-old woman,

suffe

ring from a hemiparesis,
was asked to learn complex novel motor sequences involving the left upper llmb, with or without rhythm cueing
Randomized Controlled Trial (RCT). Participants, suffering from burnout. listened fo a program twice daily for 30 min,

5 days per week, for 5
weeks. P1: n=45. P2 n=40. PN n= 26. Control gr

ou

p n=39

Two interview studies.
1) 20 patients listened to self





selected music at least 1 hour a day for 2 months. 2) A participatory action research study involving nurses
The patient repeats words and phrases sung by the therapist.

Individual training

sessions, instituting the use of Inner Rehearsal

and

Auditory

-Motor Feedback

Training

To compare efficiency of training

with or without rhythm

cueing
Comparison of music intervention groups P1 and P2 with Placebo group PN and Control group, a waiting list group which received no lisening program during the intervention period
Interviewing stroke patients about the subjctive emotions and cognitions evoked by music listening, and nurses about the clinical use of music listening
Inner Rehearsal:

Slowly

tapping the patient’s hand while humming the melody, hen sofly sing the words.
Auditory

-Motor Feedback

Training:

Patients listen as the

therapist sings the target, and learn

to compare their own
out

put as they repeat the
phrases

Both sets of training increased the patient’s accuracy, but rhythm cueing was significantly more effective
Two specific music programs significantly reduced burnout symptoms after 5 weeks. The effects were maintained over a long time period Results sug

gest that m

usic

listening can be used to relax, improve mood, and provide both physical and mental activation during the early stages of recovery from stroke
We share observations and addition

s to the protocol that

aim to enhance MIT’s benefit, and the rationale that supports them
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