Music Therapy in the Treatment of Depression: Implications for Individuals Recovering from Non-degenerative, Acquired Brain Injury (ABI)

2019 ◽  
Vol 11 (2) ◽  
pp. 108
Author(s):  
Amy Clements-Cortes ◽  
Catherine Haire

Stroke is a prevalent disease, and the leading cause of disability from neurological disorder worldwide. The emotional impact a stroke may have on a person and occurrence of depression can affect their readiness to engage in rehabilitation, their functional outcomes, and their ability to reintegrate socially. Depression often goes undiagnosed and untreated. Music and music therapy have the potential to access and effect change concurrently in multiple domains, making it a valued method for facilitating non-pharmacological, therapeutic change while supporting a person’s emotional needs. Music therapy interventions may provide motivation for participation in rehabilitation, as well as facilitate goal acquisition in physical, psychosocial, emotional, communicative and cognitive domains. This paper explores the role of motivation, evidence of music-induced affective responding, therapeutic effects of music interventions on mood, physiological and neural correlates, social interaction, music therapy implications for individuals recovering from acquired brain injury, and future directions.

Author(s):  
Joke Bradt ◽  
Wendy L Magee ◽  
Cheryl Dileo ◽  
Barbara L Wheeler ◽  
Emer McGilloway

2016 ◽  
Vol 16 (1) ◽  
Author(s):  
Karen Twyford ◽  
Samantha Watters

An acquired brain injury in children disrupts brain development and neural pathways, which may have serious implications on occupational role performance. Assessment and management of children with neurological disorders is complex and treatment requires the engagement of a multidisciplinary team. Increasing evidence indicates that both occupational therapists and music therapists work effectively towards similar goals with children with acquired brain injury. This evaluation investigated the effectiveness of a joint music therapy and occupational therapy group in promoting the development of self-regulation skills in children with an acquired brain injury or neurological condition, as part of a pilot project at a regional paediatric hospital in Australia. Six participants, aged five and half to ten years, were recruited through the acquired brain injury and neurology outpatient service at a regional paediatric hospital. Children underwent occupational therapy assessment and were identified to have sensory processing difficulties that negatively impacted on the child’s occupational roles of "friend" and "student." The intervention group, In the Groove, received seven, weekly, one-hour sessions, held for one hour on a weekly basis. Each session involved a variety of joint music therapy and occupational therapy activities, specifically planned to achieve intervention goals. A range of standardised occupational therapy and music therapy outcome measures were used, as well as non-standardised measures. All children received positive outcomes following intervention for at least one outcome measure. The findings indicate that joint music therapy and occupational therapy intervention may provide children with acquired brain injury and neurological impairment opportunities to develop self-regulation skills.


Author(s):  
Joke Bradt ◽  
Wendy L Magee ◽  
Cheryl Dileo ◽  
Barbara L Wheeler ◽  
Emer McGilloway

2021 ◽  
Vol 12 ◽  
Author(s):  
Janeen Bower ◽  
Wendy L. Magee ◽  
Cathy Catroppa ◽  
Felicity Anne Baker

Introduction: Evidence supporting the use of music interventions to maximize arousal and awareness in adults presenting with a disorder of consciousness continues to grow. However, the brain of a child is not simply a small adult brain, and therefore adult theories are not directly translatable to the pediatric population. The present study aims to synthesize brain imaging data about the neural processing of music in children aged 0-18 years, to form a theoretical basis for music interventions with children presenting with a disorder of consciousness following acquired brain injury.Methods: We conducted a systematic review with narrative synthesis utilizing an adaptation of the methodology developed by Popay and colleagues. Following the development of the narrative that answered the central question “what does brain imaging data reveal about the receptive processing of music in children?”, discussion was centered around the clinical implications of music therapy with children following acquired brain injury.Results: The narrative synthesis included 46 studies that utilized EEG, MEG, fMRI, and fNIRS scanning techniques in children aged 0-18 years. From birth, musical stimuli elicit distinct but immature electrical responses, with components of the auditory evoked response having longer latencies and variable amplitudes compared to their adult counterparts. Hemodynamic responses are observed throughout cortical and subcortical structures however cortical immaturity impacts musical processing and the localization of function in infants and young children. The processing of complex musical stimuli continues to mature into late adolescence.Conclusion: While the ability to process fundamental musical elements is present from birth, infants and children process music more slowly and utilize different cortical areas compared to adults. Brain injury in childhood occurs in a period of rapid development and the ability to process music following brain injury will likely depend on pre-morbid musical processing. Further, a significant brain injury may disrupt the developmental trajectory of complex music processing. However, complex music processing may emerge earlier than comparative language processing, and occur throughout a more global circuitry.


2020 ◽  
Vol 84 (1) ◽  
pp. 22-41
Author(s):  
Sushmita Mohapatra ◽  
Stefan Tino Kulnik

Introduction Kitchen-related tasks are widely used in occupational therapy for adults with acquired brain injury. This study aimed to investigate the effectiveness of kitchen-related, task-based occupational therapy interventions for improving clinical and functional outcomes in the rehabilitation of adults with acquired brain injury. Method A systematic review of the literature was conducted with narrative synthesis (PROSPERO registration CRD42019141898), by searching relevant electronic databases (BNI, CINAHL Plus, MEDLINE, DORIS, OT Seeker etc.), registries of ongoing studies (ISRCTN, PROSPERO, etc.), and grey literature (OpenGrey, etc.). English-language studies that evaluated kitchen-related tasks in the rehabilitation of adults with acquired brain injury were included and independently appraised for their methodological quality by two reviewers. Results Seventeen primary studies met the eligibility criteria. Studies were heterogeneous in methods, methodological quality, setting, sample size, purpose, and design of kitchen-related tasks. Fifteen studies evaluated kitchen-related, task-based treatments for improving function, and two studies examined kitchen-related task assessments for safety and task performance. This provides very limited evidence for the effectiveness of kitchen-related, task-based interventions compared to interventions not based on kitchen-related tasks. Conclusion While kitchen-related, task-based occupational therapy interventions in acquired brain injury rehabilitation are common practice, there is currently limited research evidence to support this. Further studies are warranted to strengthen the evidence base.


2007 ◽  
Vol 21 (9) ◽  
pp. 805-811 ◽  
Author(s):  
Anne Margreet Knottnerus ◽  
Tabitha Turner-Stokes ◽  
F.B. van de Weg ◽  
L. Heijnen ◽  
G.J. Lankhorst ◽  
...  

Author(s):  
Laurie Ehlhardt Powell ◽  
Tracey Wallace ◽  
Michelle ranae Wild

Research shows that if clinicians are to deliver effective, evidence-based assistive technology for cognition (ATC) services to clients with acquired brain injury (ABI), they first need opportunities to gain knowledge and experience with ATC assessment and training practices (O'Neil-Pirozzi, Kendrick, Goldstein, & Glenn, 2004). This article describes three examples of train the trainer materials and programs to address this need: (a) a toolkit for trainers to learn more about assessing and training ATC; (b) a comprehensive, trans-disciplinary program for training staff to provide ATC services in a metropolitan area; and (c) an overview of an on-site/online training package for rehabilitation professionals working with individuals with ABI in remote locations.


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