Preservation of Singing Functioning in a 5 Year-Old Following Severe Right-Sided Traumatic Brain Injury: Insights into the Neurological Resilience of Song from Pediatric Music Therapy

2015 ◽  
Vol 7 (3) ◽  
pp. 14
Author(s):  
Ellen C. Gentle ◽  
Melinda Barker ◽  
Janeen Bower

Studies examining song functioning in childhood are of particular importance when devising developmentally appropriate evidence-based Music Therapy (MT) interventions during recovery from brain injury. In comparison to adult studies where neural organization may be well defined, the neural organization of song in the developing brain has been under-researched. This includes functional consequences following neurological insult. This case study documents a 5 year-old female with typically developing language and verbal memory that suffered a severe traumatic brain injury. Despite extensive right hemisphere damage, her recognition and memory of previously well-learned (familiar) songs was preserved. New learning and retention of unfamiliar songs with lyrics was also observed and was not predicted based on adult models of melodic learning. Findings suggest that the song system in childhood is a neurologically significant, robust system not easily disrupted following extensive brain injury, and caution against assuming adult models of music organisation in the developing brain.

2017 ◽  
Vol 9 (1) ◽  
pp. 50
Author(s):  
Stephanie Miller

Studies examining song functioning in childhood are of particular importance when devising developmentally appropriate evidence-based Music Therapy (MT) interventions during recovery from brain injury. In comparison to adult studies where neural organization may be well defined, the neural organization of song in the developing brain has been comparatively under-researched. This includes functional consequences following neurological insult. This case study documents a 5 year-old female with typically developing language and verbal memory that suffered a severe traumatic brain injury. Despite extensive right hemisphere damage, her recognition and memory of previously well-learned (familiar) songs was preserved. New learning and retention of unfamiliar songs with lyrics was also observed and was not predicted based on adult models of melodic learning. Findings suggest that the song system in childhood is a neurologically significant, robust system not easily disrupted following extensive brain injury, and caution against assuming adult models of music organisation in the developing brain.  Keywords: music therapy, mindfulness, substance use, recovery                      multilingual abstract | mmd.iammonline.com 


2021 ◽  
Vol 12 ◽  
Author(s):  
Elisabeth A. Wilde ◽  
Ilirjana Hyseni ◽  
Hannah M. Lindsey ◽  
Jessica Faber ◽  
James M. McHenry ◽  
...  

Plasticity is often implicated as a reparative mechanism when addressing structural and functional brain development in young children following traumatic brain injury (TBI); however, conventional imaging methods may not capture the complexities of post-trauma development. The present study examined the cingulum bundles and perforant pathways using diffusion tensor imaging (DTI) in 21 children and adolescents (ages 10–18 years) 5–15 years after sustaining early childhood TBI in comparison with 19 demographically-matched typically-developing children. Verbal memory and executive functioning were also evaluated and analyzed in relation to DTI metrics. Beyond the expected direction of quantitative DTI metrics in the TBI group, we also found qualitative differences in the streamline density of both pathways generated from DTI tractography in over half of those with early TBI. These children exhibited hypertrophic cingulum bundles relative to the comparison group, and the number of tract streamlines negatively correlated with age at injury, particularly in the late-developing anterior regions of the cingulum; however, streamline density did not relate to executive functioning. Although streamline density of the perforant pathway was not related to age at injury, streamline density of the left perforant pathway was significantly and positively related to verbal memory scores in those with TBI, and a moderate effect size was found in the right hemisphere. DTI tractography may provide insight into developmental plasticity in children post-injury. While traditional DTI metrics demonstrate expected relations to cognitive performance in group-based analyses, altered growth is reflected in the white matter structures themselves in some children several years post-injury. Whether this plasticity is adaptive or maladaptive, and whether the alterations are structure-specific, warrants further investigation.


2003 ◽  
Vol 4 (2) ◽  
pp. 155-167 ◽  
Author(s):  
Karleigh Jayne Kwapil ◽  
Gina Geffen ◽  
Ken McFarland ◽  
Veronica Eileen DeMonte

AbstractThe present study aimed to determine whether including a sensitive test of immediate and delayed recall would improve the diagnostic validity of the Rapid Screen of Concussion (RSC) in mild Traumatic Brain Injury (mTBI) versus orthopaedic clinical samples. Two studies were undertaken. In Study 1, the performance of 156 mTBI and 145 orthopaedic participants was analysed to identify the number of individuals who performed at ceiling on the verbal memory subtest of the RSC, as this test required immediate and delayed recall of only five words. A second aim was to determine the sensitivity and specificity levels of the RSC. Study 2 aimed to examine whether replacement of the verbal memory subtest with the 12-word Hopkins Verbal Learning Test (HVLT) could improve the sensitivity of the RSC in a new sample of 26 mTBI and 30 orthopaedic participants. Both studies showed that orthopaedic participants outperformed mTBI participants on each of the selected measures. Study 1 showed that 14% of mTBI participants performed at ceiling on the immediate and 21.2% on delayed recall test. Performance on the original battery yielded a sensitivity of 82%, specificity of 80% and overall correct classification of 81.5% participants. In Study 2, inclusion of the HVLT improved sensitivity to a level of 88.5%, decreased specificity to a level of 70% and resulted in an overall classification rate of 80%. It was concluded that although inclusion of the five-word subtest in the RSC can successfully distinguish concussed from non-concussed individuals, use of the HVLT in this protocol yields a more sensitive measure of subtle cognitive deficits following mTBI.


2014 ◽  
Vol 31 (4) ◽  
pp. 395-403 ◽  
Author(s):  
Nan Li ◽  
Ya Yang ◽  
David P. Glover ◽  
Jiangyang Zhang ◽  
Manda Saraswati ◽  
...  

2021 ◽  
Vol 36 (6) ◽  
pp. 1139-1139
Author(s):  
Kristina E Smith ◽  
Daniel W Lopez-Hernandez ◽  
Alexis Bueno ◽  
Rachel A Rugh-Fraser ◽  
Bethany A Nordberg ◽  
...  

Abstract Objective We examined perceived workload as it is related to Brief Visual Memory Test-Revised (BVMT-R) short-delay and long-delay performance in traumatic brain injury (TBI) and healthy comparison (HC) participants. Method The sample consisted of 39 TBI participants and 54 HC participants. Demographically corrected BVMT-R scores were used to evaluate short-delay and long-delay performances. The perceived workload was measured using the NASA-TLX. Results ANOVA revealed that the HC group outperformed the TBI group on the BVMT-R short-delay and long-delay score, p < 05, η p 2 = 0.05. ANCOVAs controlling for age were used to evaluate NASA-TLX group differences. In regards to the NASA-TLX, TBI participants reported higher levels of physical demand, effort, frustration and overall subjective workload on the BVMT-R short-delay compared to HC participants, p < 05, η p 2 = 0.01–0.09. Furthermore, on the long-delay of the BVMT-R, the NASA-TLX revealed that the TBI group reported higher levels of temporal demand, effort, frustration and overall subjective workload compared to the HC group, p < 0.05, η p 2 = 0.05–0.14. Conclusions Results revealed that TBI participants demonstrated worse BVMT-R performances than HC participants. However, TBI survivors reported higher perceived workload demands compared to the HC group in both short-delay and long-delay of the BVMT-R. Our findings suggest that TBI impacts non-verbal memory performance in both BVMT-R short-delay and long-delay. Also, brain injury may be impacting TBI survivors’ awareness of their non-verbal memory performance. Further work is required to determine what drives the impaired perception of non-verbal memory performance among TBI survivors.


2019 ◽  
Vol 14 (12) ◽  
pp. 1285-1295 ◽  
Author(s):  
Kristen R Hoskinson ◽  
Erin D Bigler ◽  
Tracy J Abildskov ◽  
Maureen Dennis ◽  
H Gerry Taylor ◽  
...  

Abstract Childhood traumatic brain injury (TBI) affects over 600 000 children per year in the United States. Following TBI, children are vulnerable to deficits in psychosocial adjustment and neurocognition, including social cognition, which persist long-term. They are also susceptible to direct and secondary damage to related brain networks. In this study, we examine whether brain morphometry of the mentalizing network (MN) and theory of mind (ToM; one component of social cognition) mediates the effects of TBI on adjustment. Children with severe TBI (n = 15, Mage = 10.32), complicated mild/moderate TBI (n = 30, Mage = 10.81) and orthopedic injury (OI; n = 42, Mage = 10.65) completed measures of ToM and executive function and underwent MRI; parents rated children’s psychosocial adjustment. Children with severe TBI demonstrated reduced right-hemisphere MN volume, and poorer ToM, vs children with OI. Ordinary least-squares path analysis indicated that right-hemisphere MN volume and ToM mediated the association between severe TBI and adjustment. Parallel analyses substituting the central executive network and executive function were not significant, suggesting some model specificity. Children at greatest risk of poor adjustment after TBI could be identified based in part on neuroimaging of social brain networks and assessment of social cognition and thereby more effectively allocate limited intervention resources.


1998 ◽  
Vol 20 (2) ◽  
pp. 245-258 ◽  
Author(s):  
Mary J. Roman ◽  
Dean C. Delis ◽  
Lee Willerman ◽  
Mark Magulac ◽  
Theresa L. Demadura ◽  
...  

1991 ◽  
Vol 18 (2) ◽  
pp. 149-156 ◽  
Author(s):  
Lorna R. Glassman ◽  
Lorna R. Glassman ◽  
Lorna R. Glassman

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