Music therapy in neuropaediatrics 2 New techniques of documentation in neuroscience Concept of music...
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Transcript of Music therapy in neuropaediatrics 2 New techniques of documentation in neuroscience Concept of music...
Music therapy in neuropaediatrics 2
• New techniques of documentation in neuroscience
• Concept of music therapy methods in neurological rehabilitation
• Music therapy research in neuropaedicatrics
The main areas of the brain
• brain stem,
• cerebral hemispheres
(frontal, temporal, parietal, occipital)
• basal ganglia
• cerebellum
radiological techniques in neuroscience research
• Magnetic Resonance Imaging (MRI)
• Nuclear Magnetic Resonance imaging (NMR)
• functional Magnetic Resonance Imaging (fMRI).
Practical example
• Ataxia
• Tetraparesis
Research models
• Creative music therapy with severe developmentaly delayed children
• Prof. Dr. Aldridge, Prof. Dr. Neugebauer Nordoff /Robbins-Musik Therapie, 1994 ,Universität Witten/Herdecke medizinische Fakultät , Institut für Musiktherapie
• Prof. Dr. Ch. Plahl, 2002, Kinderzentrum München , Orff Musiktherapie
Cross over design
Group AWith MT
Group B
without MT
with MT
Without MT
mit MT
without MT
with MT
without MT
Ar MT
with MT
Results II: Significance of dependance between better test scores and treatment period
Prof. Dr. Ch. Plahl, 2002, Kinderzentrum München , Orff Musiktherapie
• Patients :12 children , age 2,5- 5,8 years with developmental age between 8 and 32 months mit ECSC (Early Social Communication Skales, Sarimski 1993)
• Controlled and blind study: No additional therapys during the trial period, investigator and therapist blind to the therapy process/ results
Study design:
• 2 Therapyphases with 7 – 10 days with 10 session (30 minutes)
• Inbetween 3 / 4 months brake.
• Start of every phase: ECSC and standardizised parents interview
Neurological music therapy
Traditional oriental music therapy
• Spiritual background: islamic sufi-tradition
• Public training since 1974 in Istanbul
• Scientific approach since 1994 with independent methodology, therapy concept and research
• Music idioms ( tuned scales) in the oriental music culture used as method .
Results coma remission scale before and after TOMT (N=5)
EEG -alpha and theta increases seem to be more marked over central regions in controls during TOMT and over temporal regions (see figure 11) in patients
(Patient Data) Temporal Theta and Alpha changes left
(li) and right (re): before , during and after TOMT.
increase of alpha- and theta power over both occipital regions
Healthy control subjects: increase of alpha and theta power over the left occipital region