Monday, October 1, 2012

Music Therapy On Disables





               I think there will be not a single individual that don’t enjoy music in this existing world. Music has tremendous spiritual power by which not only healthy person get benefits but also disable person also can get back to his/ her normal state & can get significant functional improvement. Many researchers have proved that music is the best therapy to be used in Stroke patients, Developmental Delayed Children, Parkinson’s Disease, Autism, Tinnitus, Alzermeir’s disease, Depression, Mood Swings, Anxiety, Spinal Cord Injuries, Head Traumatic conditions. Advance Music technology has made it possible not only to improve functional abilities in disable but help to relieve pain in palliative conditions (Like in Cancer therapy, AIDS,etc).

v <!--[endif]-->Music Helps Speech Recovery;


Stroke patients are not able to speak if their speech area is affected in the brain. There is different kind of aphasia depending on which area is affected in the brain. Research has proved that if one cannot speak, does not mean one cannot sing. These two functions are different neurological functions. Many stroke patients are able to sing lyrics of the song but not able to say simple “ Hi or Hello”. Clinical studies conducted by Tomanio(PhD in Music Therapy – currently runs music school for disables in new york )  & one neurologist in the Columbia University, USA , have proved that singing any words like “ what you are doing “ instead of speaking affects speaking recovery. Its easier for them to say phrase in music context which can be initially used as a communication tool too.

v Music Improves Motor Function in stroke or any neurological patients ;

According to American Music Therapy Association not only  speech recovery is possible by music but also improvement in motor skills is also possible.
Few studies have focused on music-movement therapy's effects on physical and psychological functioning of stroke patients. Study Design;  A quasi-experimental design with pre- and post-tests was used. Methods.  A convenience sample was used: patients hospitalized for stroke and within two weeks of the onset of stroke were randomized to either an experimental group (received music-movement therapy in their wheelchairs for 60 minutes three times per week for 8 weeks) or control group (received only routine treatment). The effect of music-movement therapy was assessed in terms of physical outcomes (range of motion, muscle strength and activities of daily living) and psychological outcomes (mood states, depression), measured in both groups pre- and post-test. Results.  The experimental group had significantly increased shoulder flexion and elbow joint flexion in physical function and improved mood state in psychological function, compared with the control group. Conclusions.  Early rehabilitation of hospitalized stroke patients within two weeks of the onset of stroke was effective by using music-movement therapy. It improved their mood state and increased shoulder flexion and elbow joint flexion. Relevance to clinical practice. The findings of this study suggest that rehabilitation for stroke patients should begin as early as possible, even during their hospitalization.
            By Music fine motor movements also can be improved. For some disable patients MIDS (Musical Interface Digital Instrument) Software is use to play instruments which ultimately helps them to improve fine motor skills. With some adaptive equipment in special music school they are taught to hold the instrument by them selves. By playing Drum or Congo shoulder / elbow ROM is also improved along with fine movements.

v Instruments played by Computerized advance Technology;

This is very new technology which is currently been use in the USA in special music schools for disable. This is used in patients who are not able to move at all physically especially in C2 spinal cord injuries, Advance stage of Multiple sclerosis, Quadriplegic etc..

Digital video camera is connected with the computer software where it can detect patient’s head movement. One digital band is tied at patient’s head. A cursor placed on some part of the screen image of the head tracks even subtle head movements electronically that translate into musical notes heard through the computer’s speakers. The program can be played in two modes. In piano mode, a movement from side to side plays a piano scale; in percussion mode the same movement creates a drum roll. By this program patient can also compose music.

v Relieve pain in palliative diseases;

Palliative disease are end stage disease which cannot be cured completely. Mainly this kind of patients is in pain & depression. Their life is so much disturbed because of chronic disease. Music therapy can reduce their suffering significantly. Research has proved also that it can improve life expectancy by giving them hope for life. Music can give them spiritual peace & improves mental willing power.



References
Spirituality, psychotherapy and music in palliative cancer care: research projects in psycho-oncology at an oncology center in Switzerland. Renz MSchütt Mao MCerny T.
Acta Med Croatica. 2011 Dec;65(5):415-23.
[Use of music in palliative care].[Article in Croatian] Skrbina DSimunović DSantek VNjegovan-Zvonarević T.
Int J Clin Exp Med. 2012;5(4):273-88. Epub 2012 Aug 22.
Long-term effects of the "Heidelberg Model of Music Therapy" in patients with chronic tinnitus.

Music Therapy Modulates Fronto-Temporal Activity in Rest-EEG in Depressed Clients.

Fachner J, Gold C, Erkkilä J.Source;;Department of Music, Finnish Centre of Excellence in Interdisciplinary Music Research, University of Jyväskylä, P.O. Box 35, 40014, Jyväskylä, Finland, jorg.fachner@jyu.fi.

 

The effect of music-movement therapy on physical and psychological states of stroke patients.Jun EM, Roh YH, Kim MJ.Source  ;Authors: Eun-Mi Jun, PhD, RN, Associate Professor, Department of Nursing Science, Dong-eui University, Busan; Young Hwa Roh, BSN, RN, Nurse, Department of Nursing, Medwill Rehabilitation Hospital, Busan, Korea; Mi Ja Kim, PhD, RN, FAAN, Professor, Department of Biobehavioral Health Science, UIC College of Nursing, Chicago, IL, USA.



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