Music Therapy Flashcards
define NMT
Neurologic Music Therapy
- therapeutic application of music to cognitive, sensory, and motor dysfunction due to disease of the nervous system
- based on neuroscience models of music perception and the influence of music on changes in non-musical brain functions and behavior
what is RAS?
Rhythmic Auditory Stimulation
- a technique developed upon using rhythmic cues to elicit purposed physioogical responses
- elicits physiological effects of auditory rhythm on the motor system to improve the control of movement in pts with sig deficits due to neuro impairments
Auditory system has the ability to:
1________
2_________
- rapidly construct stable temporal templates
- detect temporal patterns in auditory signals
describe the principle of entrainment
- temporal locking process in which one system’s motion or signal frequency entrains the frequency of another system
- stronger oscillator locks the weaker into its frequency, or if equal in strength the systems move towards each other
list some neural pathways that are entrained with auditory (5)
- sensorimotor cortex, supplementary motor area
- posterior inferior frontal gyrus (Broca’s)
- Cerebellum
- basal ganglia
- reticulospinal pathways
how does rhythm and auditory stimuli impact motor control?
- rhythm provides precise anticipatory time cues for the brain to plan ahead and be ready
- auditory stimulation primes the motor system in a state of readiness to move
- increases response time and response quality
- modulates patterns of muscle activation and control of movement in space
- patterned sensory enhancement
what is pattern sensory enhancement
- using musical patterns to create functional movement patterns and sequencing to enhance direction and accuracy of movement
brain disorder that NMT rehab can work in (6)
- Stroke
- Brain injury
- PD
- Incomplete SCI
- CP
- MS
NMT and rehab (CVA, PD, DOC, Epilepsy)
- CVA
- hemiparetic gait training
- spatio-temporal mobility
- fine motor skills
- PD
- intiation and regulation of mobility
- reduction in fall risk
- Disorders of consciousness
- emergence from coma in peds
- Epilepsy
- mozart = anti-epileptic effect (in peds)
NMT and neuro impairment (12)
- Gait speed
- Gait symmetry
- Weight bearing
- Cadence
- Stride length
- Standing balance (BBS)
- Gait endurance (6 mwt)
- Balanced muscular activation (EMG)
- Gait kinematics
- COM vertical displacement, lateral displacement
- Executive function
- Attention
- Fall risk
utilizing NMT during PT
- Common inclusion criteria
- able to walk >20-100 ft
- hearing intact
- MMSE >24
- No major CV dysfunction
- PD: 1= H&Y = 3
- MS: exacerbation >30 days
formatting RAS into treatment session (Phase 1)
warm-up: 1-2 mins or trials of walking with RAS at preferred cadence
formatting RAS into treatment session (Phase 2)
gait training activities with RAS at 10% increase in cadence (bpm)
formatting RAS into treatment session (Phase 3)
intermittent fading of RAS to train for independent carryover
