Tag Archives: therapy

How to practice effectively [video]

This is a short video from TED Talk on how to practice more effectively. It includes some useful tips & really interesting information based on what we know about the brain & how we learn tasks.

This ties-in with my previous blogs on rehearsal & my own (admittedly rather limited) research on music and the human brain [see previous posts]. Let me know what you think!

If the above video doesn’t work, here’s a link so you can access the short TED Talk video on YouTube.

Enjoy! xx

New community music centre now open in Cumbria

Some of you may know I am involved with a few community music therapy projects in the north-west of England. Now think it’s time you met ‘me gaffer’, and had a wee peek at the new £2million centre which has recently opened its doors in Penrith, Cumbria.

Annie, Michael & the whole team at Sunbeams Music Trust have been working tirelessly for several years, and not just in fundraising for their brand new centre. Sunbeams Music Trust now provides community music across the region. Their ‘Music for Life’ & ‘Music for Dignity’ projects reach children and adults in schools, day centres, care homes & much more, bringing music (and improved wellbeing) to so many people who need & enjoy it. But there is always more work to be done and more communities & people to reach out to. This new centre will go some way to meeting that obvious need.

Featuring a large performance room, state-of-the-art digital recording studio and small music & therapy rooms, the new centre comes well equipped to meet the needs of the charity. A well-equipped kitchen & boardroom means they can also raise much needed revenue through conferencing & hosting events. The recording studio is also directly linked up to the performance hall, meaning the centre can also serve as a commercial studio capable of recording anything up & including a small orchestra!

Guitars laid out in ‘Lily’s Room’, at the Sunbeams Centre, Cumbria.

My only contribution to the new centre so far has been laying out the guitars on the floor (as above, however the remnants of which can also be briefly glimpsed in the video, via the link below). However, I hope to start leading a few of the projects there from 2017 and truth be told, I can’t wait! The new centre is, in a word, AWESOME!

Sunbeams runs entirely on donations & charity funding. If you haven’t yet chosen a charity to donate to for Christmas, or raise money for throughout 2017, please give Sunbeams some serious consideration.

Fundraiding information can be found on Sunbeam’s donation page.

Thanks, guys! xx

…And here’s the recent feature on the new Sunbeams Centre, courtesy of ITV News.

Where have I been?

As the late, great David Bowie sang, ch-ch-ch-ch-changes…

Hi all, been a while! So where have I been?

In one respect, nowhere new. I have however been rather busy as wedding season came around & I took on a lot of additional limited-run teaching work about the same time. I’ve also been keeping busy preparing for the first big change to my work/life balance…

I have been successful in securing a place to study for a MSc in Music Therapy in Edinburgh. This means for the next two years I will be in Scotland for two days (one night) per week. Regular readers will not be surprised to learn that qualifying as a music therapist has  been one of my long-term goals for a while now. I expect it to be a pretty intense period of study, but I will aim to keep this blog updated of my progress. I’ll also continue to post any interesting insights into MT that I discover on the way.

Using ‘bedsit research’ as an excuse to travel up to Edinburgh this week, my partner & I spent a few days enjoying the Festival Fringe. You can expect blogs reviewing the shows we saw showing up here very soon…

Any other ch-ch-changes?

Well yes, actually. Remember that new music project I’ve mentioned starting (or attempting to start) intermittently over the last year? Expect a new update very soon – new (heavier) sounds are on the way!

Tim x

Music & Wellbeing (Part 7): Final thoughts & additional reading

I hope you have enjoyed reading these extracts from my dissertation on the value of music on our overall wellbeing. I wanted to finish off this mini-series with a few final thoughts.

First of all, it goes without saying that a lot more research needs to be conducted in all of the areas I have covered. From music’s impact on the brain to it’s beneficial applications within the education system, we have only begun to scratch the surface of what could be possible. Music’s transformative power needs much more investigation and research than, unfortunately, we seem able to support financially in the country at the present. Having said that, there are a few great organisations out there, most of them charities, which are performing Stirling work even in these most difficult of economic times.

Nordoff-Robbins are the UK’s largest and oldest Music Therapy charity. Most of the MT courses on offer at UK universities are provided in conjunction with them, usually following their methods of practice. Another fantastic charity is Sunbeams. Working in the North-West area (Lake District, Cumbria) with a range of people, including children and adults with severe or multiple physical and mental difficulties, Annie Mawson’s organisation has won great praise and acclaim for it’s community music practice. I wholeheartedly suggest you check these guys out and donate if you can.

All the papers, texts and books I referenced in my mini-series were worth a greater look and I would encourage you to look through my references list at the end of each article, and read as many of the titles as possible. However, of all of these, may I humbly suggest Daniel Levitin’s astounding book on music and neuroscience ‘This Is Your Brain On Music’ and Oliver Sack’s ground-breaking tome ‘Musicophilia’.

As for the practise itself, get out there! Get volunteering! Use your hard-learned musical skills in the community to enrich the lives of those around you, especially those less fortunate, children, the elderly, disabled, ill and the isolated. Music is very much the world’s universal language – let’s use it to the best possible effect.

Music & Wellbeing (Part 6): Music Therapy & Educational Wellbeing

Music and educational wellbeing

So far, we have investigated the value of music in physical and mental wellbeing. As previously discussed, a better education leads to greater feelings of wellbeing, particularly in later stages of life (Merriam & Kee, 2014). With that in mind, if we are to consider the value of music on our physical and mental wellbeing, we must also discern its role in our education.

There have been recent arguments for the evaluation of wellbeing in the school system, examining what good practice is already in place, and also discussing ways to implement further measures (Aggleton, Dennison & Warwick, 2010). A recent study by McFerran & Rickson (2014) also highlighted the positive effect of music and music therapy in educational wellbeing. Both of the above studies allude to the wider benefits in the community and later on in the child’s life, once they reach adulthood. In this chapter, I aim to examine current thinking on the effects of music on improvements in children’s learning.

The act of participating in musical activities, or playing musical instrument, is seen by many to be of great importance to children’s development (Scripp, Ulibarri, & Flax, 2013; Swanwick, 1988, 1994;). As well as teaching self-discipline and providing feelings of achievement, it acts as ‘a powerful therapy for all sorts of childhood conditions. It develops body, brain and soul in balance’ (Ben-Tovim, 1979, pp. 15-16). Music has been considered to share many similarities with language throughout our history (Thaut, 2005, p. 171). It has long been used as a method of communicating new ideas and concepts to children in a classroom environment (Welch, 2005, p. 254; Barrett, 2005). The use of music in teaching pre-school children acts as both an ‘aid in language development while promoting musical development at the same time’ (Wiggins, 2007, p. 55). Recent studies, such as those carried out by Rickard et al (2010) noticed significant improvements in the verbal memory of primary school children who had spent time studying and playing music.

Such improvements, however, stop a little short of the now famous ‘Mozart effect’. This term is derived from an experiment in which students who listened to at least ten minutes of Mozart’s music performed better in special awareness tests (Rauscher, Shaw & Ky, 1993, quoted in North & Hargreaves, 2008, p. 346). The popularity of these studies allowing the idea that certain genres of music can increase intelligence has since filtered into popular assumption. However, the theory that listening to music increases intelligence quotient (IQ), excluding any other factors or stimuli, is in itself a ‘massive oversimplification and overgeneralisation of the original scientific findings’ (North & Hargreaves, 2008, p. 346). I agree that there are too many additional factors to be considered when taking into account music as stimulation for learning. I find it unreasonable to rely on an almost magical ‘Mozart Effect’ for better results in a classroom environment. I believe music needs to be employed intelligently as a communicative and participative tool in teaching practice. Student engagement will be increased through activities they regard as ‘fun’ and consequently topics can be digested more effectively. In my opinion, the musical method should stimulate creativity in the children, and better equip them for future learning in other subjects (Scripp, Ulibarri, & Flax, 2013).

While Wiggins (2007) conducted her research in the United States of America, there is an emerging global consensus to collaborate her view surrounding music as an effective tool in teaching. A similar study undertaken in Australia investigated the effects of shared music activities in pre-school children at ages 2-3 years old. The researchers then successfully linked these to a positive range of skills by the time the subjects reached ages 4-5 years old. The children demonstrated higher abilities in ‘vocabulary, numeracy, attentional and emotional regulation, and prosocial skills’. (Williams et al, 2015). The children in these tests proved to be more developed in terms of numeracy, literacy and prosocial skills, than children who had not partaken in shared music activities at a young age; more, even, than children who had participated in shared reading activities at the same age as part of the same research (Williams et al, 2015). This builds upon previous research in Germany, which suggests the level of skills such as numeracy in children may be largely down to the home environment of the child, not to mention other factors such as the educational level of the mother (Anders et al, 2012). Williams et al (2015) use the studies of Anders et al (2012) as one of the bases for their own research. While the German studies are not music-specific, they do not preclude the theories on which the Australian study was conducted. Similar investigations on older children by Hille & Schupp (2015) demonstrated not only an improvement in school performance, but greater conscientiousness and improved social awareness.

So what about children with special educational needs? ‘Special educational needs’ (SEN) is a term which encompasses a wide variety of physical and mental circumstances which might impede learning, experienced both within and outside of the educational system. In the classroom environment, examples of SEN include children with speech, sight or hearing impairments, dyslexia, dyspraxia, delayed cognition, Down’s syndrome and those on the Autistic spectrum (ASD). Studies carried out by Dieringer & Porretta (2013) have shown that the use of music during lessons improves concentration in children on the autistic spectrum. The data returned by their research showed significantly less propensity on the child’s part to diverge into off-task behaviours. They showed higher levels of concentration when music was used as part of the learning process. They reasoned that ‘music can act as an extra auditory stimulus providing additional environmental structure, thus prompting children with ASD to stay on task.’ (Dieringer & Porretta, 2013, p. 8). Dieringer & Porretta (2013) also conclude that looking into this area of study further could lead to improvements in other aspects of life for children with ASD, not least enhanced inclusiveness with other children.

While Dieringer and Porretta (2013) demonstrate in their study that off-task behaviours are reduced when music is used, they argue that further research needs to be conducted into whether or not ‘improved performance or learning actually took place’ (2013, p. 9). However, similar research by Gerrity (2013) focused specifically on improved learning in children with autism during music lessons. The findings of this research conclude that improvements in musical ability and understanding did in fact occur.

What is interesting about the studies carried out by Gerrity (2013), and those undertaken by Dieringer & Porretta (2013) is that they both focus on children with varying levels of autism inside the regular public school system. However, research by (Sandiford, Mainess, & Daher, 2013) has shown how music is of enormous help to teachers in specialist schools for children with profound and multiple learning difficulties (PMLD), including the most severe cases of autism. My caveat to this would be that such improvements depend on a number of interlinking circumstances. This is similar to the findings of Anders et al (2012). These include, amongst other factors; teaching style; available resources (learning support and funding, for example); environment (at home and school); and parental support.

REFERENCES

Anders, Y., Rossbach, H., Weinert, S., Ebert, S., Kuger, S., Lehrl, S., Von Maurice, J. (2012) ‘Home and preschool learning environments and their relations to the development of early numeracy skills’, Early Childhood Research Quarterly, Vol. 27, pp. 231–244. Available From http://dx.doi.org/10.1016/j.ecresq.2011.08.003.

Barrett, M. (2005) ‘Musical communication and children’s communities of musical practice’, in Miell, D., MacDonald, R. & Hargreaves, D. (eds.) Musical communication. United States: Oxford University Press, pp. 261-280.

Ben-Tovim, A. (1979) Children and music. Great Britain: A. & C. Black Ltd.

Dieringer, S. & Porretta, D. (2013) ‘Using music to decrease off-task behaviours in young children with autism spectrum disorders’, Palaestra, Vol. 27, No. 1, pp. 7-9.

Dennison, C., Warwick, I. & Aggleton, P. (2010) ‘Evaluating health and well-being in schools’, in Aggleton, P., Dennison, C. & Warwick, I. (eds.) Promoting health and well-being through schools. United States & Canada: Routledge.

Gerrity, K. (2013) ‘Conditions that facilitate music learning among students with special needs: a mixed-methods inquiry’, Journal of research in music education, Vol. 61, No. 2, pp. 144-159. Available from: 10.1177/0022429413485428.

Hille, A., & Schupp, J. (2015) ‘How learning a musical instrument affects the development of skills’, Economics of Education Review, Vol. 44, pp. 56-82. Available from: 10.1016/j.econedurev.2014.10.007.

McFerran, K. & Rickson, D. (2014) ‘Community music therapy in schools: Realigning with the needs of contemporary students, staff and systems.’ International Journal of Community Music, Vol. 7, No. 1, p. 75. Available from: 10.1386/ijcm.7.1.75_1.

Merriam, S., & Kee, Y. (2014) ‘Promoting Community Wellbeing: The Case for Lifelong Learning for Older Adults’, Adult Education Quarterly, Vol. 64, No. 2, pp. 128-144. Available from: 10.1177/0741713613513633.

Rickard, N., Vasquez, J., Murphy, F., Gill, A., & Toukhsati, S. (2010) ‘Benefits of a Classroom Based Instrumental Music Program on Verbal Memory of Primary School Children: A Longitudinal Study’, Australian Journal of Music Education, No. 1, pp. 36-47.

North, A. & Hargreaves, D. (2008) The social and applied psychology of music. United States: Oxford University Press.

Sandiford, G., Mainess, K., & Daher, N. (2013) ‘A Pilot Study on the Efficacy of Melodic Based Communication Therapy for Eliciting Speech in Nonverbal Children with Autism’, Journal of Autism & Developmental Disorders, Vol. 43, No. 6, pp. 1298-1307. Available from: 10.1007/s10803-012-1672-z.

Scripp, L., Ulibarri, D., & Flax, R. (2013) ‘Thinking Beyond the Myths and Misconceptions of Talent: Creating Music Education Policy that Advances Music’s Essential Contribution to Twenty-First-Century Teaching and Learning’, Arts Education Policy Review, Vol. 114, No. 2, pp. 54-102. Available from: 10.1080/10632913.2013.769825.

Swanwick, K. (1988). Music, mind, and education. USA & Canada: Routledge.

Thaut, M. (2005) ‘Rhythm, human temporality, and brain function’, in Miell, D., MacDonald, R. & Hargreaves, D. (Eds.) Musical communication. United States: Oxford University Press, pp. 171-191.

Welch, G. (2005) ‘Singing as communication’, in Miell, D., MacDonald, R. & Hargreaves, D.J. (eds.) Musical communication. United States: Oxford University Press, pp. 239-259.

Wiggins, D. (2007) ‘Pre-K Music and the Emergent Reader: Promoting Literacy in a Music-Enhanced Environment’, Early Childhood Education Journal, vol. 35, no. 1, pp. 55-64. Available from: 10.1007/s10643-007-0167-6.

Williams, K., Barrett, M., Welch, G., Abad, V., & Broughton, M. (2015) ‘Associations between early shared music activities in the home and later child outcomes: Findings from the Longitudinal Study of Australian Children’, Early Childhood Research Quarterly, Vol. 31, pp. 113-124. Available from: 10.1016/j.ecresq.2015.01.004.

Music & Wellbeing (Part 5): Music & Pain Relief

Music & pain relief

So far, we have examined the positive effects of music on our wellbeing, both physically and mentally. However, if music can indeed make us ‘feel better’, is there any scope for its application towards pain relief? As well as being beneficial, can music be medicinal? There is historical evidence of music playing a role in treating disorders as early as ancient Egyptian times, circa 4,000 B.C. (Thompson, 2015). An additional benefit to the use of music is its lack of invasiveness, compared to other forms of treatment:

Music is perhaps unrivalled by any other form of human expression in the range of its defining characteristics, from its melody and rhythm to its emotional and social nature. The treatments that take advantage of these attributes are rewarding, motivating, accessible and inexpensive, and basically free of side effects, too. The attractive quality of music also encourages patients to continue therapy over many weeks and months, improving the chance of lasting gains (Thompson, 2015)

Rather than being a physical experience alone, pain is a ‘biopsychosocial experience’ (Gregory, 2014, p. 27) which exists in the mind as much as the body: ‘It is affected by psychological and social factors, such as the site and nature of the injury, personality, age, gender, anxiety, understanding and cultural factors’ (Godfrey, 2005, quoted in Gregory, 2014, p. 24).  In previous studies on chronic pain, it has been noted that patients who concentrated on other tasks or activities experienced less pain (Löfgren & Norrbrink, 2012, p. 2146). Since many sections of the brain are activated when listening to music (Levitin, 2006, pp. 270-271), it stands to reason that the use of music could be highly effective as a distraction from pain, reducing or cancelling-out pain signals.

A clinical study by Mitchell et al (2007) supported the idea of music as a means of distraction from chronic pain, if not a complete remedy to pain altogether:

Music listening, and in particular listening to our own preferred music, may provide an emotionally engaging distraction capable of reducing both the sensation of pain itself and the accompanying negative affective experience (Mitchell et al, 2007, p. 37)

Mitchell et al’s (2007) study paints a highly optimistic picture for the application of music as an effective means of distraction. In particular, they noted that the patients in their study who place a higher value on music, and listen to it more frequently, responded that they were ‘enjoying life more, having more energy and ability to perform activities, and feeling depressed and in need of medical treatment less often’ (Mitchell et al, 2007, p. 37).

Another study by Silvestrini et al (2011) produced similarly interesting findings:

The present study was designed to test the pain-reducing effects of pleasant music compared to silence, unpleasant music, and to an auditory attention task. Results partially confirmed our hypotheses. Compared to the silence and the unpleasant music, pleasant music had a significant effect on the pain ratings and pain tolerance to the cold pressor test but not on the NFR. This finding suggests that the auditory stimuli used in this study, and more particularly pleasant music, did not produce any central descendent analgesic effect on spinal nociception, which would have resulted in lower NFR. In contrast, music had a significant effect on the NRS, the sensory and the affective thresholds, and on the pain tolerance to the cold pressor test compared to silence and to the unpleasant musical stimulations, and these results are consistent with previous studies showing pain-reducing effect of music on reported pain experience (Silvestrini et al, 2011, p. 268)

Silvestrini et al’s (2011) report suggests that the areas of the brain responsible for processing pain signals are the same as the areas for analysing music we hear. This is mainly because our brains utilize several different areas and functions when listening to music. These include the areas which process movement: the Cerebellum; a combination of Cortexes (Prefrontal, Motor, Sensory, Auditory and Visual); and the areas which process emotions: the Amygdala and Nucleus Accumbens. (Levitin, 2006, pp. 270-271).

Does this mean music is a distraction? Pain acts as a signal in the brain, alerting the conscious mind of something which may be an ‘issue’ or problem. This is a survival-trait ingrained in us through our evolution. Like music, ‘the areas of the brain involved in pain experience and behaviour are very extensive’ (Melzack, 1996, p.134). However, some studies, such as those by Fabbro & Crescentini (2014), indicate that once we are aware of these ‘issues’ with the body, manifested as pain we experience in the affected area, it is possible to cancel out the signal. We can, in effect, ‘switch off’ pain, depending on the individuals attitudes to pain.

This might go some way to explain the variance in results found by Silvestrini et al (2011) and Mitchell et al (2007). Both seemed to find generally positive results when studying the effect of listening to music in relation to experience of pain. However, both reports clearly show mixed results amongst their test groups. Other research, while demonstrating an overall positive effect of music in medicinal use (Hargreaves & North, 2008, p. 301), met with similarly varied outcomes depending on the subject’s gender and age:

With regard to sex, music was less effective for males than it was for females. With regard to age, children responded more positively to music than did adults and infants (Standley, 1995, quoted in Hargreaves & North, 2008, p. 302)

This runs in accordance with the findings of Fabbro & Crescentini (2014), which stated that different people apply varying levels of importance and focus to the pain they experience. What one individual might experience as mild pain, another could feel something altogether more debilitating; the change in pain experience is determined mainly by the “expectations” of the patient’ (Fabbro & Crescentini, 2014, p. 545). Gregory (2014) agrees with this view. As we have already seen, pain is ‘an individual experience and the effectiveness of interventions can vary between individuals’ (Gregory, 2014, p. 24). Therefore, their ability to focus on music instead of the brain’s pain signals will be compromised. Giving focus to anything our minds have deemed important for our attention means the brain is devoting less processing energy to listening to the music. This renders as null the positive effect music can have on our experience of pain, because ‘even if you’re only paying attention to one other factor, our capacity to focus on the music may have already been cut in half’. (Green, 1986, p. 68)

It is especially interesting that both studies yielded more positive results when the participants were listening not only to pleasant music, but to music they preferred (Mitchell et al, 2007, p.37). Levitin (2006, pp. 231) states that we often make our preferred musical choices during our early teenage years, and we attach a level of emotional importance to this music. Therefore, music’s ability to have a reductive effect on pain must be, in part, the mental act of processing these positive emotional feelings when listening to music we enjoy.

 

REFERENCES

Fabbro, F., & Crescentini, C. (2014) ‘Review: Facing the experience of pain: A neuropsychological perspective’, Physics of Life Reviews, Vol. 11, pp. 540-552. Available from: 10.1016/j.plrev.2013.12.010.

Green, B. (1986) The inner game of music. United States: Pan Books.

Gregory, J. (2014) ‘Dealing with acute and chronic pain: part two – management’, Journal of Community Nursing, Vol. 28, No. 5, pp. 24-29.

Levitin, D. (2006). This is your brain on music: understanding a human obsession. Great Britain: Atlantic Books.

Löfgren, M., & Norrbrink, C. (2012) ”But I know what works’ – patients’ experience of spinal cord injury neuropathic pain management’, Disability & Rehabilitation, Vol. 34, No. 25, pp. 2139-2147.

Melzack, R. (1996) ‘Gate control theory: on the evolution of pain concepts’, Pain Forum, Vol. 5, No. 2, pp. 128-138.

Mitchell, L., MacDonald, R., Knussen, C. & Serpell, M. (2007) ‘A survey investigation of the effects of music listening on chronic pain’, Psychology of Music. Vol. 35 (1), pp. 37-57.

North, A. & Hargreaves, D. (2008) The social and applied psychology of music. United States: Oxford University Press.

Silvestrini, N., Piguet, V., Cedraschi, C. & Zentner, M. (2011) ‘Music and auditory distraction reduce pain: emotional or attentional effects?’ Music and Medicine. Vol 3 (4), pp. 264-270.

Thompson, W. (2015) ‘The Healine [sic] Power of Music’, Scientific American Mind, vol. 26, no. 2, pp. 32-41.

Music & Wellbeing (Part 4): Music & Movement

This blog is a continuation of my mini-series examining the value of music on our overall wellbeing. The next two instalments will look at the physical benefits of music as a means of healing and rehabilitation.

As always, if you have any comments, suggestions or would like any further information regarding any of the research provided below, please do not hesitate to drop me a line! Music therapy is still a relatively new field (especially when looking at the wider sphere of medicine), and a lot of this might be new information to some. However, there exists a huge array of prior research and reading material on the subject. If reading these articles has sparked an interest in learning more about music therapy, but unsure about the best place to start, I would be more than happy to point you in the right direction!

I got rhythm: Music & Movement

Levitin (2006, p. 174) states that the cerebellum, as one of the earliest parts of our brain to evolve, is responsible for motor functions, including timing:

The Cerebellum is the part of the brain that is involved closely with timing and with coordinating movements of the body…From phylogenetic studies – studies of brains of different animals up and down the genetic ladder – we’ve learned that the cerebellum is one of the oldest parts of the brain, evolutionarily speaking. In popular language, it is sometimes referred to as the reptilian brain. Although it weighs only 10 per cent as much as the rest of the brain, it contains 50 to 80 per cent of the total number of neurons. The function of this oldest part of the brain is something that is crucial to music: timing (Levitin, 2006, p. 174)

As one of our oldest brain functions, our propensity for rhythm is therefore hardwired into us. Combine these automatic functions with the reward-centre activation we experience when listening to music (Salimpoor et al, 2015), and it goes quite some way to explaining our natural need to set things in order; an ‘unconscious propensity to impose a rhythm even when one hears a series of identical sounds at constant intervals’ (Sacks, 2008, p. 264).

Sacks (2008) discusses studies which demonstrated that the motor cortex and subcortical motor systems were activated when listening to music, or even merely imagining it. He argued that keeping time, in both a mental sense and as a physical act, depends ‘on interactions between the auditory and the dorsal premotor cortex’ (Sacks, 2008, p. 262). The human mind is unique in its ‘functional connection between these two motor activations’ (Sacks, 2008, p. 262) which are so intricately integrated with each other. Further to this, when listening to music is coupled with a physical activity, such as finger-tapping or any other movement in the body, several more areas of the brain are utilised. These include the cerebellum and the areas of the frontal lobes commonly associated with ‘higher perceptual and cognitive control’ (Thaut, 2005, p. 179).

According to Thompson (2015), utilizing music’s effects on the brain has yielded a positive response in stroke patients with impaired motor skills:

Patients who engaged in this intervention, called music-supported training, showed greater improvement in the timing, precision and smoothness of fine motor skills than did patients who relied on conventional therapy. The researchers postulated that the gains resulted from an increase in connections between neurons of the sensorimotor and auditory regions…the hope now is that active music making-singing, moving and synchronizing to a beat-might help restore additional skills, including speech and motor functions in stroke patients (Thompson, 2015)

Thaut (2005) has also recorded positive results when using ‘rhythmic auditory stimulation to facilitate walking’ in patients who have been partially paralysed following a stroke (Sacks, 2008, p. 276). Again, we see rhythm at play here to increasingly useful effect. Similar research carried out by Jun, Roh, & Kim (2013) investigated the benefits of music therapy in rehabilitating stroke patients. They discovered that better results, and improved mood, were increased by providing music-based movement treatments on a more regular basis (Jun, Roh, & Kim, 2013, P. 29).

Parkinson’s Disease is another condition in which music has been proven to help in alleviating symptoms. Parkinson’s Disease is a progressive neurological condition (www.parkinsons.org) caused by the ‘degeneration of cells in the midbrain that feed dopamine to the basal ganglia, an area involved in the initation [sic] and smoothness of movements’ (Thompson, 2015). These symptoms worsen as the disease progresses (Ross & Singer, 2014). In later stages of the disease, it is not only movement which is slowed down, but also the ‘flow of perception, thought, and feeling’ (Sacks, 2008, p. 274). This highlights the roots of the disease in the brain rather than in other parts of the body, much in the same way that the body can be affected after a stroke. Most studies conclude that music supplants a rhythm where the patient’s brain has stopped carrying out movement functions automatically (Jun, Roh, & Kim, 2013; Sacks, 2008; Thaut, 2005; Thompson, 2015).

As we saw when looking at musical interventions on stroke patients, one of the key factors to the success of music therapy in patients with Parkinson’s Disease is down to timing. In regard to Parkinson’s Disease, there are particular observations to be made about the patient’s own perception of timing:

‘An observer may note how slowed a parkinsonian’s movements are, but the patient will say, “My own movements seem normal to me unless I see how long they take by looking at a clock. The clock on the wall of the ward seems to be going exceptionally fast.”’ (Gooddy, 1988, quoted in Sacks, 2008, p. 276)

Regarding this example of relative time, using music has a positive effect because it ‘imposes its own tempo’, effectively overriding the impulses to speed up or slow down that Parkinsonion patients experience (Sacks, 2008, p. 276). Sacks (2008) continued that for as long as the music lasts, the patients’ rhythms returned to pre-illness speeds of movement. In other cases, where one side of the body is operating at a different speed to the other, getting the patient to play on an organ brought his limbs back into synchronicity again (Sacks, 2008, p. 277).

In many of the case studies provided by Sacks (2008), he mentions that the patients ‘come alive’ and in some examples shake off all visible signs of Parkinson’s Disease; walking more fluidly; singing; and even dancing energetically. In one case, an especially motionless patient is seated at the piano and not only frees up in her movement, but plays beautifully from memory; the act of imagining the music has the same effect as physically hearing it (Sacks, 2008, p. 278).

The phrase ‘come alive’, to me, suggests a happier state of mind when music is present in these patients. This is similar to the stroke patients in Jun, Roh, & Kim’s (2013) study that experienced an ‘improved mood’. While music is being applied here seeking physical improvements, it is simultaneously improving the patient’s mental wellbeing. Therefore, music can be seen to have an overall positive effect on the patients’ combined wellbeing. I agree with the research in these chapters, and believe that further implementation of music-based interventions within the National Health Service will show quicker recovery times in patients. This, in turn, should lead to a greater overall mental wellbeing in the patients as their health improves. As for the National Health Service, they are optimistic about the positive use of music as a means for treating stroke and Parkinson’s patients. However, they wish to see larger studies with more varied groups of patients. (National Health Service, 2008).

REFERENCES

Jun, E., Roh, Y., & Kim, M. (2013) ‘The effect of music-movement therapy on physical and psychological states of stroke patients’, Journal of Clinical Nursing, Vol. 22, No. 1/2, pp. 22-31. Available from: 10.1111/j.1365-2702.2012.04243.x.

Levitin, D. (2006). This is your brain on music: understanding a human obsession. Great Britain: Atlantic Books.

National Health Service (2008) Music aids stroke recovery. Available at: http://www.nhs.uk/news/2007/January08/Pages/Musicaidsstrokerecovery.aspx (Last accessed: 07/05/2012).

Parkinson’s Society (2015). Available at: www.parkinsons.org

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