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