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Singing As A Therapeutic Technique To Improve Gait For People With Parkinson Disease, Elinor Harrison

Arts & Sciences Electronic Theses and Dissertations

Abstract of the Dissertation

Singing as a Therapeutic Technique to

Improve Gait for People with Parkinson Disease

by

Elinor Clare Harrison

Doctor of Philosophy in Movement Science

Neurosciences

Washington University in St. Louis, 2018

Professor Gammon Earhart, Chair

Gait impairment is common in older adults and even more prevalent for people with Parkinson disease (PD). Gait dysfunction is often characterized by reductions in speed, step frequency, and step length. In addition, decreased ability to regulate step length and step frequency may contribute to increased gait variability, making walking less stable and increasing risk for falls. As gait deficits are often …

The Use Of Neurologic Music Therapy And Rhythmic Auditory Stimulation As Treatment For Parkinson’S Disease, Shaima Shebrain

Honors Theses

Parkinson’s Disease (PD), a progressive, neurodegenerative disease, is common in people who are 50 years of age or older. It is characterized by the loss of function of the substantia nigra in producing dopamine, a neurotransmitter that allows for smooth and coordinated movement. Due to the lack of dopamine, an individual with PD experiences involuntary and stiff movements such as tremors, rigidity, bradykinesia, postural instability, and abnormal gait patterns along with other motor symptoms. Over the years, the motor symptoms that are associated with PD progressively worsen; thus, limiting the individual’s independency and ability to perform daily tasks. Those with …

The Effect Of Patterned Sensory Enhancement On Balance And Ambulation In Persons Diagnosed With Parkinson’S Disease, Brittany Barko

Masters Theses

One rehabilitation protocol effective in delaying the symptoms of Parkinson’s Disease (PD) is Lee Silverman Voice Training BIG (LSVT BIG), comprising pre-gait exercises and gait training. This study seeks to determine if combining Patterned Sensory Enhancement (PSE), a music therapy intervention, with LSVT BIG will improve quality of movement. During physical therapy sessions with three participants, a music therapist adapted the PSE stimuli to support each patient’s motor needs, which were then recorded on CD and sent with patients to exercise with at home. Results showed improved balance and ambulation comparing pre- and post- measures of the BERG balance scale …

Are We Doing More Than We Know? Possible Mechanisms Of Response To Music Therapy, Amy Clements-Cortés, Lee Bartel

Music Faculty Publications

Due to advances in medical knowledge the population of older adults struggling with issues of aging like Alzheimer’s disease (AD), Parkinson’s disease (PD), and stroke is growing. There is a need for therapeutic interventions to provide adaptive strategies to sustain quality of life, decrease neurologic impairment, and maintain or slow cognitive decline and function due to degenerative neurologic diseases. Musical interventions with adults with cognitive impairments have received increased attention over the past few years, such as the value of personalized music listening in the iPod project for AD; music as a tool to decrease agitation and anxiety in dementia; …

Similarities And Difference In The Neural Processing Of Speech And Song In Religious Music, Brett Pielstick

Undergraduate Honors Theses

An fMRI study was performed to see the differences in the neurological processing between spoken and sung language in religious music. Students at Brigham Young University, who are members of the Church of Jesus Christ of Latter-day Saints, were exposed to alternating blocks of spoken and sung lyrics of religious and non-religious songs. There was no significant activation when contrasting speech and song, but there was significant activation in the right middle temporal gyrus and the posterior cingulate gyrus when listening to spoken and sung religious lyrics, suggesting an emotional reaction to religious stimuli. Contrasting spoken stimuli for both religious …

Crossroads Of Music And Medicine, Annie Heiderscheit

Crossroads of Music and Medicine

The author proposes reuniting the disciplines of music and medicine in the service of alleviating the impact of pain, addiction, and trauma on human life. Music listening can reduce symptomology, reduce the use of medicine, and reduce costs. In the author's work conducting the Bonny Method of Guided Imagery and Music (GIM) with adults in treatment for a chronic addiction, she found that after a series of GIM sessions, patients began talking about letting go, moving on, and finding empowerment and transformation.

Musician As Physician: Interwoven Artistry For Complex, Cancer Pain Management, Douglas E. Brandoff

Crossroads of Music and Medicine

The author, who is both a classical musician and a physician, reflects on how to interweave the skills he has from experience in both realms to become a more "complete" palliative care physician when working with patients.

Music Therapy For Infants With Neonatal Abstinence Syndrome, Jasmine Edwards, Susan Bakouros

Crossroads of Music and Medicine

Over a quarter of a million infants each year are born with neonatal abstinence syndrome (NAS). There is a trend for treatment of NAS to move away from pharmaceutical to non-pharmaceutical interventions to manage symptoms. This paper describes the treatment model called Rhythm, Breath, Lullaby: First Sounds (RBL).

Imagination Station: Activating Creativity In Children With Disabilities, Allison Dukes

Expressive Therapies Capstone Theses

Play is a major topic of conversation when discussing childhood development is associated with creativity and imagination. Although there has been some research involving the creative process amongst children, little has been explored in regards to expressive arts as a technique to further current studies on play. This paper presents a combined method of intermodal expressive arts therapies and play therapy techniques to aid in the fostering of creativity within children with disabilities by utilized the theoretical framework provided by the Expressive Therapies Continuum (ETC). A current review of literature on the ETC, cognitive functions, and expressive arts modalities is …

How Can The Attunement Needs Of Children With Disorganized Attachment Styles Be Supported Through Expressive Arts Therapy?, Jayne Paley

Expressive Therapies Capstone Theses

Treatment strategies for school age children with disorganized attachment are not well established. This population exhibits a range of difficulties in social relationships and self-regulation. Additionally, children with disorganized attachment generally rely on defense mechanisms and present with other comorbid conditions, adding to the complexity of treatment. This paper explores current research and theories about disorganized attachment and then, on the basis of evidence provided throughout this paper, proposes the concept of attunement needs in relation to working with children with disorganized attachment. The attunement needs described in this paper, derived from the literature, include safety/security, control/power, consistency, affective release, …

Dancing, Mindfulness, And Our Emotions: Embracing The Mind, Body, And Sole, Alisha M. Collins

Dissertations, Theses, and Capstone Projects

This capstone project examines dance, as an intervention and mindfulness practice that assists with managing our emotions. There is a need for dance therapy in social institutions such as, healthcare facilities, schools, and community centers. Dance therapy has the potential to reduce negative emotions, create mindfulness, improve self-expression, and promote a healthy well-being. I am proposing that dance therapy is applied as a regular practice in social institutions to develop mindfulness and promote emotional stability.

In this study, I argue that dance therapy can contribute to our well-being long term. In addition to this written thesis, a visual component of …

Performance Anxiety And The Benefits Of Proper Breathing For Singing, Kate Zecher

Undergraduate Theses

The intent of this thesis is to help those with Music Performance Anxiety, or anxiety in general, better understand their anxiety and its causes. They can then use this knowledge to reduce or control their symptoms in order to improve their performance, whether on a stage or in a classroom. One of the main symptoms of Music Performance Anxiety is constriction of the chest. It is one of the most debilitating symptoms to singers as it causes shortness of breath. Therefore, focusing on anxiety in relation to breathing will most benefit those with Music Performance Anxiety. In addition, learning about …

Alzheimer's Disease And The Impact Of Music Therapy: A Systematic Literature Review, Hayley Guess

James Madison Undergraduate Research Journal (JMURJ)

Although a cure for Alzheimer’s disease (AD) has yet to be discovered, several non-pharmacological treatments can improve patients’ quality of life and provide temporary relief from the disabling symptoms. One of these treatments is music therapy. This systematic literature review evaluates the existing research on the relationship between Alzheimer’s disease (AD) and music therapy, with a narrowed focus on familiar music therapy, the potential mechanisms of action that explain the efficacy of this intervention, and the resulting nursing implications that may be utilized in practice. A search of the Cumulative Index to Nursing and Allied Health Literature (CINAHL) database returned …

A Survey Of Perceptions And Professional Boundaries Between Music Therapy And Speech-Language Pathology, Jennifer Rose Fromius

Masters Theses

The purpose of this study is to examine the relationship between music therapists and speech-language pathologists in order to gain a better understanding of professional boundaries within each profession, frequency of co-treatment between the two professions, and perceptions of referral in clinical practice. Data for this research were collected through two online questionnaires with parallel sets of questions, which were distributed to a sample of boardcertified music therapists (MT-BC) and speech-language pathologists (CCC-SLP). Quantitative and qualitative data collected from the survey (N= 283; n = 45 MT-BC, n = 238 CCC-SLP) are analyzed to determine if there are correlations and …

‘Self As Instrument’ – Safe And Effective Use Of Self In Music Psychotherapy: Canadian Music Therapists’ Perceptions, Heidi Ahonen

Music Faculty Publications

This article introduces the results of a pilot survey conducted with accredited Canadian music therapists investigating their perceptions of personal psychotherapy and the concept of Safe and Effective Use of Self (SEUS) in the music therapy relationship. An emailed survey questionnaire covered both closed and openended questions on SEUS-related topics. The open-ended questions were analysed using the qualitative data analysis software Nvivo. Simple percentages were calculated to analyse the results of the closed-ended questions. The results suggest that music therapists engaging in psychotherapy seem to work with similar client populations, use similar theoretical approaches and techniques, and hold very similar …

Making Music To Enhance Mental Health In Eldoret, Kenya, Michael Peters, Ethan Wahle, Ellen Schellhase

Engagement & Service-Learning Summit

After attending this session, participants will be appreciate the power of music and witness the level of engagement that street youth in a resource-limited country have as they unite behind a common goal. Street youth in Eldoret, Kenya are at a high risk of experiencing psychological conditions like Post-traumatic Stress Disorder with contributing factors including homelessness, an unstable family structure, and exposure to alcoholism and drug abuse in parent figures. Music therapy has shown benefits in children to alleviate and manage some of the symptoms of emotional disturbances. The goal was to create a sustainable music program in Eldoret, Kenya …

The 4th International Conference Of The International Association For Music And Medicine (Iamm), Amy Clements-Cortés

Music Faculty Publications

No abstract provided.

Music Heals: Therapeutic Music To Reduce Pain And Anxiety In Adult Icu Patients, Kathleen Sowada

Nursing Posters

To decrease pain and anxiety in adult intensive care unit patients through the use of therapeutic music as compared to no music intervention.

The Arts In The United States: Can The Arts Become A Public Good?, Alexander Van Der Veen

Senior Projects Fall 2018

Senior Project submitted to The Division of Social Studies of Bard College.

An Analysis Of Music Therapy On Improving Social And Communication Skills In Children With Autism Spectrum Disorder, Steven Koehler

Theses and Graduate Projects

Autism, a diagnosis that has skyrocketed and is worrisome to parents, teachers, clinicians and researchers. Over the past four decades, the rate of children suffering from Autism Spectrum Disorder has grown 10 times and is the fastest growing disability in the US.1,2 Currently, 1 in 68 births are affected by Autism.1 Due to the high prevalence of this disability, researchers are searching for ways to treat the symptoms of this incurable disorder. Music therapy is gaining popularity as an intervention strategy for children with Autism Spectrum Disorder (ASD).3 This paper will analyze the benefits music therapy has on the improvement …

The Effects Of Music Therapy Techniques On Clients In A Substance Abuse Group, Moyosore Fabiyi

Masters Theses

The purpose of this study was to examine the effects of music therapy on clients with substance abuse history attending group sessions in a behavioral health facility. Specifically, the mechanism by which lyric analysis or the musical component may lead to positive therapeutic outcomes was examined. In order to assess the effectiveness of music therapy techniques, a comparison was made between conditions of music alone, lyric analysis alone and music with lyric analysis. One may be able to argue that the mechanism by which music therapy affects clients may lay within the music itself and clients listening to that music. …

The Effect Of A Single-Session Group Songwriting Intervention On Grief Processing In Hospice Clinicians, Melissa Deaton

Theses and Dissertations--Music

The purpose of this study was to determine the effect of a single-session group music therapy songwriting session on grief processing in hospice clinicians. The study design was quasi-experimental. Participants were cluster randomized into a control group and a treatment group. The researcher led a 50-minute songwriting session focused on sharing and processing experiences of grief-related stress and burnout in hospice work. Grief processing was measured using a self-report survey for n=25. Overall differences between control and treatment groups were not found to be statistically significant. Significant differences were also not found in treatment score differences for type of …

Analysis Of The Effects Of Music Therapy On Pain And Anxiety Levels In Pediatric Burn Patients, Maria Cook

Theses and Graduate Projects

Burn injuries resulting in tissue damage are considered one of the most severe traumas that can be experienced. Pain and anxiety continue to be major problems for patients with burn injuries during all stages of the treatment. Proper pain management is essential during recovery because it reduces the chance of developing malnutrition and promotes a stronger immune system. A number of studies have explored the effects of music on pain levels before, during, and after medical procedures for burn patients. Few studies have examined the effects of music therapy in the population of pediatric burn patients. Many studies have shown …