The role of music and music therapy in the rehabilitation of traumatically brain injured clients. National Association for Music Therapy California Symposium on Clinical Practices (1987, Costa Mesa, California)

Author(s): Miller, Angela C., Dalloul Rampersad, Rowena, Kollar, Martha

Journal/Book: Music Therapy Perspectives. 1989; 6: 71-77.

Abstract: Examines the clinical practice of musical therapy (MT) in a rehabilitation corporation that uses a multimodality treatment approach with persons suffering from traumatic brain injury (TBI). The general goal of assessment for the TBI client is to determine what musical stimulus produces alerting or orienting responses. Following assessment, the treatment team determines joint goals. MT can augment other efforts to increase client awareness of the environment and has been effective when used in family therapy with the TBI client. At higher levels of cognitive functioning, MT is expanded to elicit creative output and address socialization and community reintegration goals. ABSTRACT 2: Traumatic brain injury (TBI) claims over 450,000 victims each year under the age of 34, and has a profound impact on families and society in general. This paper describes the music therapy program at the rehabilittion corporation, Rebound, Inc. which employs a multi-modality treatment approach. Clients at Rebound are classified according to the original Rancho Los Amigos Scale. The authors state that successful rehabilitation begins with the development of rapport between therapist and client, and recognition of the fact that each can learn from the other. With Rancho levels I-III, the clients' medical needs pose a unique set of challenges. these challenges complicate assessment, treatment and evaluation. Included in the assessment are stimulus alerting responses, oral motor movements, changing facial expressions, and vocalizations. Improvisatory music is used to increae environmental awareness, accentuate random movements, encourage vocalizations, and improve relaity orientation. With levels IV through VI clients, music is used principally to enhance exercise routines.

Note: Using Smart Source Parsing musical therapy in rehabilitation program; clients with traumatic brain injury; conference presentation

Keyword(s): Music therapy; brain damage; professional meetings and symposia. brain-damage, brain-injured, brain-injury, brain-damaged, music-therapy, rehabilitation, rehabilitation-program, improvisation.

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