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Music therapy in neuropaediatrics 2
• New techniques of documentation in neuroscience
• Concept of music therapy methods in neurological rehabilitation
• Music therapy research in neuropaedicatrics
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The main areas of the brain
• brain stem,
• cerebral hemispheres
(frontal, temporal, parietal, occipital)
• basal ganglia
• cerebellum
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radiological techniques in neuroscience research
• Magnetic Resonance Imaging (MRI)
• Nuclear Magnetic Resonance imaging (NMR)
• functional Magnetic Resonance Imaging (fMRI).
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Practical example
• Ataxia
• Tetraparesis
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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
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Cross over design
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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
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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
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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
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Neurological music therapy
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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 .
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Results coma remission scale before and after TOMT (N=5)
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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
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(Patient Data) Temporal Theta and Alpha changes left
(li) and right (re): before , during and after TOMT.
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increase of alpha- and theta power over both occipital regions
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Healthy control subjects: increase of alpha and theta power over the left occipital region