tlp provider certification course … · august 2015, vol 8, no 8 p 210 integration of the intime...
TRANSCRIPT
© Advanced Brain Technologies | All Rights Reserved
TLP Provider Certification Course
Discover the scientific evidence behind TLP & learn hands-on practical
application for addressing essential brain performance areas to improve
outcomes in executive function, auditory processing, communication,
social & emotional, motor coordination, stress response and creative
expression for children and adults with a range of needs.
The Listening Program Provider Certification
• Evidence-based neurotechnology
• Improves multiple functions in the brain
• Structured protocols, yet flexible to
meet individual needs
• Portable between clinic, school, work,
and home
• Train in as little as 15 minutes
• Highly enjoyable experience
• Learning Disorders
• Attention Deficit Hyperactivity Disorder
• Autism Spectrum Disorders
• Sensory Processing Disorder
• Developmental Delays
• Dyslexia & Reading Disorders
• Brain Injury/ Concussion
• Stroke
• Cerebral Palsy
• Down Syndrome
• Post Traumatic Stress Disorder
• Sleep Disorders
• Stress & Anxiety Disorders
• Performance Enhancement
• Brain Health
Who Benefits from TLP?
We are a multi-disciplinary team of
people creating innovative sound and
music products to advance people's
brains for a better life.
Who Are We?
Brief History
• Advanced Brain Technologies founded in 1998
• TLP first offered in 1999
• Multi-disciplinary team
• Evidence-based
• Safe, effective, accessible, and affordable
• Easy-to-use
• Listen anywhere
LEVELONE
Nature
Home Based
Bone
Conduction
iPod
Delivery
The Listening
Program
CD Delivery
Supplemental
CLASSIC
LEVEL ONE
SpatialSurround
HD
DolbyHeadphone
Facility Based
Bone
Conduction
1999 2000 2003 2004 2005 2006 2007 2012
SPECTRUM
ACHIEVE
TLP Online
Beta
WAVES
Timeline
2013
TLP Online
SLEEP
2014
inTime
TAVS
Sleep Genius
Mobile Apps
2015
TLP Mobile Apps
Sleep GeniusSystems
SPECTRUM PLUS
ACHIEVE PLUS
LEVEL TWO
SHIFT60
A practice of listening to
acoustically modified music that
supports improved brain function.
Music Listening Therapy
The Listening Program is practiced on a regular
basis, 5 days per week. The duration of daily
practice and of the overall program depends
upon the needs and goals of the listener.
Ages 2 years through adults
The Method
• Executive Function
• Auditory Processing
• Communication
• Social & Emotional
• Sensory Motor
• Stress Resilience
• Creative Expression
Brain Focus Areas
Fusion of
Art and Science
Our creative and scientific
teams strike the balance of
high art complemented by
sound science
Personalized TrainingPersonalized, adaptive programs
designed to meet each person's
goals, focusing on what matters
most to them.
Listening
is Easy
No learning curve, no task demand, just enjoy
your listening for 15 to 30 minutes per day!
20,000 Hz
20 Hz
Red Middle, High Energized
Orange Middle Focused
Zone Music Frequency Focus Feels
Green Low Grounded
Blue Low, Middle, High Balanced
Zone Training
Modules
How it Helps
The Listening Program is evidence-based. More than
20 independent studies demonstrate it’s efficacy as a
safe, non-invasive intervention to support
improvements in brain function.
Research
Occupational Therapy International, 17 FEB 2016 Online
A Quantitative Summary of The Listening Program (TLP)
Efficacy Studies: What Areas Were Found to Improve by
TLP Intervention?
Sadako Vargus, Jay R. Lucker
International Journal of Therapy and Rehabilitation
September 2013, Vol 20, Issue 11
Effects of ‘The Listening Program’ on Children with
Profound and Multiple Learning Difficulties
Helen Francis
International Journal of Therapy and Rehabilitation
January 2015, Vol 22, No 1
The effectiveness of auditory stimulation in children with
autism spectrum disorders: A case-control study
Bryan M. Gee, Et al.
Occupational Therapy International,16 (1). 25-43.
A case study of a five-year-old child with pervasive
developmental disorder-not otherwise specified using
sound based interventions.
Amy J Nwora, Bryan M Gee
“Following intervention, John no longer demonstrated
poor posture, atypical drive for touch, messy
handwriting or difficulty with organization/structure….
John no longer demonstrated low frustration tolerance,
difficulty making judgments, and generalizing to new
situations, lack of tactfulness or inability to tolerate
stress.”
-Nwora and Gee“A case study of a five-year-old child with
PDD-NOS using sound-based interventions”
Occupational Therapy International, volume 16, issue 1
Occupational Therapy International, 21(1). 12-20.
Efficacy of a Sound-based Intervention with a Child with
and Autism Spectrum Disorder and Auditory Sensory
Over-responsitivity
Bryan M. Gee, Kelly Thompson, Kelly St. John
Occupational Therapy International
Volume 21, Issue 1, pages 12-20, 29 OCT 2013 DOI: 10.1002/oti.1359
http://onlinelibrary.wiley.com/doi/10.1002/oti.1359/full#oti1359-fig-0001
Efficacy of a Sound‐based Intervention with a
Child with an Autism Spectrum Disorder and
Auditory Sensory Over‐responsitivity
European Society for Paediatric Urology (ESPU) Congress
Turkey April 2010
A pilot investigation into the effects of listening to
modified classical music, including bone conduction, in
improving toilet training outcomes for children with
learning difficulties.
June Rogers MBE
Music and Medicine
October 2010, Vol. 2 no. 4 208-213
Evaluation of The Listening Program in Assessing
Auditory Processing and Speech Skills in Children with
Down Syndrome
Gwenyth Jeyes, Caroline Newton
Primary Health Care Center of
Kristineberg, Oskarshamn, Sweden
A Pilot Study- Evaluation of
Listening Training in Adults with
Stress-related Symptoms in
Primary Health Care
Runa Lieden-Karlsson
International Education Studies
August 2015, Vol 8, No 8 p 210
Integration of the inTime
Techinique in the Neurodynamic
Program of Assistance to
Children with Learning
Disabilities
Faina Ratner, Victoria Efimova,
Oleg Efimov
Nicoló• 8 year old
• Trisomy 18 Mosaicism
• Protocol: TLP SPECTRUM w/
Waves multisensory audio system
• 2X daily (morning & afternoon) 15
min each
• Concurrent with other therapies;
hyperbaric oxygen, hippotherapy,
and bioenergy work
Nicoló
Results within first four weeks
• Suddenly seemed more aware of his environment
• More inquisitive and more observing
• Asking lots of Why’s? about things
• “Somehow I felt TLP had triggered something in his
brain”
Results after 2 months
• Improved sustained attention
• Less distractible
• Improved communication (initiating)
• Improved morophosyntactic production, more structured
sentences, use of adverbs, and past tense verbs
• Reduced dysfluency
• Global motor skill improvement and coordination
• Improved postural control, for longer periods
Nicoló
The better we process sensory
information, the better we can understand
and engage with our environment.
© Advanced Brain Technologies | All Rights Reserved
TLP Provider Certification Course
• Sounds are created when objects vibrate
• Sound waves are fluctuations in air pressure
across time
What is Sound?
Resonance
Psychological study of
human perception of sound
Psychoacoustic Foundation
• Frequency
• Amplitude
• Time
• Space
• Sound determined by the frequency of vibration
• 1 Hertz (Hz) equals the vibration repeating itself once
• 20 Hz- 20,000 Hz human range
• Pitch- perceived frequency of sound
• Infrasonic- below 20 Hz
• Ultrasonic- above 20,000 Hz
• Music – instruments
• Language- phonemes
Frequency
• The magnitude of increase or decrease of a sound wave
• Amplitude is perceived as loudness
• Loudness is measured in decibels (dB)
• Decibel scale is logarithmic
• Louder the sound the higher the decibel, softer the lower
• Less than 75 dB is considered safe
• Exposure of 85 dB+ over time, and 110 dB+ occasionally,
can cause permanent hearing damage
• Listen at comfortable levels
• Most foam or wax earplugs lower loudness by up to 29 dB
Amplitude
• Sound is an event in time
• Chronobiology examines biological rhythms
• Tempo is the pace of movement or beats; the speed
of music
• Rhythm is the organization of movement, or beats,
in time; the pulse of music
• Entrainment is the synchronization of rhythms
• Prosody example “I want another mother”
Time
• Sound localization
• Interaural time difference (ITD)
• Interaural level difference (ILD)
• Where we are in the world
• Critical to survival
• Pinna
• Spatial organization of the system
• Frequency, volume, time
Space
Source: Coloring Guide to Human Anatomy, Alan J. Twietmeyer
Middle Ear Muscles
Middle Ear Fluid
Source: Neuroscience: An Outline Approach, Anthony Castro
Cochlea
Source: Encyclopedia Britannica, Inc.
Vestibular System
The video will begin
following the narration.
Bone Conduction
• Compressional
• Inertial
• Osseotympanic
• Cerebrospinal fluid
• Skull tissue
• Vibrotactile
More than “Bone”
• Dominant means of intrauterine listening
• Internal and external vibration
• A means of directly influencing the inner ear without
having to involve the middle ear
• A means of stimulating both the auditory and vestibular
apparati with sound at safe listening levels
• More safe and effective than air conduction as a means
of conducting sound as a stimulus for the vestibular
system
Unique Attributes of Bone Conduction
• Activates receptors of both saccule and utricle (Curthoys
2010, Halmagyi 2005)
• Bilateral cochlear stimulation secondary to vibration
(Stenfelt 2002)
• Faster conduction speed than air conduction
• Tunes in from 10 Hz into ultrasonic range (up to 100 kHz),
with best vestibular-based responses within the low
frequency range (Nishimura et all 2002, Hakanssan et al
1996)
Unique Attributes of Bone Conduction
• Classical Auditory Pathway
• Classical Auditory Pathway Offshoots
• Non-Classical Auditory Pathway
• Autonomic Nervous System
• Enteric Nervous System
• Vestibular Pathways
• The Musical Brain
Pathways of Sound’s Influence
Classical Auditory Pathway
• Inner Ear (Cochlea)
• 8th Cranial Nerve (vestibulocochlear nerve)
• Cochlear Nuclei
• Superior Olive
• Lateral Lemniscus
• Inferior Colliculus
• Thalamus- Medial Geniculate Nucleus
• Primary Auditory Cortex
Sources: Neuroscience: An Outline Approach, Anthony Castro | icg.harvard.edu/~psy1-s/ lectures/06sensation/
Tonotopic Map
Offshoots
Reticular Formation
Auditory Association Cortex
Other cortical areas
Non-Classical Auditory Pathway
Limbic System
Cerebellum
Autonomic Nervous System
Second Brain
Enteric Nervous System
Vestibular Pathways
Spinal Cord
Eyes
More???
1
23
4
5
Prefrontal cortex
Visual
cortex
Motor cortex Sensory
cortexAuditory cortex
Source: D.J. Levitin and A.K. Tirovolas/Annals of the New York Academy of Sciences 2009; Image: Charles Floyd.
The Musical Brain
98 7 6
Cerebellum
Hippocampus
Amygdala
Nucleusaccumbens
Source: D.J. Levitin and A.K. Tirovolas/Annals of the New York Academy of Sciences 2009; Image: Charles Floyd.
The Musical Brain
Listening is ActiveYou listen with your brain
Auditory ProcessingWhat your brain does with what it hears
Hearing is passiveYou hear with your ears
Adapted from Jay Lucker, EdD, CCC-A/SLP, FAAA
Six Integrated Systems
• Self regulation
• Auditory system
• Emotion
• Memory
• Language
• Cognitive decision making
© Advanced Brain Technologies | All Rights Reserved
TLP Provider Certification Course
The Listening Program Music
• World-class team
• Founding Music Director- Richard Lawrence
• Arcangelos Chamber Ensemble
• New musicians
• Music for a purpose
• Intentionality
• Evidence-based
• Concept
• Team
• Background research
• Compose/arrange
• Artists
• Technology
• Record
• Edit
Production Flow
• Sequence
• Neuroacoustics
• Review
• Test
• Amend
• Clinical tests
• Amend
• Release
Mozart
Haydn
Vivaldi
Danzi
High Definition
depth
detail
dimension
emotion
20,000 Hz
20 Hz
Red Middle, High Energized
Orange Middle Focused
Zone Music Frequency Focus Feels
Green Low Grounded
Blue Low, Middle, High Balanced
Zone Training
Neuroacoustic Signal Processing Abbreviation
Spatial Surround® SS
Spatial Surround® Dynamic SSD
Dolby Headphone® DH
Active Listening Training™ ALT
Active Listening Training Sweeps™ ALT-S1, ALT-S3
Filtration FT
Audio Bursting AB
Blends BL
Type Rating
ALT 1
ALT-S1 2
ALT-S3 3
Mild 4
Medium 5
Medium II 6
Advanced 7
Advanced II 8
Module Types and Rating
Spatial Surround &
Spatial Surround Dynamic
• Spatial Surround®/ Multi-channel sound in five channels
• Spatial Surround Dynamic/moving instruments
• One instrument per channel for clear discrimination
• 360 degree sound field
• Frequency, volume, timing, and spatial location
• Dynamic only within A & C phases
Dolby Headphone
• Spatial Surround® and
Spatial Surround Dynamic
on headphones
• Technology encoded into the
music not headphones
• Exclusive to TLP
Active Listening Training
• Audio filters screen/remove selected frequencies
from full spectrum music
• Direct attention to frequencies that are not filtered
• Improves discrimination
• Stimulates auditory neurons
• Music induced auditory plasticity
• Auditory tonotopicity
• Used in all zones except blue
Filtration
Filters
Green Zone, Low-pass filter (LPF)
Orange Zone, Band-pass filter (BPF)
Red Zone, High-pass filter (HPF)
Blue Zone
Green Zone Filtration, Low-Pass
Orange Zone Filtration, Band-pass
Red Zone Filtration, High-pass
• Rapid, novel, volume increases
• B phase only
• Improves listening
• Attune to soft sounds - discriminate speech/vocal control
• Attenuate loud sounds - protect the inner ear
• Reduce sound sensitivities
• Improve Social Engagement
• Music induced auditory plasticity
• Auditory tonotopicity
Audio Bursting