Baker Felicity - Music Therapy Methods in Neurorehabilitation

Music Therapy Methods in Neurorehabilitation

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Music Therapy Methods in Neurorehabilitation

A Clinicians Manual

Felicity Baker and Jeanette Tamplin

With a contribution by Jeanette Kennelly

Foreword by Barbara L. Wheeler

Jessica Kingsley Publishers
London and Philadelphia

First published in 2006

by Jessica Kingsley Publishers

73 Collier Street

London N1 9BE, UK

and

400 Market Street, Suite 400

Philadelphia, PA 19106, USA

www.jkp.com

Copyright Felicity Baker and Jeanette Tamplin 2006

Chapter 7 copyright Jeanette Kennelly 2006

Foreword copyright Barbara L. Wheeler 2006

The right of Felicity Baker and Jeanette Tamplin to be acknowledged as authors of this work has been asserted by them in accordance with the Copyright, Designs and Patents Act 1988.

All rights reserved. No part of this publication may be reproduced in any material form (including photocopying or storing it in any medium by electronic means and whether or not transiently or incidentally to some other use of this publication) without the written permission of the copyright owner except in accordance with the provisions of the Copyright, Designs and Patents Act 1988 or under the terms of a licence issued by the Copyright Licensing Agency Ltd, Saffron House, 610 Kirby Street, London EC1N 8TS. Applications for the copyright owners written permission to reproduce any part of this publication should be addressed to the publisher.

Warning: The doing of an unauthorised act in relation to a copyright work may result in both a civil claim for damages and criminal prosecution.

Library of Congress Cataloging in Publication Data

Baker, Felicity, 1970

Music therapy methods in neurorehabilitation: a clinicians manual/Felicity Baker and Jeanette Tamplin; with a contribution by Jeanette Kennelly; foreword by Barbara Wheeler.

p. cm.

Includes bibliographical references and indexes.

ISBN-13: 978-1-84310-412-4 (pbk. : alk. paper)

ISBN-10:1-84310-412-1 (pbk.:alk.paper) 1. Music therapy. 2. Brain damagePatientsRehabilitation. I. Tamplin, Jeanette. II. Kennelly, Jeanette. III. Title.

ML3920.B1518 2006

615.85154dc22

2006011504

British Library Cataloguing in Publication Data

A CIP catalogue record for this book is available from the British Library

ISBN 978 1 84310 412 4

eISBN 978 1 84642 536 3

Contents

Tables

Description of the levels of function and their scores

Rancho Los Amigos Scale

Lesion sites and corresponding impairments in cognitive function

Songs useful for song comprehension tasks

Songs useful for abstract thinking

Classifications of the aphasias

Mean fundamental frequency for adult males and females

Mean fundamental frequency for children from birth to 5 years

Percentage prevalence of themes according to age and gender

Techniques useful in songwriting to address issues of adjustment

Songs suitable for self-reflection and self-exploration

Considerations when working with paediatric patients and their families

Figures

The human brain

Structure of a neuron

Cerebral regions damaged when blood supply is disrupted to major cerebral arteries

Coup and contrecoup injuries

Glasgow Coma Scale (Teasdale and Jennett 1974)

Range of outcomes following coma

Agitation Behaviour Scale (Corrigan 1989)

Wrist deviation during drum playing

Examples of tambourine playing for wrist extension and flexion

Example of wrist with and against gravity

Pronation and supination using a Rakatak (woodblock)

Squeeze grip

Drumsticks of varying diameters and padded with foam of differing dimension

Hook grip

Five-jaw chuck grip

Disc grip

Pad-to-pad grip

Combinations of clave playing (bilateral coordination)

Combinations of bongo drum playing (bilateral movement)

Spatial motor control using keyboard activities

Lyrics to song about environmental control device (Baker 1997)

Lyrics to song about having a shower to the tune of All Rise (Tamplin 2005 )

Sample of names embedded in rhythmic patterns

Anger/aggression management song (Tamplin 2002)

5.1 Valving mechanisms required for speech

Sample phrases of modified melodic intonation therapy (Baker 2000)

Sample phrases for rhythmic speech cueing

Sample phrases for vocal intonation therapy

Suggested singing exercises to assist with varied slope production

Assessment of verbal pragmatics (Baker 2005a)

Visual representation of a spoken sentence

Sample of wave file in Cool Edit program

Example of audio signal requiring trimming

Example of reducing frequency analysis range

Sample of contour prior to adjustment of frequency range

Results of contour analysis prior to frequency range adjustment

Sample of contour after frequency range adjustment

Results of contour analysis after frequency range adjustment

Graphical representation of sung phrase

Sample of changes to pitch control of patients singing over time

Bobbys Hello Song

Stevens Standing Song

Stevens Sitting Song

Traceys Going Home Song

Foreword

As a practicing music therapist and a music therapy educator I am aware of music therapists dual needs: on the one hand, we would like to know what to do in our sessions while on the other hand, we want to understand why music therapy works as it does. Music therapy literature often addresses one or the other of these questions.

It is rare that a book brings together these two aspects of music therapy what to do and why to do it. Because this manual does bring together the what and the why, I expect it to play an important role in music therapy and rehabilitation.