Neurologic Music Therapy

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Musical Gait Training  - RAS

The rehabilitative gait training can be optimized by music therapy. The technique RAS (rhythmic auditory stimulation) is applicable for various clinical conditions (e.g. for stroke, parkinson's, traumatic brain injury, hip joint prothesis etc.). The acoustical stimulation is provided by metronome or music via mp3. For the right  training tempo and musical structure need to be adjusted  to the malfunctioning gait pattern.

RAS - protocol.xlsx
digital therapy protocol for RAS - gait training. with integrated formula editor.

Instrumental musical playing for movement training

By playing musical instruments also "non-musical" patients can effectively re-train the mobility of arms, trunk, hands, fingers a.s.o. This is done through the focussed application of various musical instruments, such as drums, tone bars, piano or melodica.

The spatial placement of the instruments and the musical stimulation - often played live by the music therapist from the piano - ensure that the same movement is repeated again and again. Such a repetetive training is a very promising aproach in rehabilitative movement therapy, especially when additional deficits (such as neglect, spasticity, attention disorder etc.)  will constrain the therapeutic process.

Through active assistance from the therapist even heavily paralysed muscles can be trained with this technique. This technique is called Therapeutic Instrmental Musical Playing (TIMP) in neurologic music therapy.

Musical sequence training

With this training the patient can practice complexe movements or movement sequences (e.g. from sit-to-stand, handle an object etc.) This is facilitated by a musical piece, directly composed for this intervention. For this all movement components are integrated in a so called kinematic melody. This treament technique is namend Patterned Sensory Enhancement (PSE). Certain musical patterns are  directed to support specific elements of movement, such as range of motion.

The structure of the training together with  the special music enable better motor control. Further more the training becomes an acoustical and aesthetic experience. This enriches the mental learning process. Last but not least the training brings more fun. Endurance and motivation improve.