Music therapy in rehabilitation
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Pope John Paul II State School of Higher Education in Biała Podlaska, Institute of Public Health, Poland; Departament of Rehabilitation and Orthopaedics, Medical University of Lublin, Poland
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Joanna Strzemecka   

Departament of Rehabilitation and Orthopaedics, Medical University of Lublin, Jaczewskiego 8, 20-954 Lublin, Poland
J Pre Clin Clin Res. 2013;7(1):19-22
Music now plays an increasing role in several disparate areas. Music therapy appears to affect physiological phenomen such as blood pressure, heart beat, respiration, and mydriasis as well as emotional aspects such as mood and feelings. It is used in the rehabilitation of patients with dementia, Parkinson’s disease, fibromyalgia, stroke, aphasia and visual rehabilitation. Music in the patient with dementia produced significantly higher levels of interest and pleasure than the baseline condition. In accordance with the clinical literature, it may be argued that the Music Therapy-induced improvement in bradykinesia could be due to the effect of external rhythmic cues, which, acting as a timekeeper, may stabilize the internal rhythm formation process in patients with Parkinson’s disease. In fibromyalgia was to investigate the effects of sleep and touch therapy accompanied by music and aromatherapy on the symptoms of fibromyalgia and depression. In stroke rehabilitation, elements of music have previously been used as a part of physiotherapy and speech therapy to enhance the recovery of motor and speech functions. One of the few accepted treatments for severe, nonfluent aphasia is Melodic Intonation Therapy (MIT), a treatment that uses the musical elements of speech (melody & rhythm) to improve expressive language by capitalizing on preserved function (singing) and engaging language-capable regions in the undamaged right hemisphere. Mozart’s Sonata for Two Pianos was used to visual rehabilitation. The following paper is based on information obtained from the literature review on the use of music therapy in rehabilitation. Conclusion: The use of music therapy in the rehabilitation is huge, but little appreciated. Music therapy is a method of cost-effective, non-invasive where it no reported its side effects. There are small number of studies and publications on the use of music as a form of rehabilitation.

Sleight P. Cardiovascular effects of music by entraining cardiovascular autonomic rhythms music therapy update: tailored to each person, or does one size fit all? Neth Heart J. 2013; 21(2): 99–100.
Särkämö T, Tervaniemi M, Laitinen S, Forsblom A, Soinila S, Mikkonen M, Autti T, Silvennoinen HM, Erkkilä J, Laine M, Peretz I, Hietanen M. Music listening enhances cognitive recovery and mood after middle cerebral artery stroke. Brain. 2008; 131(Pt 3): 866–76. doi: 10.1093/ brain/awn013.
Standley JM. Music research in medical/dental treatment: meta- analysis and clinical applications. J Music Ther 1986; 23: 56–122.
Peretti PO, Zweifel J. Affect of musical preference on anxiety as determined by physiological skin responses. Acta Psychiatr Belg. 1983; 83: 437–42.
Kim DS, Park YG, Choi JH, Im SH, Jung KJ, Cha YA, Jung CO, Yoon YH. Effects of Music Therapy on Mood in Stroke Patients. Yonsei Med J. 2011; 52(6): 977–981.
Smith DS. Therapeutic treatment effectiveness as documented in the gerontology literature: implications for music therapy. Music Ther Perspect. 1990; 8: 36–40.
Kirk R, Abbotson M, Abbotson R, Hunt A, Cleaton A. Computer music in the service of music therapy: the MIDIGRID and MIDI-CREATOR systems. Med Eng Phys. 1994; 16: 253–8.
Gibbons AC. Music development in the elderly: what are the chances? Designs Clin Enhancement. 1986; 81: 24–5.
Tyson J. Evaluating elderly diseases. Nursing. 1988; 18: 34–41.
Hanser SB, Thompson LW. Effects of a music therapy strategy on depressed older adults. J Gerontol. 1994; 49: P265–9.
Smith DS. Therapeutic treatment effectiveness as documented in the gerontology literature: implications for music therapy. Music Ther Perspect. 1990; 8: 36–40.
Aldridge D. Music and Alzheimer’s disease—assessment and therapy: discussion paper. J R Soc Med. 1993; 86: 93–5.
Aldridge D. Alzheimer’s disease: rhythm, timing and music therapy. Biomed Pharmacother. 1994; 48: 275–81.
Lord TR, Garner JE. Effects of music on Alzheimer patients. Percept Mot Skills. 1993; 76: 451–5.
Pacchetti C, Mancini F, Aglieri R, Fundarň C, Martignoni E, Nappi G. Active music therapy in Parkinson’s disease: an integrative method for motor and emotional rehabilitation. Psychosom Med. 2000; 62(3): 386–93.
Sakamoto M, Ando H, Tsutou A. Comparing the effects of different individualized music interventions for elderly individuals with severe dementia.Int Psychogeriatr. 2013; 25(5): 775–84.
Choi AN, Lee MS, Cheong KJ, et al. Effects of group music intervention on behavioral and psychological symptoms in patients with dementia: a pilot controlled trial. Int J Neurosci. 2009; 119(4): 471–481.
Clark ME, Lipe AW, Bilbrey M. Use of music to decrease aggressive behaviors in people with dementia. J Gerontol Nurs. 1998; 24(7): 10–17.
Raglio A, Bellelli G, Traficante D, et al. Efficacy of music therapy in the treatment of behavioral and psychiatric symptoms of dementia. Alzheimer Dis Assoc Disord. 2008; 22(2): 158–162.
Ziv N, Granot A, Hai S, et al. The effect of background stimulative music on behavior in Alzheimer’s patients. J Music Ther. 2007; 44(4): 329–343.
Götell E, Brown S, Ekman SL. Influence of caregiver singing and back-ground music on posture, movement, and sensory awareness in dementia care. Int Psychogeriatr. 2003; 15(4): 411–430.
Cohen-Mansfield J, Marx MS, Thein K, Dakheel-Ali M.The impact of stimuli on affect in persons with dementia.J Clin Psychiatry. 2011; 72(4): 480–6.
Nicholas R. Simmons-Stern, Andrew E. Budson, and Brandon A. Ally. Music as a Memory Enhancer in Patients with Alzheimer’s Disease. Neuropsychologia. 2010 August; 48(10): 3164–3167.
Perry RJ, Hodges JR. Attention and executive deficits in Alzheimer’s disease. A critical review. Brain 1999; 122(Pt 3): 383–404.
Thompson WF, Schellenberg EG, Husain G. Arousal, mood, and the Mozart effect. Psychol Sci 2001;12(3):248–251.
Marsden CD. Parkinson’s disease. J Neurol Neurosurg Psychiatry. 1994; 57: 672–81.
Pacchetti C, Mancini F, Aglieri R, Fundarò C, Martignoni E, Nappi G. Active music therapy in Parkinson’s disease: an integrative method for motor and emotional rehabilitation. Psychosom Med. 2000; 62(3): 386–93.
Nakamura R, Nagasaki H, Narabayashi H. Disturbances of rhythm formation in patients with Parkinson’s disease. Percept Mot Skills 1978; 46: 63–75.
Benecke R, Rothwell JC, Dick JPR, Day BL, Marsden CD. Distur- bance of sequential movements in patients with Parkinson’s disease. Brain 1987; 110: 361–79.
Agostino R, Berardelli A, Formica A, Accornero N, Manfredi M. Sequential arm movements in patients with Parkinson’s disease, Huntington’s disease and dystonia. Brain 1992; 115: 1481–95.
Sacks O. The power of music. Brain. 2006; 129(Pt 10): 2528–32.
Doksat MK. Pain and Psychiatry, Konya: Psikiyatri ve Sanat Yayın Evi, Turkey, 2003, pp.:86–119.
Demirbağ B, Erci B. The effects of sleep and touch therapy on symptoms of fibromyalgia and depression. Iran J Public Health. 2012;41(11):44–53. Epub 2012 Nov 1.
Salvatore S, Librando A, Esposito M, Vingolo EM. The Mozart effect in biofeedback visual rehabilitation: a case report. Clin Ophthalmol. 2011; 5: 1269–1272.
Witte OW. Lesion-induced plasticity as a potential mechanism for recovery and rehabilitative training. Curr Opin Neurol. 1998; 11: 655–62.
Kreisel SH, Bazner H, Hennerici MG. Pathophysiology of stroke rehabilitation: temporal aspects of neuro-functional recovery. Cerebrovasc Dis. 2006; 21: 6 17.
Thaut MH, McIntosh GC, Rice RR. Rhythmic facilitation of gait training in hemiparetic stroke rehabilitation. J Neurol Sci. 1997; 151: 207–12.
Belin P, Van Eeckhout P, Zilbovicius M, Remy P, Francois C, Guillaume S, et al. Recovery from nonfluent aphasia after melodic intonation therapy: a PET study. Neurology. 1996; 47: 1504–11.
Hommel M, Peres B, Pollak P, Memin B, Besson G, Gaio JM, et al. Effects of passive tactile and auditory stimuli on left visual neglect. Arch Neurol. 1990; 47: 573–6.
Musacchia G, Sams M, Skoe E, Kraus NM. Musicians have enhanced subcortical auditory and audiovisual processing of speech and music. Proc. Natl. Acad. Sci. U.S.A. 2007; 104: 15894–15898.
Musacchia G, Arum L, Nicol T, Garstecki D, Kraus N. Audiovisual deficits in older adults with hearing loss: biological evidence. Ear Hear. 2009; 30: 505 514. doi: 10.1097/AUD.0b013e3181a7f5b7.
Johansson BB. Multisensory Stimulation in Stroke Rehabilitation. Front Hum Neurosci. 2012; 6: 60.
Amengual JL, Rojo N, Veciana de Las Heras M, Marco-Pallarés J, Grau-Sánchez J, Schneider S, Vaquero L, Juncadella M, Montero J, Mohammadi B, Rubio F, Rueda N, Duarte E, Grau C, Altenmüller E, Münte TF, Rodríguez-Fornells A. Sensorimotor plasticity after musicsupported therapy in chronic stroke patients revealed by transcranial magnetic stimulation. PLoS One. 2013; 8(4): e61883. doi: 10.1371/ journal.pone.0061883. Print 2013.
Albert ML, Sparks RW, Helm NA. Melodic intonation therapy for aphasia. Arch Neurol. 1973; 29: 130– 131.
Sparks R, Helm N, Albert M. Aphasia rehabilitation resulting from melodic intonation therapy. Cortex. 1974; 10: 303–316.
Helm-Estabrooks, N. Albert, ML. Manual of aphasia and aphasia therapy, Chapter 16. Vol. 2nd ed.. Pro-Ed; Austin, TX: 2004. Melodic intonation therapy; p. 221–233.
Schlaug G, Marchina S, Norton A. From singing to speaking: why singing may lead to recovery of expressive language function in patients with Broca’s aphasia. Music Perception. 2008; 25: 315–323.
Marshall N, Holtzapple P. In: Brookshire, RH., editor. Melodic Intonation Therapy: Variations on a Theme; Clinical Aphasiology Conference: 6th Clinical Aphasiology Conference; BRK Publishers. Minneapolis, MN. 1976; p. 115–141.
Norton A, Zipse L, Marchina S, Schlaug G. Melodic Intonation Therapy: Shared Insights on How it is Done and Why it Might Help. Ann N Y Acad Sci. 2009 July; 1169: 431–436.
Schlaug G, Norton A, Marchina S, Zipse L, Wan CY. From singing to speaking: facilitating recovery from nonfluent aphasia. Future Neurol. 2010; 5(5): 657–665.
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