Effects of Different Musical Stimuli in Vital Signs and Facial Expressions in Patients With Cerebral Damage

Fernandes, Ana Sofia; Ramos, A.; Bermejo, Emilia; Casero, Mónica; Corrales, José Manuel; Grantham, Sarah L.

doi:10.1097/jnn.0000000000000037

Cited by 25 publications

(17 citation statements)

References 18 publications

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“…In particular, the music therapy treatment session is a useful forum for the treatment team to identify purposeful responses, thus contributing to interdisciplinary assessment of awareness and the formulation of rehabilitation goals that meet specific individual needs. Music therapy with PDOC patients has been noted to enhance arousal, increase relaxation states, provide reward in contingent behavior training, reduce psychomotor agitation, and assist with diagnostic procedures …”

Section: Music Therapy With Pdoc Populationsmentioning

confidence: 99%

Music therapy with disorders of consciousness: current evidence and emergent evidence‐based practice

Magee

O'Kelly

2015

Annals of the New York Academy of Sciences

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Patients with prolonged disorders of consciousness (PDOC) stemming from acquired brain injury present one of the most challenging clinical populations in neurological rehabilitation. Because of the complex clinical presentation of PDOC patients, treatment teams are confronted with many medicolegal, ethical, philosophical, moral, and religious issues in day-to-day care. Accurate diagnosis is of central concern, relying on creative approaches from skilled clinical professionals using combined behavioral and neurophysiological measures. This paper presents the latest evidence for using music as a diagnostic tool with PDOC, including recent developments in music therapy interventions and measurement. We outline standardized clinical protocols and behavioral measures to produce diagnostic outcomes and examine recent research illustrating a range of benefits of music-based methods at behavioral, cardiorespiratory, and cortical levels using video, electrocardiography, and electroencephalography methods. These latest developments are discussed in the context of evidence-based practice in rehabilitation with clinical populations.

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Section: Music Therapy With Pdoc Populationsmentioning

confidence: 99%

Music therapy with disorders of consciousness: current evidence and emergent evidence‐based practice

Magee

O'Kelly

2015

Annals of the New York Academy of Sciences

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“…Music, on the other hand, is a powerful treatment medium with inherent emotional and non-verbal nature which makes it a perfect stimulus for patients with strongly impaired verbal processing and/or cognition (Noda et al 2003;Ribeiro et al 2014). Studies demonstrate that patients with disorders of consciousness, including UWS, show most awareness in the auditory domain (Gill-Thwaites and Munday 2004).…”

Section: Introductionmentioning

confidence: 98%

Neurofeedback in Three Patients in the State of Unresponsive Wakefulness

Keller

Garbacenkaite

2015

Appl Psychophysiol Biofeedback

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Some severely brain injured patients remain unresponsive, only showing reflex movements without any response to command. This syndrome has been named unresponsive wakefulness syndrome (UWS). The objective of the present study was to determine whether UWS patients are able to alter their brain activity using neurofeedback (NFB) technique. A small sample of three patients received a daily session of NFB for 3 weeks. We applied the ratio of theta and beta amplitudes as a feedback variable. Using an automatic threshold function, patients heard their favourite music whenever their theta/beta ratio dropped below the threshold. Changes in awareness were assessed weekly with the JFK Coma Recovery Scale-Revised for each treatment week, as well as 3 weeks before and after NFB. Two patients showed a decrease in their theta/beta ratio and theta-amplitudes during this period. The third patient showed no systematic changes in his EEG activity. The results of our study provide the first evidence that NFB can be used in patients in a state of unresponsive wakefulness.

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“…prejudice or differences in the assessment based on the nurses’ experience). Additionally, quantitative evaluation with multiple grades is sometimes more sensitive and requires more individual validations than binary evaluations . In contrast to the facial expression scores of PVS patients (Fig.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of nursing interventions using minimally invasive assessments methods for patients in a persistent vegetative state

Sato

Sugimoto

Yamaguchi³

et al. 2017

Psychogeriatrics

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The data suggest three indices for predicting intervention efficacy in individuals and for assessing an intervention's contribution to quality of life improvement. Among the multiple evaluation methods, Konan Scores was the most effective. Ultimately, the three nursing interventions used in this study and Konan Score led to the optimization of nursing home care and rehabilitation for PVS patients.

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Effects of Different Musical Stimuli in Vital Signs and Facial Expressions in Patients With Cerebral Damage

Abstract: The results of the study suggest that the application of musical stimuli such as CRM and RMNS can be used to provide a state of relaxation in patients with severe cerebral damage.

Cited by 25 publications

References 18 publications

Music therapy with disorders of consciousness: current evidence and emergent evidence‐based practice

Music therapy with disorders of consciousness: current evidence and emergent evidence‐based practice

Neurofeedback in Three Patients in the State of Unresponsive Wakefulness

Evaluation of nursing interventions using minimally invasive assessments methods for patients in a persistent vegetative state

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