1. as Specific and Complementary Training in the
Implanty słuchowe i muzyka
Music Therapy
as Specific and Complementary Training in the
Early Rehabilitation of Adult CI Users
DZM e.V.
Dr. Heike Argstatter

2. Brain areas involved in music perception and music making
Nucleus accumbens: important role in reward, pleasure, laughter, addiction, aggression, fear, and the placebo effect
Cerebellum: first detection  sound volume, pitch, source detection
Auditorischer Kortex:
Primary AC  frequency detection, single stimuli
Secondary AC  analysis primary stimuli  rhythm, melody
Retrosplenial cortex: recall of episodic information  autobiographic memory
Subcallosal cingulum: part of the limbic system
Music Therapy in Early Rehabilitation – German Center of Music Therapy Research 2

3. Five years of Music Therapy in Early CI Rehabilitation
October 2010: Kick-off for music therapy for CI patients
: Pilot study to establish a music therapy concept in early CI rehabilitation
January 2014: Music therapy became part of the standard rehabiliation care at the ENT-clinic Heidelberg
: Study on effectivness of music therapy in early CI rehabilitation
2014: Formation of an active music ensemble for CI patients
Music Therapy in Early Rehabilitation – German Center of Music Therapy Research

4. Specific training by music therapy in the early rehabilitation of adult CI users
Standardized interventions
Individual 50-minutes-sessions
For adult CI users in the early rehabilitation
Music Therapy in Early Rehabilitation – German Center of Music Therapy Research

5. Contents of Music Therapy
Module
Therapy goal
Variability of voice and speech
Improving speech comprehension and production, emphasis especially on emotional speech prosody
Musical components
Training the perception of discrete musical components such as pitch, rhythm and timbre
Effortless training of verbal skills
Improving speech comprehension by means of spontaneous and easy manipulation of verbal contents and gradually reducing lip reading
Speech in varied listening environment
Training the selective hearing of linguistic contents and information e.g. when combining musical and linguistic features
Complex hearing
Improving the selective filtering of important stimuli within complex auditory surroundings
Music Therapy in Early Rehabilitation – German Center of Music Therapy Research

6. Some results of the pilot study (n = 12)
Hearing quality in situations of daily life (HISQUI) significantly increased (M=77  M=123)
Statistically significant improvement in timbre identification
Music Therapy in Early Rehabilitation – German Center of Music Therapy Research

7. Ongoing study on effectivness of music therapy in early CI rehabilitation (interim report)
Intervention group CI: Music therapy (+ care as usual)
Control group CI: Care as usual
Control group : normal hearing controls
Diagnostic tools
Diagnostic tools
Music Therapy in Early Rehabilitation – German Center of Music Therapy Research

8. Effectivness of music therapy in early CI rehabilitation (interim report)
Diagnostic tools
Psychological tests (HISQUI, MSCS, NICQ)
Musical tests (pitch, timbre, melody, different sounds)
Tests of prosody perception and production
Presentation of acoustic stimuli in two versions
bilateral (both ears, if necessary with hearing aid contralateral)
unilateral (CI only)
Electrophysiology
Music Therapy in Early Rehabilitation – German Center of Music Therapy Research

9. Interim results musical test + prosody CI unilateral (n = 8) vs
Interim results musical test + prosody CI unilateral (n = 8) vs. normal hearing controls (n = 25)
Music Therapy in Early Rehabilitation – German Center of Music Therapy Research

10. Active Music therapy ensemble|
One Decade of the „Heidelberg Model of Music Therapy“ in Otology

11. Where remains the music, after you heard it?
Thank you for your attention!
Music Therapy in Early Rehabilitation – German Center of Music Therapy Research
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