1. The Rehab Expertise Center for Music & Dance (REC-MD)
Welcome to this DVD.
It is a instruction movie with 22 different chapters one can look for, separately from each other.
The DVD is about functional breathing in its context; we call it the total breathing concept. What this will mean, will be explained in this DVD.
In this introduction I will tell you about the history of the conception of this project, the goals and a short explanation about the content of this DVD.
Hans Boschma and I would like to invite you to watch all chapters, not in one time because it takes 3,5 hours. We think that the total is more than the product of the separated chapters.
We hope you will enjoy the content of this DVD
dr. Kees Hein Woldendorp
Rehabilitation physician
24th April 2019

2. Speaker Disclosure potential conflicts of interest
None / See below 
Voor bijeenkomst mogelijk relevante relaties met bedrijven
Bedrijfsnamen
Sponsoring of onderzoeksgeld
Honorarium of andere (financiële) vergoeding
Aandeelhouder
Andere relatie, namelijk …
 Revalidatie Friesland 
Unfortunately no conflict of interest: music medicine has no third flow of funds. Opinions more than welcome!

3. Overview presentation
Examples of rehab & music/dance
Epidemiology of music medicine
Science & music medicine
40 years of rehab & music/dance at Revalidatie Friesland
Welcome to this DVD.
It is a instruction movie with 22 different chapters one can look for, separately from each other.
The DVD is about functional breathing in its context; we call it the total breathing concept. What this will mean, will be explained in this DVD.
In this introduction I will tell you about the history of the conception of this project, the goals and a short explanation about the content of this DVD.
Hans Boschma and I would like to invite you to watch all chapters, not in one time because it takes 3,5 hours. We think that the total is more than the product of the separated chapters.
We hope you will enjoy the content of this DVD

4. Overview presentation
Examples of rehab & music/dance
Epidemiology of music medicine
Science & music medicine
40 years of rehab & music/dance at Revalidatie Friesland
Welcome to this DVD.
It is a instruction movie with 22 different chapters one can look for, separately from each other.
The DVD is about functional breathing in its context; we call it the total breathing concept. What this will mean, will be explained in this DVD.
In this introduction I will tell you about the history of the conception of this project, the goals and a short explanation about the content of this DVD.
Hans Boschma and I would like to invite you to watch all chapters, not in one time because it takes 3,5 hours. We think that the total is more than the product of the separated chapters.
We hope you will enjoy the content of this DVD

5. 4 examples

6. Casus 1: “Aphasia & music”

7. Casus 2: “Parkinson & Dance”

8. Casus 3: Adaptive way of making music

9. Casus 4: “Musician & dysfunction/pain”

10. Overview presentation
Examples of rehab & music/dance
Epidemiology of music medicine
Science & music medicine
40 years of rehab & music/dance at Revalidatie Friesland
Welcome to this DVD.
It is a instruction movie with 22 different chapters one can look for, separately from each other.
The DVD is about functional breathing in its context; we call it the total breathing concept. What this will mean, will be explained in this DVD.
In this introduction I will tell you about the history of the conception of this project, the goals and a short explanation about the content of this DVD.
Hans Boschma and I would like to invite you to watch all chapters, not in one time because it takes 3,5 hours. We think that the total is more than the product of the separated chapters.
We hope you will enjoy the content of this DVD

11. Music medicine Medical treatment with music
Medical treatment of musicians (with or without music)
Welcome to this DVD.
It is a instruction movie with 22 different chapters one can look for, separately from each other.
The DVD is about functional breathing in its context; we call it the total breathing concept. What this will mean, will be explained in this DVD.
In this introduction I will tell you about the history of the conception of this project, the goals and a short explanation about the content of this DVD.
Hans Boschma and I would like to invite you to watch all chapters, not in one time because it takes 3,5 hours. We think that the total is more than the product of the separated chapters.
We hope you will enjoy the content of this DVD

12. Application of music in medicine
Music Therapy AND Rehabilitation:
1675 hits
Application in all medical specialties
< oral presentation Wya Feenstra, rehabilitation physician, Rev. Friesland, 2010 >

13. And the gong at the end makes them open their eyes well
Sound art makes patients calm for cataract surgery
And the gong at the end makes them open their eyes well
Bron: Medisch Contact

14. Physiological effects
lower heart rate, breath rate and blood pressure
pain-reducing effect
anxiety reduction
< 23 RCT’s; meta-analysis >

15. Music in rehabilitation
Training of motor function
Support of breathing (lung-rehab)
In musician’s dystonie (MMTM)
In aphasie or verbal apraxia (SMTA)
Relaxation
Self-estheem
Form of psychotherapy
Social aspects: hobby, social contacts

16. Support of breathing Breathing-therapy by playing a wind instrument
Pilotstudie Rotterdam: practical, good motivation (8/10), pleasant form of therapy
(8,3/10)

17. K.H. Woldendorp, rehabilitation physician Birmingham, sept.2018
One handed musicianship, more than a gimmick?! There is more possible than you think!
K.H. Woldendorp,
rehabilitation physician
Birmingham, sept.2018
Woldendorp KH, van Gils W. Med Probl Perform Art Dec;27(4):231-7.

18. Functions (adaptive) music making
Similar to (adaptive) sports:
Motor function training (rehabilitation, bimanual training)
Hobby at home (besides watching TV, reading)
Profession/financial income
Social aspects (playing together with other people)
Emotional expression/regulation
Confirmation identity / self-confidence

19. Epidemiological data ‘music in medicine’
660 music therapists in NL
80% women
67% employment in institution
50 (7%) (partime) in rehabilitation; 10% at RF
Too few references from doctors to investigate
Rehab.physicians: –
‘Unknown makes unloved’: PR!
< Dutch Society of Music Therapy, 2013>

20. Data about musicians in the Netherlands
20% of western populations are active in music or dance (2 million of musicians, prof)
20% of the patient population?!
Few requests for help in the area of adaptive music making for many reasons :
E.g. not knowing that you can ask for, due to reference patient and instrument maker
Adaptive making of music: much is possible!

21. Musicians Humans without any connection with music: very rare
Medical effects
In prehistory already instruments (flute/drum)
First complex instruments >2,000 years ago
1880: intensification of performance and sound level more problems in musicians
1713: first description of occupational diseases in musicians
1789: first report of music therapy

22. Overview presentation
Examples of rehab & music/dance
Epidemiology of music medicine
Science & music medicine
40 years of rehab & music/dance at Revalidatie Friesland
Welcome to this DVD.
It is a instruction movie with 22 different chapters one can look for, separately from each other.
The DVD is about functional breathing in its context; we call it the total breathing concept. What this will mean, will be explained in this DVD.
In this introduction I will tell you about the history of the conception of this project, the goals and a short explanation about the content of this DVD.
Hans Boschma and I would like to invite you to watch all chapters, not in one time because it takes 3,5 hours. We think that the total is more than the product of the separated chapters.
We hope you will enjoy the content of this DVD

23. Start of MPPA
MPPA indexed
Rudolf Steiner
- Chris Jansen -

24. Journals

25. The Netherlands: 4th position
- Chris Jansen -

26. Number of citations/article/country
The Netherlands: 3th position.
- Chris Jansen -

27. Overview presentation
Examples of rehab & music/dance
Epidemiology of music medicine
Science & music medicine
40 years of rehab & music/dance at Revalidatie Friesland
Welcome to this DVD.
It is a instruction movie with 22 different chapters one can look for, separately from each other.
The DVD is about functional breathing in its context; we call it the total breathing concept. What this will mean, will be explained in this DVD.
In this introduction I will tell you about the history of the conception of this project, the goals and a short explanation about the content of this DVD.
Hans Boschma and I would like to invite you to watch all chapters, not in one time because it takes 3,5 hours. We think that the total is more than the product of the separated chapters.
We hope you will enjoy the content of this DVD

28. - pain& dysfunction in musicians -
Start of outpatient clinic for musicians
at RF
Madeleen de Bruijn at RF
Start of
REC-MD
at RF
1972
1976
1984
1990
1994
1998
2012
2013
2016
2017
2018
2019
- pain& dysfunction in musicians -
Kees Hein Woldendorp
PhD
PhD
Joost Hurkmans
- SMTA-
Music
Therapy in child rehab
Music
Therapy in adult rehab
Wya Feenstra
- Dance on receipt -
IEPE
Congress

29. Music & Dance at RF - 2019 - A lot of expertise Network
Patient care (musicians/dancers/music/dance)
Education (books, instruction video’s, courses, symposia..)
Research (publications)
Network
Regional, national, international
With (applied) universities, music/dance institutions, orchestras, instrument constructors, orthopedic instrument makers
Exchange programs (‘internships’ for students, therapists and doctors)

30. Interdisciplinary team of the REC-MD
Manager
Doctors
Staff member
Secretary / planning
Physiotherapists
Medical social worker
Psychologist
Speech therapist
Music therapists
Occupational therapists

31. The next step is ….!
Revalidatie Expertise Centrum M& D