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Music therapy in neuropaediatrics 2 New techniques of documentation in neuroscience Concept of music therapy methods in neurological rehabilitation Music therapy research in neuropaedicatrics
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The main areas of the brain brain stem, cerebral hemispheres (frontal, temporal, parietal, occipital) basal ganglia cerebellum
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radiological techniques in neuroscience research Magnetic Resonance Imaging (MRI) Nuclear Magnetic Resonance imaging (NMR) functional Magnetic Resonance Imaging (fMRI).
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Practical example Ataxia Tetraparesis
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Research models Creative music therapy with severe developmentaly delayed children Prof. Dr. Aldridge, Prof. Dr. Neugebauer Nordoff /Robbins-Musik Therapie, 1994,Universität Witten/Herdecke medizinische Fakultät, Institut für Musiktherapie Prof. Dr. Ch. Plahl, 2002, Kinderzentrum München, Orff Musiktherapie
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Cross over design
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Group A With MT Group B without MT with MT Without MT mit MT without MT with MT without MT Ar MT with MT Results II: Significance of dependance between better test scores and treatment period
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Prof. Dr. Ch. Plahl, 2002, Kinderzentrum München, Orff Musiktherapie Patients :12 children, age 2,5- 5,8 years with developmental age between 8 and 32 months mit ECSC (Early Social Communication Skales, Sarimski 1993) Controlled and blind study: No additional therapys during the trial period, investigator and therapist blind to the therapy process/ results
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Study design: 2 Therapyphases with 7 – 10 days with 10 session (30 minutes) Inbetween 3 / 4 months brake. Start of every phase: ECSC and standardizised parents interview
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Neurological music therapy
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Traditional oriental music therapy Spiritual background: islamic sufi-tradition Public training since 1974 in Istanbul Scientific approach since 1994 with independent methodology, therapy concept and research Music idioms ( tuned scales) in the oriental music culture used as method.
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Results coma remission scale before and after TOMT (N=5)
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EEG -alpha and theta increases seem to be more marked over central regions in controls during TOMT and over temporal regions (see figure 11) in patients
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(Patient Data) Temporal Theta and Alpha changes left (li) and right (re): before, during and after TOMT.
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increase of alpha- and theta power over both occipital regions
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Healthy control subjects: increase of alpha and theta power over the left occipital region
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