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Music Therapy and Stroke
Ashley BlahaStudent Music TherapistElizabethtown College
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What is a stroke?
Occurs when a blood clot blocks an artery or a blood
vessel breaks
Fourth leading cause of death in America
Preventable
Its not about genetics, its about a healthy lifestyle...
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Warning Signs
F: Face
A: Arms
S: SpeechT: Time
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SymptomsMusic Therapy and Stroke
Unique to women:
1. Face and limb pain
2. Hiccups
3. Nausea
4. General weakness
5. Chest pain
6. Shortness of breath
7. Palpitations
Common:
1. Numbness or weaknessof face, arm, or leg (one
side of the body)
2. Confusion, troublespeaking, or
understanding
3. Trouble seeing in one orboth eyes
4. Trouble walking,dizziness, loss of balance
or coordination
5. Severe headache for noreal reason
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Risks
Controllable:
1. Smoking
2. Exercise/Diet
3. Alcohol use
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Risks
Uncontrollable:
1. Age
2. Gender
3. Race
4. Genetics
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Potential damage
Possible need areas:
Speech
Physical
Memory
Right-Side/ Left-Side Brain damage
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TypesMain Types:
1. Ischemic
2. Hemorrhagic
Other:
1. Embolic Stroke
2. Thrombotic Stroke
3. Large Vessel Thrombosis
4. Small Vessel Disease/ LacunarInfarction
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Treatment
General- Assessment and treatment
Medication
Therapy
OT
PT
Speech Therapy
Music Therapy
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Other Therapies
Occupational Therapy
Regain daily functional skills
Physical Therapy
Regain ability to walk, lay down, etc.
Speech Therapy
Regain communication and language
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Assessment:
1. Cognitive function
2. Communication
3. Physical function
4. Socioemotional function
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Neurological Music Therapy:
1. Music Therapy with Cognitive Deficiency
2. Music Therapy with Speech and Language Deficiencies
3. Music Therapy with Sensorimotor Deficiencies
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How does it help?
1. Mood and motivation (increase)
2. The power of group sessions
3. Blood pressure, heart rate, levels of anxiety (decrease)
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TechniquesMusic Therapy with Speech and Language
Deficiencies
1. Melodic Intonation Therapy (MIT)
2. Rhythmic Speech Cuing (RSC)
3. Therapeutic Singing (TS)
4. Oral Motor and Respiratory Exercises (OMREX)
Music Therapy with Sensorimotor Deficiencies
1. Rhythmic Auditory Stimulation (RAS)
2. Therapeutic Instrumental Music Performances (TIMP)
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Case Study
21 participants
Two hospitals facilitating two groups (NMT and SLT)
Both groups showed significant improvement
Music advantages:
Stimulates both cerebral hemispheres
Manipulation of speech speed
Intonation, tone, pacing, syllabic emphasis
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Discussion
Client:
94 year old woman
Hospice care
Deaf
Music Therapy and Stroke
