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

Annals of the New York Academy of Sciences
Wendy L Magee, Julian O'Kelly

Abstract

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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Citations

Mar 1, 2016·Frontiers in Psychology·Jonathan Pool, Wendy L Magee
Mar 26, 2016·Frontiers in Psychology·Caroline SchnakersBrian Harris
Oct 25, 2016·Experimental Neurology·Blessen C EapenDavid X Cifu
Sep 16, 2016·Frontiers in Psychology·Wendy L MageeCaroline Schnakers
Sep 14, 2017·Current Opinion in Neurology·Caroline Schnakers, Martin M Monti
Nov 30, 2019·Scientific Reports·Ana Filipa Teixeira BorgesKlaus Linkenkaer-Hansen
Jul 9, 2021·Neurocritical Care·Brian L EdlowUNKNOWN Curing Coma Campaign and its contributing members

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