Music therapy for early cognitive rehabilitation post childhood TBI: an intrinsic mixed methods case study

Bower, Janeen, Catroppa, Cathy, Grocke, Denise and Shoemark, Helen (2013) Music therapy for early cognitive rehabilitation post childhood TBI: an intrinsic mixed methods case study. Developmental Neurorehabilitation, Early Online 1-8. doi:10.3109/17518423.2013.778910

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Author Bower, Janeen
Catroppa, Cathy
Grocke, Denise
Shoemark, Helen
Title Music therapy for early cognitive rehabilitation post childhood TBI: an intrinsic mixed methods case study
Journal name Developmental Neurorehabilitation   Check publisher's open access policy
ISSN 1751-8423
Publication date 2013-07-01
Year available 2013
Sub-type Article (original research)
DOI 10.3109/17518423.2013.778910
Open Access Status
Volume Early Online
Start page 1
End page 8
Total pages 8
Place of publication London, United Kingdom
Publisher Informa Healthcare
Language eng
Formatted abstract
Objective: The primary aim of this case study was to explore the behavioural changes of a paediatric patient in post-traumatic amnesia (PTA) during a music therapy session. A secondary objective was to measure the effect of the music therapy intervention on agitation.

Method: Video data from pre, during and post-music therapy sessions were collected and analysed using video micro-analysis and the Agitated Behaviour Scale.

Results: The participant displayed four discrete categories of behaviours: Neutral, Acceptance, Recruitment and Rejection. Further analysis revealed brief but consistent and repeated periods of awareness and responsiveness to the live singing of familiar songs, which were classified as Islands of Awareness. Song offered an Environment of Potential to maximise these periods of emerging consciousness. The quantitative data analysis yielded inconclusive results in determining if music therapy was effective in reducing agitation during and immediately post the music therapy sessions.

Conclusion: The process of micro-analysis illuminated four discrete participant behaviours not apparent in the immediate clinical setting. The results of this case suggest that the use of familiar song as a music therapy intervention may harness early patient responsiveness to foster cognitive rehabilitation in the early acute phase post-TBI.
Keyword Case study
Familiar song
Mixed method
Music therapy
Post-traumatic amnesia
Traumatic brain injury
Mixed methods design
Posttraumatic amnesia
Traumatic brain injury (TBI)
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ
Additional Notes Published online 1 July 2013

Document type: Journal Article
Sub-type: Article (original research)
Collections: Non HERDC
School of Music Publications
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Citation counts: TR Web of Science Citation Count  Cited 5 times in Thomson Reuters Web of Science Article | Citations
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Created: Tue, 01 Apr 2014, 00:37:13 EST by Helen Shoemark on behalf of School of Music