The Effects of Playing Live Music in Music Therapy/Occupational Therapy Co-treatment on Unilateral Spatial Neglect
| Status: | Enrolling by invitation |
|---|---|
| Conditions: | Cognitive Studies |
| Therapuetic Areas: | Psychiatry / Psychology |
| Healthy: | No |
| Age Range: | 18 - 75 |
| Updated: | 1/31/2019 |
| Start Date: | September 2016 |
| End Date: | September 2019 |
Investigators hypothesize, based on anecdotal evidence to date, that active music making
interventions conducted on a patient's neglected side will result in improved attention to
that side and that this will be measurable within session.
interventions conducted on a patient's neglected side will result in improved attention to
that side and that this will be measurable within session.
An open, single group of ten patients selected will receive a 30 minute music
therapy/occupational therapy co-treatment intervention. Music interventions will be performed
by a licensed, Board-Certified Music Therapist while a licensed Occupational Therapist will
provide support, assistance, and measurements of behavioral attention/inattention. At the
outset of the first session patients will be briefly, informally interviewed to ascertain
their musical preferences, which will then be integrated into the music therapist's
interventions whenever possible to maximize engagement and therapeutic rapport. Live music
will be provided on the patient's neglected side and patients will be encouraged to play
music interactively with a focus towards that side whenever possible. An outcome measurement
tool (Star Cancellation Test) will be focused on measuring hemispheric neglect and
administered at the beginning and end of each session to measure within session changes.
therapy/occupational therapy co-treatment intervention. Music interventions will be performed
by a licensed, Board-Certified Music Therapist while a licensed Occupational Therapist will
provide support, assistance, and measurements of behavioral attention/inattention. At the
outset of the first session patients will be briefly, informally interviewed to ascertain
their musical preferences, which will then be integrated into the music therapist's
interventions whenever possible to maximize engagement and therapeutic rapport. Live music
will be provided on the patient's neglected side and patients will be encouraged to play
music interactively with a focus towards that side whenever possible. An outcome measurement
tool (Star Cancellation Test) will be focused on measuring hemispheric neglect and
administered at the beginning and end of each session to measure within session changes.
Inclusion Criteria:
- Patients experiencing unilateral left spatial neglect post brain injury (stroke, TBI,
N-TBI).
- Patients able to follow two step commands and maintain attention to task for five
minutes in a quiet environment.
- The KF-NAP, which is administered to all patients with suspected neglect on admission,
will be used as a screening tool for the neglect syndrome. Inclusion criteria will be
participants with score of ≤ 5.
- Patients must be able to hold a pencil to complete the SCT
- Patients must be able to discriminate between distractor items (words versus big and
small stars) and see items in picture cards
- Patients communicate willingness to participate in music therapy interventions.
- Admission to acute inpatient rehabilitation unit at NYU/HJD.
- Patient will have the ability to provide informed consent.
Exclusion Criteria:
- Visual impairment.
- Right side or dominant hand impairment.
- Any social or medical problem that precludes completion of the protocol.
- Patients who have sensory neglect or motor neglect , as the SCT cannot be used with
this population
- Severe language comprehension impairment
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