Melbourne Conservatorium of Music - Research Publications

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    Music interventions for acquired brain injury: Findings from an updated Cochrane review
    Tamplin, J ; Clark, I ; Magee, WL ; Bradt, J (The Australasian Society for the Study of Brain Impairment, 2017-06-01)
    Background and aims: This Cochrane review update examined the effects of music interventions and standard care versus standard care alone or standard care combined with other therapies for adults with non- degenerative acquired brain injury (ABI). Primary outcomes were gait and upper extremity function. Secondary outcomes were communication, cognition, mood and emotions, social skills, pain, behavioral outcomes, activities of daily living, and adverse events. Method: We searched electronic databases, dissertation and specialist music databases, and hand-searched grey literature. All randomised controlled and controlled clinical trials with quasi-randomised or systematic methods of treatment allocation were included, in any language, published and unpublished. Results: We included 29 trials with 775 participants. Meta- analyses indicated that music interventions may improve gait velocity, stride length (affected side), gait cadence, stride symmetry, general gait, and timing of upper extremity function. Using a rhythmic auditory stimulus embedded in music may lead to greater improvements in gait velocity than using rhythmic auditory stimulus without music e.g. metronome. Interventions delivered by a credentialed music therapist generated greater improvements than interventions delivered by other professionals. Music interventions may also improve quality of life and overall communication with beneficial effects in naming and repetition. Conclusions: Rhythm-based interventions remain important for movement rehabilitation in ABI. Future research should examine music intervention effects on cognition. Measures used for mood outcomes require greater uniformity and improved reporting. Across all domains, improved agreement on the core outcomes examined will enable more comprehensive meta-analyses and more accurate evaluation of the effectiveness of music interventions.
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    Musical memories: Connecting people with dementia and their caregivers through song.
    Clark, I ; Tamplin, J ; Lee, J ; Baker, F ; Mercadal-Brotons, M ; Clements-Cortes, A (World Federation of Music Therapy, 2017)
    Active music participation may offer benefits for people with dementia (PWD) and their family care givers (FCG) living in the community (Baird & Samson, 2015). For the PWD, this capacity to respond to music-making activities, such as singing, may facilitate reminiscence and successful social engagement (Vanstone & Cuddy, 2010). As a consequence, FCG may experience meaningful and satisfying connection with their loved one (Baker, Grocke & Pachana, 2012). Receptive music listening interventions may also assist with the management of challenging symptoms of dementia, such as agitation and anxiety, offering FCG strategies to use in the home.
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    Supporting Healthy Ageing and Management of Age Related Disease in Australia
    Clark, I (World Federation of Music Therapy, 2017)
    As the global population ages, more people are experiencing the privilege of growing old. By 2050, estimates suggest that over 2 billion people will be aged 60 years or over (WHO, 2016). Current buzz terms, including healthy ageing and active ageing, are used to describe the notion of optimal health, independent life participation and security required for high quality of life through the full course of life. In Australia, 2 major policies support principles of healthy ageing (AIHW, 2017): 1) Preventative health, promotes healthy lifestyle choices, such as physical activity participation; 2) Living longer better, has a strong focus on supporting people with dementia (PWD) and their family caregivers (FCG). This presentation will discuss recent music therapy research in Australia targeted to address these policies.