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Amy Dean

on 20 February 2018

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Transcript of NMT

Neurologic Music Therapy
Amy Adams Dean, MM, MT-BC/L
Neurologic Music Therapist
Neurologic Music Therapy
Music Therapy
Speech and Language
-Allied Health profession since the 1950's
-"Music Therapy is the clinical and evidence-based use of music interventions to accomplish individualized goals within a therapeutic relationship by a credentialed professional who has completed an approved music therapy program" (AMTA, 2012)
Populations served by Neurologic Music Therapists include, but are not limited to: stroke, traumatic brain injury, Parkinson's and Huntington's disease, cerebral palsy, Alzheimer's disease, autism, and other neurological diseases affecting cognition, movement, and communication.
Neurologic Music Therapy

Modified Melodic Intonation Therapy (MMIT)
Musical Speech Stimulation (STIM)
Rhythmic Speech Cuing (RSC)
Vocal Intonation Therapy (VIT)
Therapeutic Singing (TS)
Oral Motor and
Respiratory Exercises (OMREX)
Differential Hemispheric
Patterned Information
Perceptual Sensory
Rhythmic Entrainment
(Attention and Perception)
Neurologic Music Therapy is defined as the therapeutic application of music to cognitive, sensory, and motor dysfunctions due to neurologic disease of the human nervous system.
Neurologic Music Therapy is an evidenced-based practice. Its treatment techniques are founded on the neuroscience model of music perception and production and the influence of music on FUNCTIONAL changes in nonmusical brain and behavior functions.
In addition to music therapy training,
NMT’s are educated in the areas of neuroanatomy,
physiology, brain pathologies, medical
terminology, and rehabilitation of cognitive
and/or motor functions.
Three Domains:
Therapeutic Mechanisms:
Music Sensory Orientation Training (MSOT)
Music Neglect Training (MNT)
Auditory Perception Training (APT)
Musical Attention Control Training (MACT)
(Attention and
Patterned Information Processing
Perceptual Sensory Priming
Rhythmical Attention
Auditory Information Processing
(Memory Training)
Musical Mnemonics Training (MMT)
Associative Mood and Memory Training (AMMT)
Echoic Memory (EM)
Therapeutic Mechanisms:
(Memory Training)
Patterned Information Processing
Affect modification
Associative Network Theory of Mood and Memory
(Executive Functions)
Music Executive Functions Training (MEFT)
(Psychosocial Behavior)
Music Psychosocial Therapy and Counseling (MCP)
Therapeutic Mechanisms:
(Executive Functions)
Patterned Information Processing
Social Learning Theory
Associative network Theory of Mood and Memory
(Psychosocial Behavior)
Affect Modification
Associative Network Theory of Mood and Memory
Classical and Operant Conditioning
Social Learning Theory
Rhythmic Auditory Stimulation (RAS)
Patterned Sensory Enhancement (PSE)
Therapeutic Instrumental Music Performance (TIMP)
Therapeutic Mechanisms:
Audio-Spinal Facilitation
Sensorimotor Integration
Rhythmic Entrainment
Auditory Feedback
Patterned Information Processing
Treatment Techniques are standardized and applied to therapy as Therapeutic Music Interventions (TMI), which are adaptable to the patient's needs.
NMT goals are established to be FUNCTIONAL and transferable to daily life.
Four Essential Paradigms for NMT Techniques:
1. Neuroscience-Guided Rehabilitation
Treatment based on data and concepts from brain research and clinical research studies
2. Learning and Training Models
Rhythmic motor learning and training, temporal structure and organization of therapeutic interventions and stimuli to enhance cognitive, motor, and speech/language training
3. Cortical Plasticity Model
Music is used as a complex, rhythmically organized, and spectrally diverse language to drive neural network patterns through temporal modulation of sensory input
4. Neurological Facilitation Models
Patterned Multimodal Sensory input to enhance motor, speech/language, and cognitive functions
Thaut, Michael (1999). Training manual for Neurologic Music Therapy. Colorado State University: Center for Biomedical Research in Music.
Evidenced-Based Practice:
For more information on the Master's program at Colorado State University visit:
Patient Preference
Clinical Experience
Shared Neural Networks:
Executive Function
Motor Control
Music OPTIMIZES these shared mechanisms!
Thank you!!
Melodic Intonation Therapy (MIT)
Treatment technique developed for expressive aphasia rehabilitation which utilizes a patient's unimpaired ability to sing, to facilitate spontaneous and voluntary speech through sung and chanted melodies which resemble natural speech intonation patterns.
Musical Speech Stimulation (MUSTIM)
Use of musical materials such as songs, rhymes, chants, and musical phrases simulating prosodic speech gestures to stimulate non-propositional speech. Most often used with apraxic and aphasic patients.
Rhythmic Speech Cuing (RSC)
Use of rhythmic cuing to control the initiation and rate of speech thru cuing and pacing. This technique can be useful to facilitate motor planning for an apraxic patient, cue muscular coordination for dysarthria, or assist in pacing with fluency disorders.
Vocal Intonation Therapy (VIT)
The use of intoned phrases simulating the prosody, inflection, and pacing of normal speech. This is done through vocal exercises which train all aspects of voice control including: inflection, pitch, breath control, timbre, and dynamics.
Therapeutic Singing (TS)
Technique which involves the unspecified use of singing activities to facilitate initiation, development, and articulation in speech and language as well as to increase functions of the respiratory apparatus.
Oral Motor and Respiratory Exercises (OMREX)
Involves the use of musical materials and exercises, mainly through sound vocalization and wind instrument playing, to enhance articulatory control and respiratory strength and function of the speech apparatus.
Developmental Speech and Language Training Through Music (DSLM)
The specific use of developmentally appropriate musical materials and experiences to enhance speech and language development through singing, chanting, playing music instruments, and combining music, speech, and movement.
Symbolic Communication Training Through Music (SYCOM)
The use of musical performance exercises using structured instrumental or vocal improvisation to train communication behavior, language pragmatics, appropriate speech gestures, emotional communication in nonverbal language system, that is sensory structured, has strong affective saliency, and can simulate communication structures in social interaction patterns in real time.
Contact: Amy Dean, MM, MT-BC/L
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