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L. Elliott, L. Walker (2005)
Rehabilitation interventions for vegetative and minimally conscious patientsNeuropsychological Rehabilitation, 15
Purpose – This article aims to describe a joint collaboration between an occupational therapist and music therapist at the Royal Hospital for Neuro‐disability in Putney, London, UK. It outlines a series of sessions with a patient with hypoxic brain injury who was referred to the neuro‐behavioural unit for rehabilitation. Design/methodology/approach – The joint work commenced due to a realisation that this particular patient responded well to sensory input and the music and occupational therapist wanted to offer the opportunity to explore this intervention further within a different framework of joint sessions. The article provides an overview of this input, which involved bi‐monthly hour long sessions exploring responses to and engagement with various stimuli within a frame of music, poems and storyline along the themes of the seasons. This ran in conjunction with other rehabilitation sessions on the unit. Findings – The authors found that the patient responded to this format with the focus being on the creative framework and the interaction between the therapists and minimal pressure to achieve tasks. Of course there were still clear clinical goals and there was participation from the patient in order to improve functional abilities. Originality/value – The overriding improvements in the patient from using this therapy approach were an increase in concentration span and attention and reduction in vocal distress and behavioural agitation. The authors surmise that there is a place for a package of sensorial input with suggestions for implementation which could be used for other patients in neuro‐rehabilitation in this setting or elsewhere.
Social Care and Neurodisability – Emerald Publishing
Published: Nov 16, 2012
Keywords: Brain; Injuries; Neurodisability; Music; Occupational therapy; Rehabilitation; Sensory oriented approach; Hypoxic traumatic brain injury; Cognitive deficit; Dyspraxia
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