What is NMT?
Neurologic music therapy (NMT) is a standardized, research based system of techniques that help clients work towards achieving their goals through engaging in music interventions that are adapted in the moment to fit the client's needs. It is provided by a board-certified music therapist who has completed advanced training in neurologic music therapy. NMT is based on the scientific knowledge of the elements of music and the effect it has on brain and behavior functions. The goal is to help clients re-learn activities of daily living that may have been lost due to neurologic conditions including but not limited to traumatic brain injury, Parkinson's, stroke, or dementia. The music is the force that drives the change! NMT is focused on helping clients in areas of cognition, sensorimotor, and speech/language. Read below to find out how NMT helps in these 3 domains.
How is NMT different from regular music therapy?
Traditional music therapy often focuses more on social/emotional goals such as improving well-being, improving social skills, increasing relaxation, or decreasing depression/anxiety, whereas neurologic music therapy focuses more on rehabilitative goals such as increasing the length ambulated down a hallway, improving the ability to get up out of a chair, improving fluency of speech, or improving the ability to divide attention between two different tasks.
How does NMT fit in with physical, occupational, and speech therapy?
Neurologic music therapists often work on similar goals as would be addressed in physical, occupational or speech therapy; therefore, it's important for all disciplines to work together! Physical, occupational, and speech therapy are critical services in helping individuals rehabilitate from injury of loss of function due to neurologic condition. Neurologic music therapy is also a critical piece to the puzzle! When neurologic music therapy is utilized in conjunction with other therapies it can help clients expedite the progress made towards their goals because music cues a client's motor memory into relearning skills and the predictability of rhythm helps clients entrainment their movements or speech to a desired pace. Please refer to the Why NMT section under the About NMT tab to learn more about why music is beneficial.
Goals related to coordination, range of motion, balance, strength, endurance and activities of daily living are supported.
Clients may be asked to walk, participate in balance or stepping exercises, or to move their upper or lower extremities in specific ways while being provided live music that supports and cues the movements and improves the client's perception of the target movement. The client may also be asked to participate in instrument playing using rhythmic or melodic instruments as prompted via live music to practice coordination of various movements.
Goals related to attention, executive function, memory, and sensory integration are supported.
Clients are often asked to engage in active music making to exercise the different elements of cognition. Musical elements such as melody, rhythm, dynamics, and timbre are used to provide powerful and complex stimulation. Clients are challenged to play instruments or to respond in particular ways given a predictable structure or pattern in the music. Neglect training can be performed via active playing of instruments using appropriate spatial configurations of the instruments to focus attention on the neglected side.
Goals related to breath support, word retrieval, word fluency, articulation, voicing volume, and voice inflection are supported.
Clients may be asked to sing because linking melody to words can often support increased ability to produce expressive language. Rhythm can be provided as a timing cue to assist with word fluency and for the coordination of oral motor mechanisms needed in speech. Clients may participate in playing wind instruments such as the kazoo, harmonica, or melodica to improve breath control, respiratory strength and endurance, and to improve articulatory control and function of the speech apparatus.
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