Effects of neurological music therapy on behavioural and emotional recovery after traumatic brain injury: A randomized controlled cross-over trial

Traumatic brain injury (TBI) causes deficits in executive function (EF), as well as problems in behavioural and emotional self-regulation. Neurological music therapy may aid these aspects of recovery. We performed a cross-over randomized controlled trial where 40 persons with moderate-severe TBI rec...

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Published in:Neuropsychological rehabilitation 2022-08, Vol.32 (7), p.1356-1388
Main Authors: Siponkoski, Sini-Tuuli, Koskinen, Sanna, Laitinen, Sari, Holma, Milla, Ahlfors, Mirja, Jordan-Kilkki, Päivi, Ala-Kauhaluoma, Katja, Martínez-Molina, Noelia, Melkas, Susanna, Laine, Matti, Ylinen, Aarne, Zasler, Nathan, Rantanen, Pekka, Lipsanen, Jari, Särkämö, Teppo
Format: Article
Language:English
Subjects:
Behavior modification
Behavioural regulation
Caregivers
Clinical trials
Content analysis
Emotional behavior
Emotional well being
Executive function
Executive functioning
Intervention
Music therapy
Quality of life
Questionnaires
Randomized controlled trial
Recovery
Recovery (Medical)
Self regulation
Self report
Traumatic brain injury
Well being
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Summary:Traumatic brain injury (TBI) causes deficits in executive function (EF), as well as problems in behavioural and emotional self-regulation. Neurological music therapy may aid these aspects of recovery. We performed a cross-over randomized controlled trial where 40 persons with moderate-severe TBI received a 3-month neurological music therapy intervention (2 times/week, 60 min/session), either during the first (AB, n = 20) or second (BA, n = 20) half of a 6-month follow-up period. The evidence from this RCT previously demonstrated that music therapy enhanced general EF and set shifting. In the current study, outcome was assessed with self-report and caregiver-report questionnaires performed at baseline, 3-month, 6-month, and 18-month stages. The results showed that the self-reported Behavioural Regulation Index of the Behaviour Rating Inventory of Executive Function (BRIEF-A) improved more in the AB than BA group from baseline to 3-month stage and the effect was maintained in the 6-month follow-up. No changes in mood or quality of life questionnaires were observed. However, a qualitative content analysis of the feedback revealed that many participants experienced the intervention as helpful in terms of emotional well-being and activity. Our results suggest that music therapy has a positive effect on everyday behavioural regulation skills after TBI.
ISSN:0960-2011
1464-0694
DOI:10.1080/09602011.2021.1890138