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Neurophysiological activity during music therapy with individuals with dementia

Mini Dissertation (MMus (Music Therapy))--University of Pretoria, 2021.

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Other Authors: Lotter, Carol Barbara
Format: Thesis
Language:English
Published: University of Pretoria 2021
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access_status_str Open Access
author2 Lotter, Carol Barbara
author_browse Lotter, Carol Barbara
author_facet Lotter, Carol Barbara
collection Thesis
dc_rights_str_mv © 2019 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria.
description Mini Dissertation (MMus (Music Therapy))--University of Pretoria, 2021.
format Thesis
id oai:repository.up.ac.za:2263/81026
institution University of Pretoria (South Africa)
language English
last_indexed 2026-06-10T12:36:22.373Z
license_str Other — see source repository
provenance_str_mv Harvested via OAI-PMH from UPSpace — University of Pretoria Institutional Repository
publishDate 2021
publishDateRange 2021
publishDateSort 2021
publisher University of Pretoria
publisherStr University of Pretoria
record_format dspace
source_str UPSpace — University of Pretoria Institutional Repository
spelling oai:repository.up.ac.za:2263/81026 Neurophysiological activity during music therapy with individuals with dementia Lotter, Carol Barbara katefarquharson@gmail.com Farquharson, Katherine UCTD Music Therapy Neurophysiological activity Dementia Older adults Active music therapy Receptive music therapy Heart rate Respiration EEG Music theses SDG-03 SDG-03: Good health and well-being Music theses SDG-04 SDG-04: Quality education Music theses SDG-10 SDG-10: Reduced inequalities Mini Dissertation (MMus (Music Therapy))--University of Pretoria, 2021. Music therapy is becoming widely recognised as an effective non-pharmacological therapeutic modality in dementia care, offering psychological, social, and physical benefits. However, little is known about the neurophysiological activity during active and receptive music therapy methods for persons with dementia. This may shed light on client experiences, particularly those with limited external responses. In this pre-experimental pilot study, a group of healthy older adults (n=5) and persons with mild-moderate (n=8) and severe dementia (n=5) received once-off individual music therapy sessions including receptive and active techniques during which heart rate (HR), respiration rate (RR), and electroencephalogram (EEG) responses were recorded. There was a general increase in HR from baseline resting measures and nonparametric tests showed significant changes during singing a familiar song (p=0.044) and drumming (p=0.019). An increase was also observed during vocal improvisation. RR was highly variable as it was influenced by singing. The largest increase occurred during drumming. The autonomic data suggest that active music therapy techniques may induce greater physiological arousal than receptive techniques but this requires further investigation. Findings were minimal for the prefrontal cortex EEG; however, there were significant limitations in the acquisition and analysis of this data. There was an unexpected decrease in Gamma power for participants with severe dementia during the drumming exercise, which may implicate the Default Mode Network (DMN). Four case examples are presented in the discussion that illustrate significant moments within the sessions and relate these to the real-time neurophysiological data. These case examples highlight the differences in engagement between participants with mild-moderate and severe dementia and explore several instances of the neurophysiological data that bring insight into participant experiences as well as the shortcomings of the neurophysiological data. Whilst the findings were modest, this research offers insight into the challenges and limitations of experimental research in music therapy and dementia. This dissertation reflects on the limitations of neurophysiological investigations of active music-making and the challenges of the dual researcher-therapist role. It critiques the ecological validity of protocolised music therapy and the use of purely quantitative methodology in music therapy research. ae2025 Music MMus (Music Therapy) Unrestricted SDG-03: Good health and well-being SDG-04: Quality education SDG-10: Reduced inequalities 2021-07-28T10:49:50Z 2021-07-28T10:49:50Z 2021-09 2021 Mini Dissertation * S2021 http://hdl.handle.net/2263/81026 en © 2019 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria. application/pdf University of Pretoria
spellingShingle UCTD
Music Therapy
Neurophysiological activity
Dementia
Older adults
Active music therapy
Receptive music therapy
Heart rate
Respiration
EEG
Music theses SDG-03
SDG-03: Good health and well-being
Music theses SDG-04
SDG-04: Quality education
Music theses SDG-10
SDG-10: Reduced inequalities
Neurophysiological activity during music therapy with individuals with dementia
title Neurophysiological activity during music therapy with individuals with dementia
title_full Neurophysiological activity during music therapy with individuals with dementia
title_fullStr Neurophysiological activity during music therapy with individuals with dementia
title_full_unstemmed Neurophysiological activity during music therapy with individuals with dementia
title_short Neurophysiological activity during music therapy with individuals with dementia
title_sort neurophysiological activity during music therapy with individuals with dementia
topic UCTD
Music Therapy
Neurophysiological activity
Dementia
Older adults
Active music therapy
Receptive music therapy
Heart rate
Respiration
EEG
Music theses SDG-03
SDG-03: Good health and well-being
Music theses SDG-04
SDG-04: Quality education
Music theses SDG-10
SDG-10: Reduced inequalities
url http://hdl.handle.net/2263/81026