1. Music Therapy Presented by Bill Dluhosh, MT-BC Neurologic Music Therapist Tri-City Music Therapy Services

2. Professional Expectations • American Music Therapy Association (AMTA) • musictherapy.org • Code of Ethics • Standards of Practice • Board Certification - (MT-BC) • 100 Continuing Education Credits every 5 years • Established Body of Research Literature

3. Research de Dreu MJ, van der Wilk AS, Poppe E, Kwakkel G, van Wegen EE.(2012) Rehabilitation, exercise therapy and music in patients with Parkinson's disease: a meta-analysis of the effects of music-based movement therapy on walking ability, balance and quality of life. Parkinsonism & Related Disorders. Volume 18, Supplement 1, Pages S114-S119, January 2012. • [Improvements] were found for the Berg Balance Scale, Timed Up and Go test and stride length (SESs: 4.1,2.2,0.11; P-values <0.01; I(2) 0,0,7%, respectively). • Significant improvement in walking velocity for gait-related Music-Based Music-therapy, • But not for dance-related MbM-therapy. • Overall, MbM-therapy appears promising for the improvement of gait and gait-related activities in PD.

4. Music therapy Can Help With: • Promoting a sense of well-being • Improving movement • Motor Control • Reducing stress, anxiety or pain • Improving breathing • Improving verbal and non-verbal communication • Promoting self-expression • Improving memory Courtesy of the European Parkinson’s Disease Association

5. Neurological Music Therapy • Rhythmic Auditory Stimulation (RAS) is a method that enables the therapist to find the exact rhythm that supports optimum gait. RAS may positively influence initiating movements, rhythm and symmetry, freezing , coordination and endurance • Patterned Sensory Enhancement (PSE) uses music to enhance complex movements requiring coordination. PSE tailors the music movement to the motor movement, making it more efficient and fluid • Therapeutic Instrumental Music Performance (TIMP) uses “playing of music instruments to exercise and stimulate functional movement patterns in motor therapy.” Courtesy of Rhythm, Music, and the Brain: Scientific Foundations and Clinical Applications. Michael H. Thaut

6. Music Therapy Presented by Bill Dluhosh, MT-BC Neurologic Music Therapist Tri-City Music Therapy Services tcmusictherapy@yahoo.com