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The Rehab Expertise Center for Music & Dance (REC-MD)

Dr. Kees Hein Woldendorp, a rehabilitation physician, presents an overview of the Rehabilitation and Music/Dance program at the Rehab Expertise Center for Music & Dance (REC-MD). The presentation includes case studies, epidemiology of music medicine, and the application of music in medicine. Discover the benefits of music therapy and rehabilitation and learn about the 40 years of experience at Revalidatie Friesland.

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The Rehab Expertise Center for Music & Dance (REC-MD)

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  1. The Rehab Expertise Center for Music & Dance (REC-MD) dr. Kees Hein Woldendorp Rehabilitation physician 24th April 2019

  2. Speaker Disclosurepotentialconflicts of interest Unfortunately no conflict of interest: music medicine has no third flow of funds. Opinions more than welcome!

  3. Overview presentation • Examples of rehab & music/dance • Epidemiology of music medicine • Science & music medicine • 40 years of rehab & music/dance at Revalidatie Friesland

  4. Overview presentation • Examples of rehab & music/dance • Epidemiology of music medicine • Science & music medicine • 40 years of rehab & music/dance at Revalidatie Friesland

  5. 4 examples

  6. Casus 1: “Aphasia & music”

  7. Casus 2: “Parkinson & Dance”

  8. Casus 3: Adaptiveway of makingmusic

  9. Casus 4: “Musician & dysfunction/pain”

  10. Overview presentation • Examples of rehab & music/dance • Epidemiology of music medicine • Science & music medicine • 40 years of rehab & music/dance at Revalidatie Friesland

  11. Music medicine • Medical treatment with music • Medical treatment of musicians (with or without music)

  12. Application of music in medicine • Music Therapy AND Rehabilitation: 1675 hits • Application in all medical specialties < oral presentation Wya Feenstra, rehabilitation physician, Rev. Friesland, 2010 >

  13. Sound art makes patients calm for cataract surgery And the gong at the end makes them open their eyes well Bron: Medisch Contact

  14. Physiological effects • lower heart rate, breath rate and blood pressure • pain-reducing effect • anxiety reduction < 23 RCT’s; meta-analysis >

  15. Music in rehabilitation • Training of motor function • Support of breathing (lung-rehab) • In musician’s dystonie (MMTM) • In aphasie or verbal apraxia (SMTA) • Relaxation • Self-estheem • Form of psychotherapy • Social aspects: hobby, social contacts

  16. Support of breathing • Breathing-therapybyplaying a wind instrument • Pilotstudie Rotterdam: practical, good motivation (8/10), pleasantform of therapy (8,3/10)

  17. Onehandedmusicianship, more than a gimmick?!There is more possiblethanyouthink! K.H. Woldendorp, rehabilitationphysician Birmingham, sept.2018 Woldendorp KH, van Gils W. Med Probl Perform Art. 2012 Dec;27(4):231-7.

  18. Functions (adaptive) musicmaking • Similar to (adaptive) sports: • Motor function training (rehabilitation, bimanual training) • Hobby at home (besideswatching TV, reading) • Profession/financialincome • Socialaspects(playingtogetherwithotherpeople) • Emotionalexpression/regulation • Confirmationidentity / self-confidence

  19. Epidemiological data ‘music in medicine’ • 660 musictherapists in NL • 80% women • 67% employment in institution • 50 (7%) (partime) in rehabilitation; 10% at RF • Too few referencesfrom doctors to investigate • Rehab.physicians: – • ‘Unknownmakesunloved’: PR! < Dutch Society of Music Therapy, 2013>

  20. Data aboutmusicians in the Netherlands • 20% of western populations are active in musicordance(2 million of musicians, 25.000 prof) • 20% of the patientpopulation?! • Few requests for help in the area of adaptive music making for many reasons : • E.g. not knowing that you can ask for, due to reference patient and instrument maker • Adaptivemaking of music: much is possible!

  21. Musicians • Humans without anyconnectionwithmusic: very rare • Medical effects • In prehistoryalreadyinstruments (flute/drum) • First complex instruments >2,000 yearsago • 1880: intensification of performance and sound level more problems in musicians • 1713: first description of occupational diseases in musicians • 1789: first report of music therapy

  22. Overview presentation • Examples of rehab & music/dance • Epidemiology of music medicine • Science & music medicine • 40 years of rehab & music/dance at Revalidatie Friesland

  23. Start of MPPA MPPA indexed Rudolf Steiner - Chris Jansen -

  24. Journals

  25. The Netherlands: 4th position - Chris Jansen -

  26. Number of citations/article/country The Netherlands: 3th position. - Chris Jansen -

  27. Overview presentation • Examples of rehab & music/dance • Epidemiology of music medicine • Science & music medicine • 40 years of rehab & music/dance at Revalidatie Friesland

  28. Start of outpatient clinic for musicians at RF Madeleen de Bruijn at RF Start of REC-MD at RF PhD Kees Hein Woldendorp - pain& dysfunction in musicians - PhD Joost Hurkmans - SMTA- Music Therapy in child rehab Music Therapy in adult rehab Wya Feenstra - Dance on receipt - IEPE Congress

  29. Music & Dance at RF- 2019 - • A lot of expertise • Patient care (musicians/dancers/music/dance) • Education(books, instruction video’s, courses, symposia..) • Research (publications) • Network • Regional, national, international • With (applied) universities, music/danceinstitutions, orchestras, instrument constructors, orthopedic instrument makers • Exchange programs (‘internships’ for students, therapists and doctors)

  30. Interdisciplinary team of the REC-MD Manager Doctors Staff member Secretary / planning Physiotherapists Medical social worker Psychologist Speech therapist Music therapists Occupational therapists

  31. The next step is ….! Revalidatie Expertise Centrum M& D

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