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Adapting NMT for a child with multiple disabilities. http://users.cooptel.net/simbobo/study.ppt. A---. Strengths:- Love of music and of novelty History of Conductive Education Good relationship with all staff involved. Challenges re learning to walk:- Cerebal Palsy affecting all limbs

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Adapting nmt for a child with multiple disabilities
Adapting NMT for a child with multiple disabilities

http://users.cooptel.net/simbobo/study.ppt


A---

Strengths:-

Love of music and of novelty

History of Conductive Education

Good relationship with all staff involved

  • Challenges re learning to walk:-

    • Cerebal Palsy affecting all limbs

    • Cortical Blindness

    • Severe / Profound Learning Disability


Background
Background

Previous music therapy consisted of familiar songs and improvised music – aims (gain in confidence and attention span) were met.

Conductive Education:-

Strong emphasis on the aquisition of physical skills, particularly walking. No opportunity for me to explore content of CE..

Opportunity to build on this work using NMT influenced methods


Nmt as taught
NMT as taught

Outcomes judged by measurable functional gains

Psychological / emotional processes not in the foreground

Assessment is a feature of all sessions

With gait training, use of metronome and autoharp


This particular work:-

  • Outcome measured by progress towards facility in walking – a subjective assessment over a period of time

  • No use of metronome, due to sudden tempo changes by her

  • High level of facilitation from physiotherapist


Session format
Session format

Sit to stand transition

Warm ups – feet to side and back, feet forwards and back with Soundbeam

Walking and turning

Walk backwards

Finish

Musical accompaniment is simple, and always the same for the same part of the session


Time limitations
Time Limitations

Not exactly short term work, but cut-off point at end of this academic year focuses the work

Nature of music therapist's work:-

no opportunity to observe A in other contexts to assess potential

Limited time to analyse the work as it proceeds – possibility of overlooking features?

Ill health leading to missed sessions – even within the timespan given, full potential can't be reached


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