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Rehabilitation of the Adult and Child with Brain Injury Conference May 4, 2012 Dance/Movement Therapy in Brain Injury Rehabilitation. Presentation by Marianne Talbot, Ph.D. National Rehabilitation & Rediscovery Foundation Virginia Tech. Objectives. - PowerPoint PPT Presentation
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Rehabilitation of the Adult and Child with Brain Injury Conference
May 4, 2012
Dance/Movement Therapy in Brain Injury Rehabilitation
Presentation byMarianne Talbot, Ph.D.
National Rehabilitation & Rediscovery Foundation
Virginia Tech
Objectives
Demonstrate an understanding of dance/movement therapy and its implications in brain injury rehabilitation
Understand the differences between conventional physical therapy and dance/movement therapy in brain injury rehabilitation
Importance
Historically, treatment interventions for individuals with brain injuries have focused on conventional modalities including physical, occupational, and speech therapies, and cognitive rehabilitation
Much of the current research indicates there is a significant need to determine which treatment methods are most effective in ameliorating the physical, cognitive, and psychosocial consequences of individuals with brain injuries resulting in optimal long-term outcome
Meaningful measurement systems need to address individual satisfaction, long-term outcome, and quality of and satisfaction with life
Purpose of the Study
To better understand the dynamics of a therapeutic dance/movement intervention for individuals with brain injuries by comparing it to a conventional physical therapy intervention using Laban Movement Analysis (LMA).
Dance and Movement Therapy
The psychotherapeutic use of movement to promote emotional, cognitive, physical, and social integration of individuals
D/M Therapy is practiced in mental health, rehabilitation, medical, educational, and forensic settings, and in nursing homes, day care centers, disease prevention and health promotion programs
Laban Movement Analysis
Systematic approach to observing, describing, and analyzing quantitative and qualitative changes in human movement through Body, Effort, Space, and Shape (BESS)
Provides a comprehensive language and analytic framework for the description and recording of human movement
Body, Effort, Space and Shape
Body describes the action of the torso and limbs by observing body attitude, whole body and body part movement, and developmental patterns
Body Attitude – The BESS baseline. General and specific impression of maintained or constantly recurring postural characteristics
Whole Body – Homologous, homolateral, contralateral, trunk/limb relationship, use of trunk, posture gesture merger
Use of Body Parts – carriage, gesture vs. support, body part awareness, limb relationship, center of gravity
Developmental Patterns – naval radiation, spinal, breath support and phrasing, core support, weight shift, spatial intent
Effort
Effort describes how the body concentrates its exertion as the body changes in its quality of movement through Time, Weight, Space, and Flow
Effort Indulging CondensingSpace Indirect DirectWeight Light StrongTime Sustained QuickFlow Free Bound
Space and Shape
Space describes the location, amount and symmetry of the external space one uses during movement which includes space harmony, one’s outer architecture, and one’s kinesphere
Shape describes the movement of the body’s internal components in supporting or influencing external activity such as with one’s inner architecture, shape flow, directional movements, and shaping qualities
Bodily-kinesthetic Learning
Historically, treatment interventions for individuals with TBI have concentrated on the physical, cognitive, and behavioral effects resulting from injury through the provision of physical, occupational, and speech therapies.
Much less focus has been placed on integrating all these domains and including the psychosocial needs of individuals with brain injuries to create an integrated mind and body approach to rehabilitation.
FindingsWhat are the similarities and differences between the
dynamics of physical therapy and therapeutic dance/movement as interventions for individuals with brain injuries?
Physical therapy intervention lends itself to the observation, analysis, and treatment of the biomechanical aspects of movement from a functional single joint action and muscle activity perspective
Physical therapy intervention helps strengthen and stretch specific muscle groups
Dance/movement intervention observes, analyses, and treats individuals from a whole body-mind (integrating physical, cognitive, and psychosocial components), Functional and Expressive perspective
Findings Continued
What are the dynamics of the therapeutic dance/movement intervention?
LMA Components Core and Breath Support and Grounding Aspects of Shape (Shape Flow, Directional Movement,
Shaping) Effort-Life
Movement Themes Whole/Part Inner/Outer Function/Expression Exertion/Recuperation Mobility/Stability
Findings Continued
Dynamics are multi-faceted Individual movement patterns remained fairly constant
however, at times, we appeared to embody aspects of each other’s Effort-Life and sense of rhythm as we shared in each other’s Kinesphere
Shaping was used to connect with each other especially when using touch to support movement
Relationships and relating to each other contributed to the overall dynamic interaction
Promoted creative and expressive experiences to feel and sense one’s self and others within a safe and supportive group environment
Facilitated growth and change
Significance and Meaning
Illumination of a potential rehabilitative intervention using an integrative-holistic approach to treating individuals with brain injuries
Introduction to and potential use of measurement system - Laban Movement Analysis
Witnessing adult learning and human development post brain injury using a non-conventional therapeutic intervention
Questions
To what extent would an individual’s perceived quality of life improve if each brain injury treatment intervention employed a holistic-integrative perspective within their specialty areas?
Would it be valuable for each brain injury intervention to measure an individual’s quality of life in addition to measuring discrete components such as range of motion, procedural memory, or performance of activities of daily living?
To what extent is a treatment modality considered efficacious if the intervention is not contributing to the individual’s sense of improved quality of life?
Could LMA be a meaningful system for measuring an individual’s long-term outcome and quality of life?
Foundations in Adult TBI
Effects of TBI on underlying brain structures and function, and adjustments needed for (re)learning. Effects of TBI on family, work, and society. Role of societal agents in rehabilitation and rediscovery processes. Attention to injuries from war, sports, accidents, and other causes.Understanding adulthood pre and post TBIUnderstanding the experience from multiple perspectivesLearning adjustments in adulthood
Issues in Adult TBI
Advances in TBI practice, policy, and research
Translating theory into practice Relevance of rehabilitative challenges
and practices to theory Raising awareness, understanding, and
action in society at-large International efforts and societal
implications
Internship/Independent Study
Independent studies must be related to TBI and must follow completion of both the Foundations and Issues courses
In lieu of an independent study, an internship may be available on a selected basis where qualified on-site supervisors are available
Profiles of Therapeutic Interventions
Aspects of Shape
Exertion/Recuper-ation
Mobility/Stability
Whole/PartInner/OuterCore/B. SupportGrounding
Function/
Expressio
n
Effort-Life
Exertion/Recuper-ation
Stability for Mobility Body
Level Connect.Single JointActions
Function