Neuroplasticity and Functional Recovery: Training Models and Compensatory Strate

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Nordic Journal of Music Therapy, 13(1) 2004, pp. 20-32.

Neuroplasticity and Functional Recovery: Training Models and Compensatory Strate

Felicity Baker & Edward A. Roth

Abstract

New research developments in the recovery of function following neurological trauma as well as

basic and applied research relevant to music perception and production, seem to point to the

suggestion that specific music therapy interventions that directly address the restoration of

function as opposed to developing compensatory mechanisms, in certain circumstances, may now

be a more appropriate treatment approach. We will address the issue of appropriate timing for the

introduction of each strategy and discuss potential outcomes of each approach. As one might

imagine, much of this research is published in the neurological journals, which music therapists

may not regularly consult. It seems challenging enough just to keep abreast of new music therapy

literature. Further, there is so much neurological research that the music therapy clinician often

finds it difficult to know where to begin. This text provides an overview of a growing concept

related to recovery known as neuroplasticity, and how specific training models in music therapy

utilize this relatively recently identified phenomenon. Also, a framework will be provided to help

guide the practicing clinician when attempting to build a lineage of systematic thought relevant

to the use of music in neurorehabilitation, as well as discuss the frequently employed concept of

behavioural compensation. Some music therapy literature that relates to these different concepts

is outlined. Discussions surrounding the decision to use either of these two approaches are presented in relation to stages of recovery and the clinical presentation of the client.