Measuring The Effects of Therapeutic Listening - Quickshifts

This study examines a structured protocol to measure the effects of daily individualized use of Therapeutic Listening - Quickshifts (TL-Q) used to improve occupational performance in children with learning and developmental disabilities. The study identifies a standardized practice-based evidence procedure to measure the outcomes of implementing TL-Q within traditional OT practice. OTs worldwide are using sound-based therapies (SBTs) despite limited supporting evidence available regarding the productivity of these interventions. Even fewer studies have been published on the effects of Therapeutic Listening (TL), a novel intervention shown to increase personal and interpersonal skills including sensory processing skills, visual motor integration, and emotional regulation (Frick & Hacker, 2001). TL-Q is used to modify distressing effects of sensory dysregulation and learning disabilities through an individualized listening program of modified musical patterns that the child listens to through headphones for a set amount of time each day. The music program is implemented at home for a more intensive intervention designed to stimulate neuroplasticity across hemispheres eliciting behavioral changes and improved neurological responses (Wink, McKeown, & Casey, 2017).https://scholar.dominican.edu/ug-student-posters/1062/thumbnail.jp

Measuring The Outcomes of Therapeutic Listening in Children with Learning and Developmental Disabilities

Anecdotal reports of the Therapeutic Listening ®-Quickshifts (TL-Q) technique report positive effects on child behavior but the individualized approach requires further supporting evidence. TL-Q is an individualized sound-based program used to facilitate sensory processing skills and is believed to improve interpersonal, social, and cognitive skills (Frick & Hacker, 2001). This study examines the use of a standardized protocol to measure the specific outcomes of the TL-Q program using a practice-based evidence (PBE) approach for the purpose of aggregating data for clinical practice. The protocol was used to measure the outcomes of the TL-Q program in a convenience sample of 23 children, ages 3-12, with learning and developmental disabilities, including sensory processing dysfunction. The protocol was applied in a multi-center, multiple case study design, evaluating changes in sensorimotor skills, self-regulation, maladaptive behavior and activities of daily living (ADLs.) The protocol consisted of pre-test, post-test clinical assessments and semi-structured interviews including the COPM, SPM, VMI, PDMS-2, BOT-2 and a modified Clinical Observations tool. The protocol was applied over a 12-week period and completed in the child’s natural home setting simultaneously with traditional occupational therapy treatment. Significant improvement was seen in individualized goals and developmental posture skills. The outcomes generated from this study support the use of TL-Q in occupational therapy practice. The COPM proved to be a valuable tool for measuring outcomes of TL-Q, suggesting that the assessment may be beneficial to implement in pediatric practice settings

Critically Appraised Paper for “The effects of a home-based virtual reality rehabilitation program on balance among individuals with Parkinson’s disease”

This study evaluated the effectiveness of a 12-week home-based exercise program using the Nintendo Wii system in its capacity to improve balance and balance confidence and maintain exercise compliance. Balance and balance confidence were measured with the Center of Pressure Length (COPL) and Activities-Specific Balance Confidence Scale (ABC), which were administered before the start of the intervention, 6 weeks into the intervention, and within 1 week postintervention. Although changes in balance and balance confidence scores were found to be nonsignificant, a pattern emerged in which scores for both measures rose between preand postintervention assessments, then fell to nearly baseline levels at postintervention. Changes in adherence to the intervention program over the course of 12 weeks were also found to be nonsignificant, which indicated that user interest in the program was maintained. Despite the nonsignificant changes in balance scores, the study prompts further research into the use of 2 virtual reality modalities in rehabilitation

Measuring the Outcomes of Therapeutic Listening® in Children With Learning and Developmental Disabilities

A practice-based evidence (PBE) approach was used to explore the outcomes of the Therapeutic Listening® technique. PBE examines how effective clinical practice is within the actual clinical context. PBE capitalizes on using customary procedures and measures to establish clinical outcomes. (Horn & Gassaway, 2010; Swisher, 2010). Therapeutic Listening® (TL®) is a sound-based intervention broadly used by pediatric OTs as a complement to sensory integration interventions for children with sensory processing disorders.https://scholar.dominican.edu/ug-student-posters/1078/thumbnail.jp