Music listening to decrease intensity of agitated behaviour after severe acquired brain injury: An experimental multi-case study

2021 ◽  
Vol 13 (1) ◽  
pp. 68-76
Author(s):  
Lena Aadal ◽  
Søren Vester Hald ◽  
Ulla Johanna Setterberg ◽  
Lars Ole Bonde

Agitated behavior following a traumatic brain injury is frequent, placing patients and staff at risk of injury. Such behaviors decrease rehabilitation outcomes. This case study explores staff-administered listening to preferred music as an intervention to reduce agitated behavior during sub-acute rehabilitation. The study included seven patients (6♂/1♀, aged 21-74 years) with agitated behaviour and suffering from severe acquired brain injury of different aetiologies. The intervention included 15 minutes of preferred music from a customized playlist created in collaboration between a relative, a music therapist and the staff at the rehabilitation clinic. Agitated Behavior Scale (ABS)-scores, blood pressure and heart rate measurements were obtained pre and post interventions. Two tailed t-test and visual analyses were conducted. Results suggest that listening to personalized playlists of preferred music with a supportive intensity profile may reduce the intensity of agitated behavior following an acquired brain injury in the sub-acute phase. Furthermore, the music listening intervention may have contributed to reduced pulse. Due to the small sample size and few measurements, further research to support the hypothesis is recommended. However, since music listening is an easily administered low-cost intervention with no obvious side-effects, it can be considered as a supplement to usual treatment.  Keywords: Acquired brain injury, neuro-rehabilitation, agitated behaviour,                    music therapy, non-pharmaceutical 

Brain Injury ◽  
2021 ◽  
Vol 35 (5) ◽  
pp. 520-529
Author(s):  
Antonio Caronni ◽  
Emanuele Liaci ◽  
Anna Bianchi ◽  
Alessandro Viganò ◽  
Francesco Marenco ◽  
...  

2018 ◽  
Vol 2018 ◽  
pp. 1-14 ◽  
Author(s):  
M. D’Ippolito ◽  
M. Aloisi ◽  
E. Azicnuda ◽  
D. Silvestro ◽  
M. Giustini ◽  
...  

Introduction. Severe acquired brain injury (sABI) is considered the most common cause of death and disability worldwide. sABI patients are supported by their caregivers who often exhibit high rates of psychological distress, mood disorders, and changes in relationship dynamics and family roles.Objectives. To explore lifestyle changes of caregivers of sABI patients during the postacute rehabilitation, by investigating possible differences between primary and secondary caregivers. Primary caregivers spend most of the time with the patient, providing daily care and taking most responsibility for the day-to-day decisions, while secondary caregivers are those who provide additional support.Methods. Three hundred forty-seven caregivers of sABI patients were asked to fill in an unpublished self-report questionnaire to explore their possible lifestyles changes.Results. A statistically significant difference was found between primary and secondary caregivers in time spent in informal caregiving (p<0.001). The primary caregivers reduced all leisure activities compared to secondary carers (p<0.05).Conclusions. By comparing the percentage of leisure activities performed by caregiversbeforeandafterthe patient’s sABI onset, all caregivers showed high percentages of changes in lifestyle and habits, even though primary caregivers reported more negative lifestyle changes than secondary caregivers. Further studies are needed to investigate needs and burden experienced by caregivers of sABI patients during the postacute rehabilitation phase, also in relation to the patients’ outcome, to address support interventions for them and improve their quality of life.


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