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tv   In Good Shape - Music Therapy  Deutsche Welle  July 5, 2018 6:30pm-7:01pm CEST

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the climate used green energy solutions and reforestation. they created interactive content teaching the next generation about environmental protection and were determined to build something huge for the next generation global ideas the multimedia environment series on w. . welcome to in good shape coming up. polly neuropathy what can help against this nerve disorder. removing earwax is their right way. and music therapy when do patients profit from this. here's your host dr katherine decker taught hello and welcome to in good shape today i mean it's just
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outside of building here more than one hundred years ago a huge sanatorium was built today doctors are treating patients with parkinson's patients who suffered a stroke with music because music is good for your health. listening to music stimulates the production of hormones that increase energy levels for athletes it's like legal doping research shows that music can increase reflected performance by up to fifteen percent. music can affect blood pressure according to one study music by johann sebastian bach lowest blood pressure regardless of whether you like the music or not. music also strengthens the immune system lowering cortisone levels and boosting immunoglobulin a an antibody that's one way to fend off a cold. this
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is music error that how can you be part of therapy and is there any scientific proof that it works this is what i'm going to find out today here in being its highest and it's just different he's in music therapist. music helps us get access to severely impaired patients in a playful way. the. music doesn't just sound nice it affects our feelings and triggers memories but researchers believe it can do even more. they're looking into how music can help heal the body. position and. has spent years studying how music can help in cases of brain injury.
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this is actually possible because of neural plasticity which is the ability of the human brain to continually change and adapt throughout a person's life. and the brain is made up of neurons on the synapses that connect them but these connections on fixed new ones are created all the time music stimulates powerful emotions and builds new connections through an active process of listening movement and visualization to that. the fact that music helps the brain build new synopses give dr daniel shots the idea to use music to help stroke victims regain movement. one of his patients arish. lost all feeling on the left side of his body after suffering a stroke. i knew. after a few hours i couldn't move anything that's all. i mean my arm went numb and i
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couldn't put any weight on my legs. by doing passive movements with the help of a physical therapist until slowly you learn to do them by yourself if you really want to. with it one way music can help is through sonification therapy. this is a technique that translates a patient's physical movements into musical sounds. a sensor registers the arms position which a computer program then converts into preprogramed sounds so mr easters literally hearing the position of his arm. the more he learns to control the arm movement the more coordinated the sound becomes. it's even possible to play a tune. at the school dissolves as motive yet it's motivating because you get instant feedback on your progress. today i managed to go no tie i'll stretch
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a bit further the patients are learning something new how to play music just by moving their limbs. this type of music therapy helps the brain create new neural pathways. patients learn to move again because areas of the brain not involved in particular movements are rewired allowing them to take over functions previously performed by the damaged brain areas this process going to apply to other illnesses too. you can also use neurologic music therapy to treat a phase whereby the ability to speak is restored through song. given the right side of the brain takes over a function that used to be performed by the left and the name. dr fiona of course uses music therapy to help patients who suffer from chronic pain.
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you're going to find it suffers from shock host syndrome a vascular disease which causes so much pain in his legs that he can't walk for more than a few steps at a time. but walking is actually part of his therapy. and dr old study her patients listen to their favorite music while using a treadmill. and the results are impressive as a donor should the difference was noticeable spending money when i listen to my favorite music it's much easier for me to walk out of it this way you don't really notice that you've walked on it i made. that was the case with all her test subjects the pain decreased when the patients were listening to music. and all participants were able to walk further when they were hearing their favorite music. was it about as its type of music wasn't important there was everything from classical to
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jazz to pop the important thing is that the subjects like to find better sure it was that. it's a technique anyone can use in their daily life whether you want to feel better in body or in spirit just listen to more music. so you speech was actually really better after you sang that song so it's much better in such short time you had this really the proof meant. mr make it was just song report that music therapy can be helpful if you treat patients who are in pain . patients with parkinson's disease and with and asking struck so what's happening here. what we just saw here is voice and
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breath training with singing which we do a lot with poppins on patients and even with stroll and but we also do a lot with movement training when people come first after having had a stroke hospital and they are in the wheelchair the contrary they sometimes can't even stand and we do very very slowly exercises for the balance standing with little children song maybe and then slowly coming into steps and practicing walking again and that really works better when you have the right music so what are the the main disabilities that can result from a stroke and that you can treat with music that are. very very often you get these. problems where one side of the body is paralyzed and that that causes walking problems as well as fine motor skill problems and arm function problems
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with people who have never played an instrument in their life we practice pad in one of very low low level doing very simple exercises with single fingers and that helps effectively and we know that from clinical studies as well to retrain these fine motor skills and the daily routine company competencies we just saw the amazing results which music therapy can have on the speech he hopes so but is there any scientific proof other than the studies that say that music therapy is effective yes we have scientific proof for stroke patients for training for on training also for aphasia which is a kind of language disorder which occurs after stroke. and we know that this is also effective and clinically affective for pockets and for gait training. and
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also for voice and speech problems so does music therapy offer anything which other conventional therapies can't offer. yet the main thing is perhaps these motivational emotional effects but we also know more and more about physiologic effects on brain function we know actually now from imaging brain studies that music affects the whole brain and even if parts of it are disturbed after stroke for instance very often music because it's all everywhere in the brain still works very well and so we can use music to address very very for course. functions you very often see immediate improvements as we've seen here and singing and the voice and speech movement but also in cognition when you when we talk about
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attention or memory and very often when music comes into play these things immediately change in quality and can be transferred to really beneficial therapeutic activities so it's like an awakening that yes you could almost say it can lead to severe brain damage and puts patients into a coma where they can communicate with others we doctors call this a vegetative state conventional therapy is quite helpless in dealing with those patients but using therapy could be a solution and we the followers who promotes this kind of. muscle borman is undergoing music therapy in his bed which has a built in hop designed to stimulate him at today's session he's joined by a valiant a soprano who works with people who suffered brain trauma. i can't associate it's lovely to see how the therapist and marcel really work as
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a team and you could see how much he enjoys it laughing and trying to sing along to an outside observer it might not seem like much is happening but for him it's a spectacular success even since the spectacle. muscle has been in a vegetative state since two thousand and three when he was run down during an illegal car race now that he's getting music therapy he's learned to pluck the strings himself. the treatment works on a number of levels. the patients are able to feel their body again the sounds boost their self-awareness that activates the paralyzed parts of the body but it also relaxes by regulating muscle tone. balance between too much tension and no tension at all in kind of. the hope is that patients learn to experience music more deeply. and is well versed in the power of
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music. you can reach people in a vegetative state with music in ways you can't with words and stimulate their awareness. only music can do the common cause. for patients like. music has become a bridge to the outside world. so music therapy is also important in helping patients with parkinson's disease we just saw patients with parkinson's disease and you train them with a kind of m p three player in their ear. walk so what's special about that yeah we
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use music here and hans and stimulate the gay pair and we adjust the tempo to the individual step frequencies that's very important to have very clear temple resonance there and then you can use music to instantly improve their walking and we also transfer that to a longer training procedure so if you need parkinson's like that can you stop the progress of pockets. no you cannot really stop the disease progression but training is really important for those patients to help them to keep up their level of fitness their strength and insurance so we see a lot of patients when they train regularly and very often they are much better off in terms of movement while the other patients who practice less they have they get more problems could even say certain medications then perhaps like reduced tablets
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. not really the medication is important to have sort of basis movement ability and we only do the training and also music movement training when they have their full kinematic. capacity so it's very important to have the drugs there and then on top of it you do the training it's very important to do both good christians from india per week wants to know. if he could use music therapy in his dental clinic. oh yes that makes sense and that is done also. regularly or regularly like you can use the music's there to reduce anxiety to reduce pain sensitivity and reduce stress and that's all certainly very helpful for those who have problems at the dentist ok
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another question from india and tells us that she loves music but her husband doesn't love music at all so would her husband be candidate for music therapy if he doesn't like music. actually you know in the many years i've been doing the job here with hundreds and thousands of patients i've hardly had that you have someone who does not like any kind of music at all i guess i can almost not imagine that this is really true so you can always find. this kind of song yeah i would i would really you know the what what is music what does it mean for you what did you experience in your childhood and your early life and usually when you do find fun playing even if you have to look a little longer thanks so much for all this insights and if you've got any questions you like me to ask away sports. evening. upcoming show we'll be looking at sugar too much leads to weight gain and studies show that sugar can
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damage the heart and blood vessels is it also linked to cancer if you have a question about that write to us in good shape t w dot com don't forget to write shocker in the subject line we look forward to hearing from you. there billions of nerve cells in your body and without nerves you couldn't move at all but nerves are not only responsible for your movements your responsible for your feelings too. if you see something strange it could pony up a thing which is a disease a few nerves with multiple causes. it almost always starts with your feet specially with the toes with tingling or pain that can grow so severe that walking becomes impossible. begins with a slight numbing in your big toes were seen as if the toe feels like it's hugely
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swollen also. there's also a kind of muscle tension. it's not nice and it really hurt. these kinds of sensory disorders stem from damage to nerves that extend from the spinal cord to the extremities. the damage can affect the long axon of the nerve cell or the mylan sheath that surrounds it but the feeling of numbness weakness or burning can spread the medical term for this condition is poly neuropathy. a number of things can cause polydor up a theory there are hundreds of different illnesses or primary causes behind it and sometimes you have to do very intensive tests to get to the bottom of it and it was a. good crowd has been suffering from odd sensations in the tips of his toes for the past thirteen years last year it became increasingly severe he suspected that the problem might originate in his back. but an m.r.i.
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showed that his spinal discs were ok. finally he consulted a neurologist who tested how fast his nerves conduct signals. that mr potts presented with sensory disorders that are characteristic of poly neuropathy and distributed in a typical way we conducted tests that quickly confirm the diagnosis. the most common causes of this condition are diabetes and excessive alcohol consumption. up with a can result is a side effect of chemotherapy it's also possible to have a genetic predisposition for it. is now being examined with another diagnostic tool the neuro imaging magnetic resonance device will provide an accurate picture of the state of his nerves. the
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scan shows that the problem with the nerves in his leg is not restricted to the nerve endings but extends up to his pelvis today a second specialist is giving his opinion via video link. so much. this gives you a clear picture of what's wrong we can now say what areas are affected. the patient might now know the extent of his nerve damage but the root cause is still unclear. idiopathic polly and your uppity where you can't pinpoint the cause of the disorder accounts for twenty to twenty five percent of the cases and that's even after a pretty thorough diagnostic testing including nerve biopsy at that point you just have to accept you have the illness without knowing why but it is often possible to relieve symptoms. in susan flooders case because of the nerve problems in her feet it's pretty clear. that diabetes for twenty seven
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years up till i've been pretty lucky was my eyes are fine but about a year ago the toes on my left foot started acting up. first just one felt no pain . then another began hurting. i had to undergo. diabetic neuropathy is one of the classic complications of diabetes to tackle it your blood sugar levels need to be brought back in line that doesn't work you could suffer complete loss of feeling as one of the main reasons people develop diabetic foot syndrome which can lead to chronic wounds. we can even get so bad that i'm pee taishan is required if you're done office and. susan florida has spent five days in the clinic to normalize her blood sugar levels the doctor now tests the sensitivity of her feet again. because great that's much better than at the beginning. it's unusual to see such quick results but it's
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a clear example of how nerves can benefit from good diabetes treatment. since pitt doesn't know what's causing his nerve damage he can only treat the symptoms and that means regular trips to the physiotherapist. dirt dust. there's a lot to be fallen here my daughter even once had an aunt inside. that's how to clean your ears properly this is what we tried to find out and the results would surprise you. a special candle to clean your ear canal some people believe your candling helps remove excess earwax maya our test subject is not so sure. making my first thought was no way am i putting this in my ear or anyone else's ear for that matter. to be on the safe side we
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asked and here's specialist to give his verdict on ear candling. one cats. frankly i'm no fan of here candles. there are studies that show the only effect it has is to liquefy the air wax but does nothing at all to remove it in fact also involves fire and that's dangerous because the dripping candle wax will cause damage to the outer ear which is why you definitely shouldn't do it. at this meeting so let them on this as a vacation of our kind father and said our next test the spoon once again dr niedermeyer is skeptical. remember this and is much too sharp in my opinion it's not only unsuitable to be used by a lay person it's just plain dangerous to feel it to yourself this part is about
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three and a half to four and a half centimeters long if you insert it all the way and it could damage the air drum that's. the humble cotton bud is much softer by comparison but here too the expert warns against it for us so i don't believe in using cotton buds to clean the errors so they should never be used they can cause real damage to the air. and i can show you using this model here this is this is more or less life size and you can see that this is relatively large compared to the outer ear canal there isn't much room here if. the cotton bud pushes the wax deeper into the ear instead of removing it that can cause a serious wax build up. but then how can you remove your wax yourself and should you even try. to. see if you know for sure wax contains a variety of substances so these helps to keep the skin and the ear canal smooth
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and moist so it doesn't dry out. and they also inhibit bacterial growth when it back under from you. if you have too much earwax and can no longer hear properly get it professionally removed by a doctor for healthy years there's one rule of thumb. for the us you never try to clear the air canal with a foreign object. instead after you shower and wash your face and so forth you can use your finger covered in a towel to remove wax from around the entrance of the air can now. only remove what is easy to reach. never more than that. in other words it is that or too clean aren't necessarily healthy and don't use implements to clean your ears they can cause serious damage. well i don't want anything to get into my ears so i play it safe. see you
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again next week and until then let's all try to stay in. power.
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