Music therapy has been shown to have benefits for numerous medical conditions. Studies have found that singing lessons improved pulmonary function and quality of life for COPD patients. Music therapy reduced anxiety and improved self-esteem and feelings of well-being for patients. Vibration therapy also led to reduced Parkinson's symptoms like rigidity and improved walking. Music may relieve pain and increase responsiveness to antidepressants by elevating pain thresholds. It can also reduce stress, anxiety, blood pressure and improve immune system function. The effects are likely strongest when the music matches a person's personal preferences.

1. “Venham mais cinco”,
grupo aberto integrado no programa de reabilitação cardio-
respiratório do HPH
Objectivos:
Promoção do bem-estar, reduzir ansiedade, depressão,
isolamento social pela
Musica, canto, poesia e arte dramática

2. Music is often linked to mood.
A certain song can make us feel happy, sad, energetic, or relaxed.
Because music can have such an impact on a person’s mindset
and well-being, it should come as no surprise that
music therapy has been studied for use in managing numerous
medical conditions.

5. Musicoterapia em doença respiratória
1. Bonilha A, Onofre F, Vieira M, Prado M, Martinez J. Effects of
singing classes on pulmonary function and quality of life of COPD
patients. Int J COPD. 2009;
2. Lord V, Cave P, Hume V, Flude E, Evans A, Kelly J, et al. Singing
teaching as a therapy for chronic respiratory disease --- a randomized
controlled trial and qualitative evaluation. BMC Pulm Med. 2010;
3. Lord V, Hume V, Kelly J, Cave P, Silver J, Waldman M, et al. Singing
classes for chronic obstructive pulmonary disease: a randomized
controlled trial. BMC Pulm Med. 2012
4. Hoit JD, Jenks CL, Watson PJ, Cleveland TF. Respiratory function
during speaking and singing in professional country singers. J Voice.
1996;
5. Grape C, Sandgren M, Hansson LO, Ericson M, Theorell T. Does
singing promote well-being? An empirical study of professional and
amateur singers during a singing lesson. Integr Physiol Behav Sci. 2003;

6. N=6 , 10 sessões
Segurança
Subjectivamente benéfico
Melhoria da P expiratória (viés: sem grupo controlo e doentes estudados estáveis)
When analyzing the answers to the questionnaire prepared
by the researchers we found that all patients reported
improvement in lung function control, reduced anxiety and
more self-esteem after the singing lessons. In addition, all
patients reported a feeling of well-being and recorded the
experience as very pleasant.

7. The healing power of vibration
At its core, music is sound, and sound is rooted
in vibration.

8. • short-term use of vibroacoustic therapy with Parkinson's disease
patients led to improvements in symptoms, including less rigidity
and better walking speed with bigger steps and reduced tremors
(NeuroRehabilitation, December, 2009). In that study, the scientists
exposed 40 Parkinson's disease patients to low-frequency 30-hertz
vibration for one minute, followed by a one-minute break. They
then alternated the two for a total of 10 minutes.
University of Toronto's Music and Health Research Collaboratory, Sun
Life Financial Movement Disorders Research and Rehabilitation Centre
at Wilfrid Laurier University, in Waterloo, Ontario. Lauren K. King
• The group is also examining something called thalmocortical
dysrhythmia — a disorientation of rhythmic brain activity involving
the thalamus and the outer cortex that appears to play a role in
several medical conditions including Parkinson's, fibromyalgia and
possibly even Alzheimer's disease

9. Ainda a D Parkinson e Demência e “vibroterapia”
• case study "After stimulating with 40-hertz sound for 30 minutes
three times a week for four weeks, she could recall the names of
her grandchildren more easily, and her husband reported good
improvement in her condition.“
Bartel. Sun Life Financial Movement Disorders Research and
Rehabilitation Centre at Wilfrid Laurier University, in Waterloo,
Ontario
The goal of all of this work is to develop "dosable" and
"prescribable" music therapy and music as medicine protocols that
serve specific neurologic functions and attend to deficits that may
result from many of these neurologically based conditions.
Rather than viewing music only as a cultural phenomenon, the art
should be seen as a vibratory stimulus that has cognitive and
memory dimensions.

10. Music may achieve its therapeutic effects in part by elevating
the pain threshold.
E no tratamento da dôr?
• patients in palliative care who took part in live music
therapy sessions reported relief from persistent pain
(Progress in Palliative Care, July, 2013 Khoo Teck Puat
Hospital in Singapore ).
Music therapists worked closely with the patients to
individually tailor the intervention, and patients took part in
singing, instrument playing, lyric discussion and even song
writing as they worked toward accepting an illness or weighed
end-of-life issues.

12. E na depressão?
There is evidence that music therapy may increase
responsiveness to antidepressant medications.
• In elderly adults with depression, a home-based program of
music therapy may have long-lasting effects.
• In depressed adult women, music therapy may lead to
reductions in heart rate, respiratory rate, blood pressure,
and depressed mood.
• Music therapy may also be beneficial in depression following
total knee replacement surgery or in patients undergoing
hemodialysis.

14. A wealth of new studies is touting the benefits of music on
mental and physical health.
in a meta-analysis of 400 studies, music improves the body's
immune system function and reduces stress.
Listening to music was also found to be more effective than
prescription drugs in reducing anxiety before surgery
Daniel J. Levitin, PhD, Mona Lisa Chanda, PhD ,who studies
the neuroscience of music at McGill University in Montreal.
Trends in Cognitive Sciences, April, 2013.

15. Que música?
There is evidence that music that reflects the
listener's personal preference is more likely to have
desired effects

16. Music therapy uses music and sound to
• Help to express your emotions
• Help cope with symptoms of a disease and its treatment
• Improve emotional and physical well being
• Develop self confidence and self esteem
• Develop or re-kindle a sense of creativity
• Help to relax and feel comfortable
In a music therapy session, may
• Listen to music
• Move to music
• Sing
• Make music with simple instruments, with the music therapist
• Write and discuss song lyrics
• Use guided imagery alongside music
Pequeno resumo….

17. Auditório do Hospital Pedro Hispano
20 horas
“Venham mais cinco”
Porque cantar, tocar e rir… faz bem à Saúde
30 de Outubro