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Hemi-Sync® Journal 1998-3 (Summer)

1998 · Source title

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maximum stress. He pushed back in the chair, clamped his mouth closed, pushed his mother's hand and the spoon away, and cried. He was able to cope with the situation by focusing his attention hypnotically on a child's music videotape to cut out interaction and other sensory input. After an initial thirty-minute session with a relaxed-focus METAMUSIC tape, he accepted touch to his hands and chest, initiated eye contact and smiling, and appeared to be calm and peaceful. METAMUSIC tapes were incorporated into a sensory- based treatment program for the next week. He was seen for five hours of intervention per day, with METAMUSIC used approxi- mately 50% of the time. He continued to show increased inter- action and eye contact, began to explore toys, imitated his body movements and facial expression in a mirror, and was able to regulate his response to sensory input more efficiently. Gagging and vomiting ceased. During mealtimes he was more open to changes in his physical position in the chair and presentation of the food. Although he still needed his videotape at mealtimes, he was more interactive with his mother and began to come forward to initiate a bite from the spoon when a METAMUSIC tape was played thirty minutes prior to the meal. He no longer cried and pushed the food away. During the next six months of home-programming, his parents felt that he was less alert and tended to become sleepy when a telaxed-focus METAMUSIC tape was played. When a concen- tration METAMUSIC tape was substituted, he was more focused, and no longer became sleepy. Within ten months, he was taking a wide variety of foods, and had progressed to chewing mashed and chopped textured foods. : Case Study: A Child with Cerebral Palsy A three-year-old boy with cerebral palsy received most of his meals through a gastrostomy feeding tube because of severe dis- organization of swallowing and breathing. He had recently shown an interest in eating, and his parents gave him small oral feedings each day. During these meals, his breathing was noisy and labored, and he showed frequent choking and coughing. He had great difficulty moving his body volitionally because of high muscle tone and strong tonic reflex movement patterns. He frequently arched into hyperextension of his body and head. He drooled profusely. The base of his tongue was pulled back into a slightly retracted pattern, intermittently occluding the airway. This pattern con- tributed to his difficulty with breathing coordination during eating and drinking. Although it was possible to use gentle manual iii --- PAGE 4 (OCR) --- HEMLSYNC® JOURNAL traction under the chin to draw the base of the tongue forward, he consistently resisted this treatment strategy. His sleeping patterns were stressed. As he fell asleep, his body went into strong spasms that were accompanied by tongue retraction and severe obstruction of the airway. These episodes of obstructive sleep apnea were terrifying because of their sudden onset and his inability to breathe. His panic and increased tension resulted in stronger reflexive retraction of the tongue and long periods of apnea. He resisted going to sleep, and it often took three to four hours for him to calm down and sleep. When a sleep medication (such as chloral hydrate) was given, he was groggy and unalert the following morning. His parents preferred to help him learn to go to sleep while they were up. They gave lesser amounts of the medication in the late evening when they went to bed. Without this medication, the sleep-wake-apnea episodes continued throughout the night, and the whole family experienced sleep deprivation. A telaxed-focus METAMUSIC tape was used initially during quiet, on-thelap activities such as listening to a story. This enabled the therapist to feel any changes in muscle tone and movement coordination that were related to HemiSync. During these sessions, his postural tone reduced, and he could interact with a storybook as his hand was guided to different pictures. He accepted the therapist's hand under his chin to facilitate a more forward position of the tongue. He was interested in the contrast between his noisy and quiet breathing patterns, and began to maintain the quiet pattern independently for longer periods. Oral feeding sessions were held with the child supported on his mother's lap. Physical assistance was given to keep the tongue out of the pharyngeal airway. Sucking and swallowing movements became more regular and rhythmical, and were well coordinated with breathing. There was no coughing or choking. A modified barium swallow study several months later showed an efficient swallow with no aspiration. A relaxed- focus METAMUSIC tape was used at each meal, and intermittently throughout the day. The child learned to use a more forward head position and keep the base of the tongue out of the airway. At the end of the five-day intensive treatment program, he used a quiet breathing pattern more than 75% of the time, and was spontaneously swallowing his saliva. Drooling was minimal. Evening therapy sessions were held at bedtime. A META. MUSIC sleep tape was introduced to help him relax and fall asleep with less physical and emotional stress. The therapist used the Positive suggestions that he could sleep peacefully and breathe quietly. Intervention to inhibit his tonic reflex patterns and keep the tongue in a more forward position was used at the first sign of the spasm. Over a four-day period he was able to fall asleep within a thirty-minute period. He had one or two small spasms during the initial sleep period, but was free from apnea episodes. An adult temained with him for physical and emotional support during this period, repeating the positive suggestions for easy sleep, and helping him maintain a forward tongue position. Three weeks after the program began, his parents weaned him from the sleep medication, and he slept through the night. Summary METAMUSIC tapes containing the binaural beat patterns of Hemi-Sync open the door to learning for many children with developmental disabilities. Children with oral feeding difficulties have increased their skills and comfort level more efficiently when METAMUSIC was included in the learning environment. The sound technology is inexpensive, nonnvasive, and effective. METAMUSIC makes an important contribution to most rehabilitation programs. References Budzynski, T. 1981. Brain lateralization and rescripting. Somatics, Spring, 3.9. Bullard, B. 1997. Personal communication. Bullard, B. 1995. The road to Remembrance. HemiSync Journal, 13 (1). Guilfoyle, G. and D. Carbone. 1997. The facilitation of attention utilizing therapeutic sounds. Hemi-Sync Journal, 15 (2). Morris, S. E. 1991. The facilitation of learning. Chap. 9 in Neurodevelopmental strategies for managing communication disorders in children with severe motor dysfunction, edited by M. Beth Langley and Linda J. Lombardino. Austin, Tex. ProEd, 251-96. Morris, S. E. 1990. Hemi-Sync and the facilitation of sensory integration. HemiSync Journal, 8 (4). Morris, S. E. 1985a. Music and Hemi-Sync in the treatment of children with developmental disabilities. Breakehrough, December. Morris, S. E. 1985b. Developmental implications for the management of feeding problems in neurologically impaired infants. Seminars in Speech and Language, 6 (4): 293-315. Sornson, R. 1996. Personal communication. Varney, K. 1988. Metamusic with Hemi-Sync as an adjunct to intervention with developmentally delayed young children. Master's thesis, Virginia Commonwealth University. Editor: Shirley Bley | Layout & Design: Jackie Umbarger The HEMI-SYNC JOURNAL, a publication of The Monroe Institute, an educational and research organization dedicated to exploring and developing the uses and understanding of human consciousness, ‘offers current reporting on research and application of the Hemi-Syno® technology in a variety of protessional fields. ‘The HEMI-SYNC JOURNAL is published four times annually by The Monroe institute, 62 Roberts Mountain Road, Faber, VA 22938- 9749. Telephone: (804) 361-1252, Membership rates from $50 to $150 per year. © 1998 The Monroe institute. All rights reserved. No part may be reproduced without permission. iv