Filed under: Rehabilitation
Music therapy is an evidence-based therapeutic application for the treatment of brain and psychological injuries such as traumatic brain injury (TBI) and post-traumatic stress disorder (PTSD). TBI and PTSD can be life-changing events that cause physical, cognitive, sensory, and/or emotional impairments. However, a trained music therapist can use music to activate injured areas of the brain involved in the control of movement, cognition, speech and emotions.
Substantial scientific evidence supports how and why music therapy works, but it also can be understood intuitively. Music evokes emotions and influences mood, whether happy or sad, relaxed or pumped. Music also inspires movement: Think how a good beat can induce foot tapping or dancing.
Injured nerve pathways actually can be stimulated by music. Music also can be used to stimulate speech and facilitate cognitive function. In those with PTSD, music can arouse memories that need to be accessed and processed during the healing process. Music can help to promote movement affected by TBI. Watch this video from the National Endowment for the Arts (NEA) and DoD to see music (and other arts) therapy helping injured service members.
Music therapy is part of the rehabilitation process at places such as NICOE, Walter Reed National Military Medical Center, and VA centers around the U.S. The VA also sponsors the National Veterans Creative Arts Festival, where veterans showcase their work. This TBICreative Forces fact sheet describes the NEA Military Healing Arts Network and lists several creative arts therapy locations.
Whether you’ve already experienced a shoulder injury or avoided one, there are simple exercises you can do to maintain healthy shoulders. Shoulder dislocations are more common among military personnel than civilians. This might be explained by service members’ increased use of their upper extremities for job-related duties. The bad news is there aren’t any known avoidable risk factors associated with shoulder dislocation because it usually results from a single traumatic event. Once you’ve had a dislocation, you’re also at increased risk of experiencing another one.
The good news is healthy, strong shoulders can help reduce your risk of injury. HPRC’s RX3 Shoulder Pain section highlights exercises that are ideal for rehabilitating an injured or painful shoulder. These exercises also can help maintain healthy, uninjured shoulders! Or check out the Navy Operational Fitness and Fueling System (NOFFS) Virtual Trainer strength exercises.
Make sure to see your doctor if your shoulder pain worsens or swelling occurs.
In a Human Performance Optimization (HPO) Spotlight video, Army veteran Anthony Radetic discusses optimizing his performance as an elite athlete after becoming an incomplete paraplegic. He served as a helicopter pilot until he was injured in a motor vehicle accident that left him in a wheelchair.
Anthony talks about how he came to embrace competitive sports despite his injury. He discusses building his confidence and stamina to professionally compete in hand cycling, monoski racing, and jetski racing events. Anthony also describes how his mission changed after his injury, and how he learned to refocus himself to reach his optimized performance at home and during competitions. Check out the video below to learn more about his resilience.
When Warfighters are wounded, ill, or in the midst of a major transition, focusing on strengths can help boost confidence and morale and instill hope during recovery. Human nature makes it so that you’re already hardwired to notice the bad more than the good. When you’re struggling to get well or are in transition, it’s even easier to get stuck thinking only about deficiencies and weaknesses.
You probably have spent lots of time contemplating how you could be better. Try asking yourself any of these questions to help you think more deeply about your strengths.
- What is right about me?
- When do I feel most true to myself?
- Who am I when I’m at my best?
- What strengths do I bring to the table at home and at work?
- What do others appreciate about me?
Reflecting on your strengths can help you shine the light on your internal resources and overcome adversity. If you’re able to mobilize certain strengths—such as bravery, kindness, and humor—you might temper the impact that physical illness can have on your well-being. Managing physical or psychological illness also can give way to the development of personal strengths and resources. Using these strengths daily can prevent burnout and enhance overall satisfaction with your life.
Show your strengths: Wounded warriors likely spend a lot of time deliberating what’s wrong. Consider the benefits of also highlighting what’s right and how you can use your strengths during healing.
To take a survey about your character strengths, visit the VIA Institute on Character page. Check out the Office of Warrior Care Policy page for resources and tips to help raise awareness about Warrior Care Month too.
Adaptive sport programs for wounded, injured, and ill service members are an important part of the rehabilitation process. And the Paralympic Military Program provides Paralympic sport opportunities—including camps, clinics, and competitions—to over 2,000 athletes each year. The program also promotes mentorship, teamwork, and fellowship for its athletes, especially those starting their roads to recovery. The results are impressive too: 5 military athletes won medals at the 2014 Paralympic Winter Games in Sochi, Russia!
The Department of Defense and the U.S. Department of Veterans Affairs also offer many adaptive sport programs and clinics throughout the country. Whether you’re looking for a new challenge or going for the Gold, the first step is getting out there and being active!
Check out the Paralympic Military Program page to learn more about adaptive sport opportunities in your community. And be sure to cheer on service members, veterans, and other Paralympians at the Rio 2016 Paralympic Games, beginning September 7.
Go team USA!
Between 2000 and 2015, more than 339,000 service members sustained a traumatic brain injury (TBI) in the Operation Enduring Freedom (OEF)/Operation Iraqi Freedom (OIF) conflicts. The first step to care is being able to recognize symptoms, especially for less obvious TBIs. While service members are at greater risk than their civilian counterparts, TBI is not just a military injury. Over 2.2 million American civilians are treated each year for TBI. Leading causes include falls and automobile accidents. In theater, blasts account for most TBIs. Each injury is unique, and each person’s road to recovery is different.
TBI involves alteration of brain function caused by an external physical force. A penetrating TBI is usually obvious, such as a bullet or stab wound to the head. Closed injuries sometimes aren’t so apparent: These include blast injuries, falls, vehicle crashes, and head-to-head collisions (such as on an athletic field).
Severity depends on the amount of brain tissue injured and ranges from mild to severe. Impairment can be physical, cognitive, sensory, and/or emotional.
About 82% of TBIs sustained in OIF/OEF conflicts were labeled mild (mTBI, also referred to as concussion). The most common symptom is headache. Other symptoms include dizziness, sleep disturbances, fatigue, attention and memory problems, irritability, and changes in vision, balance, and mood. However, symptoms can be subtle, and patients often don’t seek medical help for weeks or months after the injury occurred.
Most mTBI patients recover fully. The Defense and Veterans Brain Injury Center (DVBIC) “Blast Injuries” web page offers good advice for recovering from blast-induced mTBI.
Recovery from moderate-to-severe TBI usually requires treatment at a rehabilitation hospital. The goals are to improve function and promote independence and re-integration into the community. Progress can be slow, but change and improvement can continue for years.
Health.mil offers resources for both patients and clinicians. DVBIC’s A Head for the Future website provides educational materials to encourage prevention and promote recognition and treatment of TBI in the military.
Getting fit and staying healthy can be especially challenging for service members with chronic illnesses, injuries, or disabilities. The good news is that recreation therapy can make the process less painful. Recreation therapists can help motivate and design activities that are enjoyable while they improve both physical and mental function and fitness. Therapeutic recreation also can help make subsequent life more enjoyable.
The American Therapeutic Recreation Association (ATRA) suggests that those who are more active lead more satisfying, happier, and healthier lives. The U.S. Department of Veterans Affairs (VA) and DoD recommend injured veterans get involved in adaptive sport programs and/or recreation therapy as part of their rehabilitation. Most rehabilitation hospitals have a recreation therapist on staff who can help develop individualized programs. There are also local and national programs such as the VA Adaptive Sports Program, Paralympics, and the Military Adaptive Sports Program.
Pain can take a toll on you physically and emotionally, but there are some steps you can take to cope with it. First, know if your pain is “acute” or “chronic.” Acute pain is temporary, often stemming from injuries that will heal completely. Chronic pain is ongoing, lasting for more than 3 months. It’s hard to know what to do about chronic pain. And it’s a big problem: At least 25% of people in the U.S. suffer from it.
If you have pain, it’s important to see a medical provider to rule out something life-threatening. However, most injuries heal physically as much as possible after 3–6 months, so residual pain has more to do with complex mind-body processes than a clear-cut physical problem. Learn more about a 5-step structured approach you can use to tackle chronic pain from the video below developed by the DoD/VA Joint Pain Education Project and the Defense and Veterans Center for Integrative Pain Management.
Recovery Care Coordinators (RCC) help wounded, ill, and injured service members, their caregivers, and their families navigate the recovery, rehabilitation, and reintegration process. They help ensure a smooth transition from a recovery and rehabilitation setting back into the civilian community or, in some instances, back to military duty. An RCC is the first point of contact within each of the military services’ wounded warrior programs. RCCs are located at military treatment facilities and installations throughout the country and overseas. Referral to RCCs can come from the service member, a caregiver, a family member, medical personnel, or a wounded warrior program. For more information on the referral process (and for contact numbers), read this factsheet.
How do RCCs help support service members, their caregivers, and their families during what is often a difficult and stressful period in their lives? The RCC develops a comprehensive recovery plan (CRP) with the service member, caregivers, family members, and the recovery team to identify goals and resources needed to achieve those goals, such as assistive technology, education, employment, or housing.
The DoD Office of Warrior Care Policy is responsible for oversight, policy of the Recovery Coordination Program, and standardized training for all RCCs, but each military service branch implements its own Recovery Coordination Program in accordance with DoD policy. The terminology may differ with service (for example, advocate, care coalition, recovery care), but the mission and the standards are the same. Check out the following links for service-specific information:
Spring is just around the corner, so it’s time to start thinking about sports and outdoor recreation. In keeping with the Mission ReDefined campaign (a joint effort of the U.S. Department of Veterans Affairs and the U.S. Paralympics), VA encourages eligible veterans (those injured within the last six years) to apply for the 2015 National Veterans Summer Sports Clinic.
The purpose of the Clinic program is “early intervention for Veterans battling back from injury, not only strengthening their bodies but improving overall well-being and self-worth.”
Spend a week in San Diego learning about adaptive sport and recreational activities such as sailing, surfing, track and field events, kayaking, and cycling (hand and tandem). This is a national event open to Veterans from all across the country with combat injuries ranging from TBI and polytrauma to spinal cord injuries and loss of limbs.
The clinic will be held in San Diego, CA, from Sept 13–18. 2015. The deadline to sign up is May 1, 2015; visit the Registration tab at the Clinic link above for details and forms.