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90. Music Therapy in Psychomotor Agitation After Severe Traumatic Brain Injury Jorgen W. Weckel, R. Formisano, F. Penta, V. Vinicola, M. Matteis, and S. Brunelli (all from Rome, Italy

In the last years we investigated the efficacy of improvised music therapy on post-traumatic psychomotor agitation after severe traumatic brain injury. Music therapy is based on the approach of Nordoff and Robbins (1977) and the work with comatose patients of Gustorff (1990). Single-case-design: We examined n = 11 patients with prolonged coma (more than 30 days), with Glasgow Coma Scale < 8 in the acute stage and Glasgow Outcome Scale -3 (severe disability). Absence of verbal initiative was the only criterion for the inclusion. Patients were examined on baseline according to GOS, Disability Rating Scale (Rappoport, Hall, et al., 1982), and Coma Recovery Scale (Giacino, Kezmarsky, et al., 1991). In particular, we will describe patients with post-traumatic agitation during the coma recovery with the aid of video recordings during the music therapy sessions. Music therapeutic observations found positive vanations (video recordings) in 8 of 11 patients, confirmed by a blind examiner in 5 patients of the 11. Since DRS and CRS failed to record the improvement of interactive abilities of the patients, we proposed an evaluation scale, which was also correlated with DRS and CRS in a pre-