Is Therapeutic Listening Evidence-Based?

Therapeutic Listening is a sound-based intervention program that aims to improve sensory processing, attention, and communication in individuals of all ages. It involves listening to specially enhanced CDs and participating in a sensory-based occupational therapy program. Despite its popularity, the question remains: Is therapeutic listening an evidence-based practice?

The Therapeutic Listening Program

The Therapeutic Listening program was developed by Sheila Frick, drawing inspiration from the work of French physicians Dr. Alfred Tomatis and Dr. Guy Berard. It incorporates listening to modified music and sound selections, along with other interventions such as postural training, respiratory intervention, and sensory diet. The program targets various goals, including sensory modulation, balance, movement perception, exploration, praxis, social competence, and language.

The Theory Behind Therapeutic Listening

Therapeutic listening is based on the belief that listening is a function of the entire brain and can impact neural function and integration. The program recognizes that the auditory system is interconnected with other sensory systems and brain functions. By utilizing music and sound as therapeutic tools, therapeutic listening aims to enhance attention, sensory integration, and overall functioning.

Appropriate Clients and Modifications

Therapeutic listening can be used with clients of all ages. However, younger children may require a modified program that can be closely monitored by an experienced clinician. Each individual’s unique needs and goals are taken into consideration when designing the listening protocols and interventions.

Efficacy Research and Controversies

The efficacy of therapeutic listening and auditory integration therapy (AIT) in general has been a subject of debate. While anecdotal evidence and case studies have reported positive outcomes, there is a lack of well-designed scientific studies to establish therapeutic listening as an evidence-based practice.

The American Academy of Pediatrics and the American Academy of Audiology have stated that there is no well-designed scientific evidence demonstrating the usefulness of AIT. Some studies have shown positive results, but they often suffer from small sample sizes and design problems. The National Research Council has also expressed skepticism regarding the theoretical basis and specificity of effectiveness of auditory integration therapy.

The Need for Further Research

Given the existing controversies and limitations in the current research, it is essential to conduct more rigorous studies to determine the efficacy of therapeutic listening as an evidence-based practice. Further research should utilize larger sample sizes, rigorous study designs, and appropriate control groups to evaluate the specific effects and benefits of therapeutic listening.

Conclusion

While there are case studies and anecdotal evidence supporting the use of therapeutic listening, it is important to approach this intervention with caution. At present, there is insufficient scientific evidence to establish therapeutic listening as an evidence-based practice. As with any intervention, it is crucial for clinicians, parents, and individuals to carefully evaluate the available research, consult with qualified professionals, and make informed decisions based on individual needs and goals.

Sources:

Therapeutic Listening for Parents – Vital Links (https://vitallinks.com/parent-center/therapeutic-listening-for-parents/)
A Critical Appraisal of Therapeutic Listening (http://abctherapeutics.blogspot.com/2006/02/critical-appraisal-of-therapeutic.html)
Research – Vital Links (https://vitallinks.com/therapeutic-listening/research/)

FAQs

What is therapeutic listening?

What are the goals of therapeutic listening?

The goals of therapeutic listening include improving sensory modulation, balance, movement perception, exploration, sense of physical competence, praxis, sequencing, social competence, and language.

What is the theory behind therapeutic listening?

Therapeutic listening is based on the belief that listening is a function of the entire brain and can impact neural function and integration. The program also incorporates other interventions such as postural training, respiratory intervention, and sensory diet.

Who can benefit from therapeutic listening?

Therapeutic listening can be used with clients of all ages. However, younger children may require a modified program that can be closely monitored by an experienced clinician.

Is therapeutic listening evidence-based?

While there are case studies and anecdotal evidence supporting the use of therapeutic listening, there is a lack of well-designed scientific studies to establish its effectiveness as an evidence-based practice. Further research is needed to determine its efficacy.

What do professional organizations say about therapeutic listening?

The American Academy of Pediatrics and the American Academy of Audiology have stated that there is no well-designed scientific evidence demonstrating the usefulness of auditory integration therapy (AIT), which therapeutic listening is a part of. The National Research Council has also expressed skepticism regarding the theoretical basis and specificity of effectiveness of auditory integration therapy.

Are there any studies that support the effectiveness of therapeutic listening?

Some studies have shown positive results, but they often have small sample sizes and design problems. It is important to note that these studies do not provide strong scientific evidence supporting therapeutic listening as an evidence-based practice.

What should individuals and parents consider when deciding to use therapeutic listening?

Individuals and parents should carefully evaluate the available research, consult with qualified professionals, and make informed decisions based on individual needs and goals. It is important to consider that therapeutic listening may be more effective as part of a comprehensive, multi-faceted therapy program.