Understanding the Euterpe Method

Behind the Science that Heals

The Euterpe Method is an intensive type of music therapy used to treat a number of conditions. In this article, we’ll cover how it works, why it works, and who it works for.

What is the Euterpe Method?

The Euterpe Method is much more familiar to us than its name implies. At its core, the Euterpe Method is a type of music therapy primarily geared towards children with developmental disorders. It was created during a research program conducted in a pediatric hospital in Italy. 

It was named after one of the nine Muses of Greek mythology known as the protector of music, and translates to “she who gives joy.” The creators say that they were also thinking about how the approach could be customized to an individual’s needs in addition to the music therapist and medical team. 

How Does the Euterpe Method Work?

The Euterpe Method may initially seem complicated, but it’s easy to break it down into these intuitive aspects, as defined upon its creation:

PTC

Personalized Therapeutic Compositions, or PTCs, constitute the core of Euterpe Method therapy. It combines music and CSI (compositional sound interventions) along with therapeutic activities. They can be defined as a series of processes of sound stimuli adapted to what a patient needs during therapy. Typically, they are formatted as a “coming and going of sound,” on and off, so that the patient can distinguish before the sound and after it.

The Environment

EM sessions are conducted in what the practitioners call the "Synesthesia Room.” These rooms are equipped with instruments and other equipment, and are usually free of outside sound so that it doesn’t interfere with the music therapist’s work. The other reason patients might require a specific room is so that it’s big enough to be stocked with many different types of compositions and activities, so that if the patient’s sensory needs change suddenly, the doctors have the space and materials to accommodate them. This is referred to as “Mobile Architecture.” 

The Materials

Music therapists may need a range of devices to manage the sounds that a patient needs. While the specific materials may differ depending on who’s conducting the EM, these are some of the most common tools.

  • Audio Management. This involves a computer with live audio editing software, as well as four speakers. The therapists also use a sound pressure level meter so that they know how intense the sound is for the patient, and that they make sure the patient will not be overstimulated.
  • Video Management. Sessions are recorded using a fixed camera and microphone so that therapists can replicate them for the future. Or, alternatively, they know what not to do. They also may need to project images and videos during the session, which means the room also has multiple projectors.
  • Lighting Management. The room has a specific station for controlling lighting, which focuses on software to control color tones and light intensity.
  • Musical Instruments and Other Equipment. Various musical instruments are available for therapists and patients to use. They could include anything from the saxophone to a digital keyboard to maracas. Rooms also often have essential oils and essence vaporizers so that the patient’s sense of smell is stimulated, too. Each room even has a hammock so patients can be completely relaxed.

Source: Fronteirs in Neurology. A table full of instruments in the Synesthesia Room.

The Method

The Euterpe Method is done in four parts: hospital based, the active procedure, receptive protocol, and telerehabilitation.

1. EM Hospital-Based Procedure 

In this part of the process, physicians and the musical therapist work together, looking at the patient’s history to determine the goals of the treatment.

2. EM Active Procedure 

This part of the process constitutes the bulk of the treatment in the Synesthesia Room (SR), and is carried out by a certified music therapist and a co-therapist. In preparation for the initial session, the music therapist will determine sounds that would best suit the work done in the sessions, such as sounds from the family, sounds the patient is familiar with, sounds they dislike, electronic noise, live music, and more. They also prepare videos, pictures, and therapeutic activities they think will be useful for the patient. Then, the session begins.

  1. The first part of the session is  a live instrument or vocal. This is used to determine the patient’s psychological state and gain their focus.
  1. The second part is sound stimuli processing. This could mean stopping the sound if the patient is upset, or overlaying effective clips with unknown sounds to help the patients get more comfortable listening to sounds they initially don’t like.
  1. The sounds the therapist used in A and B are organized into rhythmic patterns, and played alongside images and videos that were determined to be effective before the process began. Clips are played multiple times along with other sounds to mimic a complex outside environment.
  1. The final phase is personalized therapeutic composition. The therapist uses everything they’ve learned throughout the session to create personal pieces of music for the patient. This incorporates things the patient has enjoyed throughout the session, like hearing their parent’s voice, or oddly commonly, the clarinet.

The session then concludes, and the therapist shares the progress with the parent and the patient.

3. EM Receptive Procedure

Because the therapists can’t work with the patient every single day, the patient needs to maintain sound stimulation so they don’t lose any of the progress they lost between sessions. The music therapists create a PTC using the sound clips most relevant from previous sessions. Every afternoon, the clips are played for the patient on a speaker. This only takes 2-3 minutes. The process is filmed for the therapist so they can make sure the patient is responding well.

4. EM Telerehabilitation Procedure

This part of the process allows discharged patients to continue music therapy at home. As with the receptive procedure, a PTC is created according to specific treatment goals. Significant videos are pictures are overlayed to create a soundtrack. These soundtracks are around 3-4 minutes long, and are administered three times a day for 12 days in a row.

Who Can Benefit From the Euterpe Method?

As mentioned above, the Euterpe Method is specifically geared towards participants with neurodevelopmental disorders. Some examples are:

  • ADHD
  • Autism
  • Learning disabilities
  • Intellectual disabilities
  • Cerebral palsy

Why Does the Euterpe Method Work?

Source: Science Direct. Young boy with cerebral palsy tries different sleeping positions.

It Helps with Early Childhood Development

Music therapy has proven useful for childhood development across a number of studies. Different aspects of music therapy can help strengthen different skills. In particular, listening to music is useful for developing a strong memory, playing music can be beneficial for developing fine motor skills, and reading music can help with language learning.

Secondly, music therapy can provide kids with coping skills. There are a number of reasons a child might need emotional regulation, such as the environments at school or at home. In this case, music therapy can help kids who may struggle to speak out or struggle to speak at all gain confidence and express themselves in a different way.

The Euterpe Method is specifically geared towards maintaining progress of development, both during the study with the receptive procedure and after with the telerehabilitation procedure. Similarly, the skills the patient gains during the active part of the treatment, such as knowing what sounds are most comfortable and how to produce their own, can be used in coping mechanisms.

It Improves Cognitive and Physical Symptoms

Outside of the Euterpe Method, neurologic music therapy has already been proven to increase motivation, higher levels of relaxation, and more in patients with cerebral palsy, which is one of the primary disorders the Euterpe Method was created to treat. The same is true for autistic patients, whose communication and social skills are improved by music therapy.

In terms of physical symptoms, the success of the Euterpe Method can be measured in terms of quality of sleep. In a study conducted on the Euterpe Method during the COVID-19 pandemic used the method to see if it could lessen sleep disturbance and parenting stress. In terms of the Sleep Disturbance Scale for Children (SDSC), the Euterpe Method provided improvement for sleep breathing disorders and sleep wake transition disorders specifically.

It Improves Neuroplasticity and Mood

Patients with neurodevelopmental disorders may be prone to cognitive decline. Neuroplasticity is the brain's lifelong ability to form new connections, which can counteract cognitive decline by increasing the brain's adaptability and cognitive reserve. On the other hand, a lack of positive neuroplasticity, influenced by factors like inactivity and poor sleep, is linked to negative changes in the brain that can accelerate decline. This is why the sleep disturbance improvement mentioned above is so important. 

In addition to providing tools for emotional regulation, the Euterpe Method has been proven to improve emotional positivity on its own. During a study of the Euterpe Method on cerebral palsy, researchers found a significant increase of positive emotionality to be an effect of the rehabilitation treatment.

The Euterpe Method In Sum

The Euterpe Method was created to provide a specific kind of music therapy to help children with neurodevelopmental disorders. Using a controlled environment and studying the patients’ needs beforehand, certified music therapists create a schedule of treatments and out-of-treatment routine for patients. There is significant evidence to show that this method has been successful in improving the physical, cognitive, and emotional states of the patients that have used it for treatment. If you or someone you know falls into the category of someone this treatment is geared towards, it’s worth considering for a strong foundation of care.

Written by  
Noel Rosania
 | 
Reviewed by Allison B.  
Noel Rosania
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