Further Exploration into the Coma Recovery Scale - Revised and the Music Therapy Assessment Tool for Awareness in Disorders of Consciousness
Date of Award
Master of Music
Dr. David S. Smith
Edward A. Roth, M.M., MT-BC
Wendy Magee, Ph.D, MT-BC
Music, assessment, consciousness, coma, diagnosis
Masters Thesis-Open Access
Due to the high rate of misdiagnosis of individuals with disorders of consciousness (DOC) it has been a priority to develop clinical tools to accurately diagnose and assess these individuals (Seel et al., 2010). The Coma Recovery Scale – Revised has been regarded as the gold standard assessment for this population, however, a recent pilot study has shown that the Music Therapy Assessment Tool for Awareness in Disorders of Consciousness (MATADOC) may have increased sensitivity in several assessment domains (auditory, visual, arousal, and verbal commands) in relation to the overall diagnostic outcome. The data sets from this pilot study were re-analyzed to further investigate how items between each assessment compare, to determine the relationship between arousal and the other assessment items within each assessment, and to investigate what other relationships are present between the items within each assessment. Results showed significant relationships between arousal, visual, and verbal command items in the MATADOC and arousal, visual, and communication items within the CRS-R. Findings continue to show strong similarities between the two assessments and support further investigation into the use of the MATADOC as a behavioral assessment for individuals with disorders of consciousness. Further research is recommended to continue to investigate the influence of music on arousal and influence this may have on the other assessment items.
Seu, Alika D., "Further Exploration into the Coma Recovery Scale - Revised and the Music Therapy Assessment Tool for Awareness in Disorders of Consciousness" (2018). Masters Theses. 3400.