tlp provider certification course … · august 2015, vol 8, no 8 p 210 integration of the intime...

© Advanced Brain Technologies | All Rights Reserved

TLP Provider Certification Course

Discover the scientific evidence behind TLP & learn hands-on practical

application for addressing essential brain performance areas to improve

outcomes in executive function, auditory processing, communication,

social & emotional, motor coordination, stress response and creative

expression for children and adults with a range of needs.

The Listening Program Provider Certification

• Evidence-based neurotechnology

• Improves multiple functions in the brain

• Structured protocols, yet flexible to

meet individual needs

• Portable between clinic, school, work,

and home

• Train in as little as 15 minutes

• Highly enjoyable experience

• Learning Disorders

• Attention Deficit Hyperactivity Disorder

• Autism Spectrum Disorders

• Sensory Processing Disorder

• Developmental Delays

• Dyslexia & Reading Disorders

• Brain Injury/ Concussion

• Stroke

• Cerebral Palsy

• Down Syndrome

• Post Traumatic Stress Disorder

• Sleep Disorders

• Stress & Anxiety Disorders

• Performance Enhancement

• Brain Health

Who Benefits from TLP?

We are a multi-disciplinary team of

people creating innovative sound and

music products to advance people's

brains for a better life.

Who Are We?

Brief History

• Advanced Brain Technologies founded in 1998

• TLP first offered in 1999

• Multi-disciplinary team

• Evidence-based

• Safe, effective, accessible, and affordable

• Easy-to-use

• Listen anywhere

LEVELONE

Nature

Home Based

Bone

Conduction

iPod

Delivery

The Listening

Program

CD Delivery

Supplemental

CLASSIC

LEVEL ONE

SpatialSurround

HD

DolbyHeadphone

Facility Based

Bone

Conduction

1999 2000 2003 2004 2005 2006 2007 2012

SPECTRUM

ACHIEVE

TLP Online

Beta

WAVES

Timeline

2013

TLP Online

SLEEP

2014

inTime

TAVS

Sleep Genius

Mobile Apps

2015

TLP Mobile Apps

Sleep GeniusSystems

SPECTRUM PLUS

ACHIEVE PLUS

LEVEL TWO

SHIFT60

A practice of listening to

acoustically modified music that

supports improved brain function.

Music Listening Therapy

The Listening Program is practiced on a regular

basis, 5 days per week. The duration of daily

practice and of the overall program depends

upon the needs and goals of the listener.

Ages 2 years through adults

The Method

• Executive Function

• Auditory Processing

• Communication

• Social & Emotional

• Sensory Motor

• Stress Resilience

• Creative Expression

Brain Focus Areas

Fusion of

Art and Science

Our creative and scientific

teams strike the balance of

high art complemented by

sound science

Personalized TrainingPersonalized, adaptive programs

designed to meet each person's

goals, focusing on what matters

most to them.

Listening

is Easy

No learning curve, no task demand, just enjoy

your listening for 15 to 30 minutes per day!

20,000 Hz

20 Hz

Red Middle, High Energized

Orange Middle Focused

Zone Music Frequency Focus Feels

Green Low Grounded

Blue Low, Middle, High Balanced

Zone Training

Modules

How it Helps

The Listening Program is evidence-based. More than

20 independent studies demonstrate it’s efficacy as a

safe, non-invasive intervention to support

improvements in brain function.

Research

Occupational Therapy International, 17 FEB 2016 Online

A Quantitative Summary of The Listening Program (TLP)

Efficacy Studies: What Areas Were Found to Improve by

TLP Intervention?

Sadako Vargus, Jay R. Lucker

International Journal of Therapy and Rehabilitation

September 2013, Vol 20, Issue 11

Effects of ‘The Listening Program’ on Children with

Profound and Multiple Learning Difficulties

Helen Francis

International Journal of Therapy and Rehabilitation

January 2015, Vol 22, No 1

The effectiveness of auditory stimulation in children with

autism spectrum disorders: A case-control study

Bryan M. Gee, Et al.

Occupational Therapy International,16 (1). 25-43.

A case study of a five-year-old child with pervasive

developmental disorder-not otherwise specified using

sound based interventions.

Amy J Nwora, Bryan M Gee

“Following intervention, John no longer demonstrated

poor posture, atypical drive for touch, messy

handwriting or difficulty with organization/structure….

John no longer demonstrated low frustration tolerance,

difficulty making judgments, and generalizing to new

situations, lack of tactfulness or inability to tolerate

stress.”

-Nwora and Gee“A case study of a five-year-old child with

PDD-NOS using sound-based interventions”

Occupational Therapy International, volume 16, issue 1

Occupational Therapy International, 21(1). 12-20.

Efficacy of a Sound-based Intervention with a Child with

and Autism Spectrum Disorder and Auditory Sensory

Over-responsitivity

Bryan M. Gee, Kelly Thompson, Kelly St. John

Occupational Therapy International

Volume 21, Issue 1, pages 12-20, 29 OCT 2013 DOI: 10.1002/oti.1359

http://onlinelibrary.wiley.com/doi/10.1002/oti.1359/full#oti1359-fig-0001

Efficacy of a Sound‐based Intervention with a

Child with an Autism Spectrum Disorder and

Auditory Sensory Over‐responsitivity

European Society for Paediatric Urology (ESPU) Congress

Turkey April 2010

A pilot investigation into the effects of listening to

modified classical music, including bone conduction, in

improving toilet training outcomes for children with

learning difficulties.

June Rogers MBE

Music and Medicine

October 2010, Vol. 2 no. 4 208-213

Evaluation of The Listening Program in Assessing

Auditory Processing and Speech Skills in Children with

Down Syndrome

Gwenyth Jeyes, Caroline Newton

Primary Health Care Center of

Kristineberg, Oskarshamn, Sweden

A Pilot Study- Evaluation of

Listening Training in Adults with

Stress-related Symptoms in

Primary Health Care

Runa Lieden-Karlsson

International Education Studies

August 2015, Vol 8, No 8 p 210

Integration of the inTime

Techinique in the Neurodynamic

Program of Assistance to

Children with Learning

Disabilities

Faina Ratner, Victoria Efimova,

Oleg Efimov

Nicoló• 8 year old

• Trisomy 18 Mosaicism

• Protocol: TLP SPECTRUM w/

Waves multisensory audio system

• 2X daily (morning & afternoon) 15

min each

• Concurrent with other therapies;

hyperbaric oxygen, hippotherapy,

and bioenergy work

Nicoló

Results within first four weeks

• Suddenly seemed more aware of his environment

• More inquisitive and more observing

• Asking lots of Why’s? about things

• “Somehow I felt TLP had triggered something in his

brain”

Results after 2 months

• Improved sustained attention

• Less distractible

• Improved communication (initiating)

• Improved morophosyntactic production, more structured

sentences, use of adverbs, and past tense verbs

• Reduced dysfluency

• Global motor skill improvement and coordination

• Improved postural control, for longer periods

Nicoló

The better we process sensory

information, the better we can understand

and engage with our environment.

© Advanced Brain Technologies | All Rights Reserved

TLP Provider Certification Course

• Sounds are created when objects vibrate

• Sound waves are fluctuations in air pressure

across time

What is Sound?

Resonance

Psychological study of

human perception of sound

Psychoacoustic Foundation

• Frequency

• Amplitude

• Time

• Space

• Sound determined by the frequency of vibration

• 1 Hertz (Hz) equals the vibration repeating itself once

• 20 Hz- 20,000 Hz human range

• Pitch- perceived frequency of sound

• Infrasonic- below 20 Hz

• Ultrasonic- above 20,000 Hz

• Music – instruments

• Language- phonemes

Frequency

• The magnitude of increase or decrease of a sound wave

• Amplitude is perceived as loudness

• Loudness is measured in decibels (dB)

• Decibel scale is logarithmic

• Louder the sound the higher the decibel, softer the lower

• Less than 75 dB is considered safe

• Exposure of 85 dB+ over time, and 110 dB+ occasionally,

can cause permanent hearing damage

• Listen at comfortable levels

• Most foam or wax earplugs lower loudness by up to 29 dB

Amplitude

• Sound is an event in time

• Chronobiology examines biological rhythms

• Tempo is the pace of movement or beats; the speed

of music

• Rhythm is the organization of movement, or beats,

in time; the pulse of music

• Entrainment is the synchronization of rhythms

• Prosody example “I want another mother”

Time

• Sound localization

• Interaural time difference (ITD)

• Interaural level difference (ILD)

• Where we are in the world

• Critical to survival

• Pinna

• Spatial organization of the system

• Frequency, volume, time

Space

Source: Coloring Guide to Human Anatomy, Alan J. Twietmeyer

Middle Ear Muscles

Middle Ear Fluid

Source: Neuroscience: An Outline Approach, Anthony Castro

Cochlea

Source: Encyclopedia Britannica, Inc.

Vestibular System

The video will begin

following the narration.

Bone Conduction

• Compressional

• Inertial

• Osseotympanic

• Cerebrospinal fluid

• Skull tissue

• Vibrotactile

More than “Bone”

• Dominant means of intrauterine listening

• Internal and external vibration

• A means of directly influencing the inner ear without

having to involve the middle ear

• A means of stimulating both the auditory and vestibular

apparati with sound at safe listening levels

• More safe and effective than air conduction as a means

of conducting sound as a stimulus for the vestibular

system

Unique Attributes of Bone Conduction

• Activates receptors of both saccule and utricle (Curthoys

2010, Halmagyi 2005)

• Bilateral cochlear stimulation secondary to vibration

(Stenfelt 2002)

• Faster conduction speed than air conduction

• Tunes in from 10 Hz into ultrasonic range (up to 100 kHz),

with best vestibular-based responses within the low

frequency range (Nishimura et all 2002, Hakanssan et al

1996)

Unique Attributes of Bone Conduction

• Classical Auditory Pathway

• Classical Auditory Pathway Offshoots

• Non-Classical Auditory Pathway

• Autonomic Nervous System

• Enteric Nervous System

• Vestibular Pathways

• The Musical Brain

Pathways of Sound’s Influence

Classical Auditory Pathway

• Inner Ear (Cochlea)

• 8th Cranial Nerve (vestibulocochlear nerve)

• Cochlear Nuclei

• Superior Olive

• Lateral Lemniscus

• Inferior Colliculus

• Thalamus- Medial Geniculate Nucleus

• Primary Auditory Cortex

Sources: Neuroscience: An Outline Approach, Anthony Castro | icg.harvard.edu/~psy1-s/ lectures/06sensation/

Tonotopic Map

Offshoots

Reticular Formation

Auditory Association Cortex

Other cortical areas

Non-Classical Auditory Pathway

Limbic System

Cerebellum

Autonomic Nervous System

Second Brain

Enteric Nervous System

Vestibular Pathways

Spinal Cord

Eyes

More???

1

23

4

5

Prefrontal cortex

Visual

cortex

Motor cortex Sensory

cortexAuditory cortex

Source: D.J. Levitin and A.K. Tirovolas/Annals of the New York Academy of Sciences 2009; Image: Charles Floyd.

The Musical Brain

98 7 6

Cerebellum

Hippocampus

Amygdala

Nucleusaccumbens

Source: D.J. Levitin and A.K. Tirovolas/Annals of the New York Academy of Sciences 2009; Image: Charles Floyd.

The Musical Brain

Listening is ActiveYou listen with your brain

Auditory ProcessingWhat your brain does with what it hears

Hearing is passiveYou hear with your ears

Adapted from Jay Lucker, EdD, CCC-A/SLP, FAAA

Six Integrated Systems

• Self regulation

• Auditory system

• Emotion

• Memory

• Language

• Cognitive decision making

© Advanced Brain Technologies | All Rights Reserved

TLP Provider Certification Course

The Listening Program Music

• World-class team

• Founding Music Director- Richard Lawrence

• Arcangelos Chamber Ensemble

• New musicians

• Music for a purpose

• Intentionality

• Evidence-based

• Concept

• Team

• Background research

• Compose/arrange

• Artists

• Technology

• Record

• Edit

Production Flow

• Sequence

• Neuroacoustics

• Review

• Test

• Amend

• Clinical tests

• Amend

• Release

Mozart

Haydn

Vivaldi

Danzi

High Definition

depth

detail

dimension

emotion

20,000 Hz

20 Hz

Red Middle, High Energized

Orange Middle Focused

Zone Music Frequency Focus Feels

Green Low Grounded

Blue Low, Middle, High Balanced

Zone Training

Neuroacoustic Signal Processing Abbreviation

Spatial Surround® SS

Spatial Surround® Dynamic SSD

Dolby Headphone® DH

Active Listening Training™ ALT

Active Listening Training Sweeps™ ALT-S1, ALT-S3

Filtration FT

Audio Bursting AB

Blends BL

Type Rating

ALT 1

ALT-S1 2

ALT-S3 3

Mild 4

Medium 5

Medium II 6

Advanced 7

Advanced II 8

Module Types and Rating

Spatial Surround &

Spatial Surround Dynamic

• Spatial Surround®/ Multi-channel sound in five channels

• Spatial Surround Dynamic/moving instruments

• One instrument per channel for clear discrimination

• 360 degree sound field

• Frequency, volume, timing, and spatial location

• Dynamic only within A & C phases

Dolby Headphone

• Spatial Surround® and

Spatial Surround Dynamic

on headphones

• Technology encoded into the

music not headphones

• Exclusive to TLP

Active Listening Training

• Audio filters screen/remove selected frequencies

from full spectrum music

• Direct attention to frequencies that are not filtered

• Improves discrimination

• Stimulates auditory neurons

• Music induced auditory plasticity

• Auditory tonotopicity

• Used in all zones except blue

Filtration

Filters

Green Zone, Low-pass filter (LPF)

Orange Zone, Band-pass filter (BPF)

Red Zone, High-pass filter (HPF)

Blue Zone

Green Zone Filtration, Low-Pass

Orange Zone Filtration, Band-pass

Red Zone Filtration, High-pass

• Rapid, novel, volume increases

• B phase only

• Improves listening

• Attune to soft sounds - discriminate speech/vocal control

• Attenuate loud sounds - protect the inner ear

• Reduce sound sensitivities

• Improve Social Engagement

• Music induced auditory plasticity

• Auditory tonotopicity

Audio Bursting