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18OCTOBER/NOVEMBER 2001
by Midori Koga with Frederick Tims 
 y grandfather was eighty-eight years old when he performed his first soloviolin recital to celebrate his birthday. Hehad lived a full and extremely busy life tothat point: He had lived through bothWorld Wars, raised a family of fourthrough difficult times and risen throughthe business ranks to retire at age 65 aspresident of a prominent electronics com-pany in Tokyo. His had been a stressfullife with heavy responsibilities.
 
In his sixties he had struggled withhealth problems that affected his work and his sense of well-being. It was notuntil he was almost 80 that he decided tobegin violin lessons once again; he hadstudied briefly in his youth but hadn’tplayed in more than fifty years. He beganpracticing one hour each morning,another in the afternoon and scheduledlessons with his teacher once a week. Ashe became more comfortable with hisinstrument, he joined a string quartetgroup—that was when he seemed to com-pletely fall in love with music making. Hefelt challenged by the other members of the ensemble, and he progressed at aneven faster rate than before. More impor-tantly, he became inspired with his music,and the excitement seemed to pervadeother parts of his life.In Japan, the eighty-eighth birthday of a man’s life is considered a milestone. Asmy grandfather approached this impor-tant event, he decided to present his firstconcert to celebrate the special day insteadof hosting the traditional party. At theconcert there was not a dry eye in the hall.Those close to him had become aware of the impact music making had on thequality of his daily life, but on that day it was unmistakable to everyone present. Heplayed as a child plays, wholeheartedly, joyfully and with pure abandon.Sadly, he passed away seven monthsafter this event. His family and closefriends were deeply affected by the factthat this man was able to participate inmusic and enjoy living through his strongspirit and love for music until the lastdays of his life. The group environmentprovided by the other quartet members was an ideal balance of enjoyment, sup-port and challenge, where he was encour-aged to grow and learn. As he used to say,“This is keeping me young! I wake upeach morning happy to know that I haveso much to learn today.”Stories such as this are told in privatestudios, community music schools, musictherapy clinics and senior centersthroughout the world. While there alwayshas been this kind of anecdotal evidencethat active participation in music makinghas tremendous emotional and physicalhealth benefits, it was not until recently that researchers began specific studies inthis area. The Music Making and Wellness Project was designed as a study to look at the quality of life and the phys-ical and mental health benefits of activeparticipation in music making for healthy  Americans over age 65.
The Researchers 
In 1995, Frederick Tims of theMichigan State University (MSU) MusicTherapy Department assembled a multi-disciplinary team of researchers. JoiningTims were specialists from the AgingInstitute of the University of SouthFlorida; Department of Psychiatry andBehavioral Science at the University of Miami School of Medicine; KarolinskaMedical Institute, Stockholm Sweden;and from the Music Therapy Departments of Appalachian StateUniversity, Western Michigan University and the University of Kansas. During thecourse of the study, I was invited to jointhe team, as a member of MSU’s PianoPedagogy Department. My role was toreview the lesson curriculum, design sup-plemental rhythm, movement and listen-ing activities, and help train the teachers.Many members of the same team pre-viously had participated in another highly successful study from 1993–1995,measuring the effects of music making onthe biology and behavior of Alzheimer’spatients.
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The results were significant, andthe team reasoned that there were mostlikely equally positive benefits for
healthy 
older Americans participating in regularmusic making activities. It was at thispoint that we set out in search of anappropriate study environment.
The Environment 
Fletcher Music Centers of Clearwater,Florida, is a unique company offering free,lifetime music lessons to seniors purchas-ing organs from any of their stores. Afteropening his first music center in 1975,Robert Fletcher began receiving lettersfrom seniors participating in the lessonprogram. In those letters, students wrote of their gratitude to the company and teach-ers, telling stories of how much healthierthey felt, both physically and emotionally,as a result of the organ lessons.“It became clear to me that we weren’tsimply selling organs and providing freemusic lessons,” says Fletcher. “I began tosuspect that we were providing people with health, happiness and long life.”The philosophy and goals of the com-pany and its CEO were well matched with those of the Music Making and Wellness Project researchers. The FletcherMusic Center proved to be the ideal “real- world” setting for the study.
The Design
The study was projected over a five-year time span with three phases.
Phase I:
Phase I was a preliminary trialfrom January 1996 to September 1997.In this phase, eighty students of varyinglevels from Fletcher Music Centers wereinvited to become subjects of the study.In the beginning, all students completed written wellness inventory tests to assessgeneral physical health and self-perception of their mental states. Thedata were collected over fifty weeks; eachten-week period, students completed atake-home psychological assessment that
 AMERICAN MUSIC TEACHER19
“Since we have learned together relaxation and breathing exercises, my anxiety has dropped many levels. So much so,the other night I played for some friends. Even thoughI told them to stay in another room, before you knew it,they were all around me singing and having a good time. They were so excited about my playing and the progression I have made.” 
Midori Koga 
isassistant professorof piano and direc-tor of piano peda-gogy at MichiganState University.She holds graduatedegrees from theUniversity of Michigan and theMozarteum Hochschule für Musik inSalzburg, Austria.
 
20OCTOBER/NOVEMBER 2001
included questions pertaining to generalhealth, sense of control, perceived stress,depression, loneliness, coping strategiesand social support. Blood tests also weretaken every ten weeks. During this timeperiod students participated in weekly group organ/musicianship classes and also were invited to meet for private help ses-sions and lessons with their teachers.
Phase II:
 While the results of Phase I were encouraging, the researchers con-cluded that a few changes in samplingstrategy in Phase II would clarify any trends in the gathered data. In Phase II,from October 1997 to September 1998,the number of subjects was increased to100. The experimental group comprisedfifty adults participating in organ lessons;fifty other adults from the same demo-graphic profile who did not participate inorgan lessons were the control group.Both groups were asked to complete iden-tical psychological surveys and take thesame blood tests. The lesson period wasdecreased to twenty weeks during the win-ter months only, to avoid losing partici-pants to the annual migration “north”during the hot and humid summermonths in Florida. Blood work and written psychological surveys were takenat three points—approximately every ten weeks.
Phase III:
The final phase was theanalysis and interpretation of the varioustests and the publication and dissemina-tion of the study results.
The Lesson Program
The study’s success relied heavily on thelesson program’s strength, the teachers andthe music center’s environment. Theorgan curriculum, which had anestablished history of successful results,originally was designed by Joan Manero,keyboard consultant to Fletcher MusicCenters. The curriculum was appropriatefor students with little or no musicalbackground and based primarily on anaural approach. Notation was introducedfurther along in the curriculum but wasnot a main focus of the lessons. The les-sons were weekly, fifty-minute sessions ina group setting of up to fifteen students.The students also were encouraged to goto the center for private tutorials through-out the week for extra help. Many of thestudents also enjoyed joining other classesduring the week for a repetition of thematerial and interaction with other stu-dents. The lessons incorporated the fol-lowing components:
 Music Therapy Wellness Activities 
These exercises, designed by Alicia AnnClair, Ph.D., professor of music therapy atthe University of Kansas, were introducedat the beginning of every class. Students were encouraged to experience the activi-ties as a group, then take them home forcontinual use during the week. Exercisesincluded special deep breathing, stretchingand visualization/imagery activitiesdesigned to promote relaxation in themind as well as the body. Many studentscommented that they practiced the exercis-es at home and found them to be extreme-ly helpful for relaxation and a general senseof well-being in all areas of their lives.
Listening, Singing and Movement 
Immersion in musical experiencesthrough listening, singing and movementactivities was another key component of the lessons. As the students entered theclassroom, they often were treated to liveperformances of their favorite popular,folk, patriotic or hymn melodies. Thesepieces often were ones they currently werelearning or would be learning in the nearfuture. Singing familiar tunes was also anintegral part of the lesson and one in which all students were able to participatesuccessfully from the beginning. Singingand knowing the songs prior to playingthem ensured the students internalized themain rhythmic and melodic conceptsbefore attempting the technical aspects of playing keyboard instruments. Thestudents were able to play the melodiesmuch more naturally and beautifully whenthey had already heard, sung and feltthem. One of the most difficult skills tomaster, especially for these students enter-ing music lessons later in life, was develop-ing a strong sense of rhythmic pulse. By  working with rhythmic skills away fromthe keyboard, students were able to devel-op a stronger sense of pulse and were moresuccessful and confident as they played.Students were encouraged to feel the pulsethrough the use of their large motor skillsby swaying, tapping, clapping, chantingand conducting to the music. Many stu-dents also commented on how much they enjoyed the feeling of freedom as they made music with their entire bodies.
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