I specialise in neurorehabilitation and neurodevelopmental interventions using music and technology
Home-based
On rehab unit
In schools
Online
Attention is the foundation for learning with all age groups and essential for neurorehabilitation.
Beat and rhythmic pattern copying exercises train attention, executive function, self-monitoring and error correction, starting with focused and sustained attention and progressing to selective, divided and alternating.
Cognitive training is essential to enable planning and organising used for tasks around the home such as cooking and cleaning, and for navigating the outside world. These exercises help lay the foundations for transitioning into language acquisition and rehabilitation for aphasia and dyspraxia of speech.
There is a musical instrument or device for every movement and sequence, which can be spatially arranged to meet existing movement range and degree of dexterity and be adjusted as they improve. The equipment provide auditory, visual and tactile feedback and music is used that optimises the priming, timing and smoothness of movement.

Core strength, sit-to-stand & pre-gait exercises are facilitated using a range of instruments and prepare for gait training using rhythmic auditory stimulation (RAS). These techniques use the pulse (the beat) of simple, musical compositions to cue movement and improve balance, velocity and stride length. They can be accessed by adults with neurological injury or disease and children with a range of conditions including cerebral palsy.
Research using movement analysis technology shows that pulse has an immediate effect on movement kinematics in walking and in arm movements amongst Parkinson's and brain injured populations.
Specialist Music Therapist in Neurorehabilitation & Neurodevelopment
I am Dr Alex Street, a music therapist dedicated to personalized patient-centred care, with 20-years clinical and 10-years research experience in neurorehabilitation and education settings using music. Working with Healthtech companies and healthcare providers is an important part of my work each week, helping to develop new services and technology to improve rehabilitation accessibility and outcomes.

I undertake private referrals and work with case managers and insurance companies, including Irwin Mitchell, NeuroHealth Case Management, Slater and Gordon and TJB Rehabilitation.
Costs will include a sessional rate, travel time and expenses. Once services are commissioned, clinical goals, methods of assessment and reporting and terms and conditions are agreed.
I accept payment via cash, credit/debit cards, and bank transfers for your convenience.

Doctor of philosophy awarded for Home-based neurologic music therapy for arm hemiparesis following stroke: A Feasibility Randomised Controlled Trial.
Read more: https://journals.sagepub.com/doi/pdf/10.1177/0269215517717060
Read more: https://www.tandfonline.com/doi/full/10.1080/08098131.2019.1606848
Health and Care Professions Council ensures competence and professionalism.
British Association of Music Therapy membership for excellence in practice.
(Music Therapy Assessment Tool for Awareness in Disorders of Consciousness)

We can work together to create a weekly program of exercises, including breathing, vocal, cognitive, mobility and hand/arm exercises using tablet and touchscreen instruments
Using apps such as Garageband and Thumbjam on iPads, it is possible to improve finger dexterity and i can help with configuring these apps. See this article for some details on exercises:
Upper limb rehabilitation in chronic stroke using neurologic music therapy: Two contrasting case studies to inform on treatment delivery and patient suitability: https://doi.org/10.1080/08098131.2019.1606848

In myocardial infarction, music listening has been found to reduce heart rate and systolic blood pressure
In Autistic Spectrum Disorder, music listening improves neural connectivity, social communication, parent-child relations
Singing nursery rhythms and familiar songs is a great shared experience that can also help develop attention and speech. Try holding hands whilst singing and moving in time to the pulse; leaving a gap for your child, for example on the last word of each line; take turns singing a line each, try singing soft and louder, varying the dynamics.
Turn-taking using instruments also helps with attention and coordination of movement: try using a good quality drum using hands, fingers and mallets or sticks; invest in a half or quarter sized guitar, which is easier to hold and access, use an app to tune it, try an 'open D' tuning, take turns strumming the open strings, model different ways of playing - from soft to loud, fast to slow, pluck individual strings. You can also sing some songs like 'Row your boat' to this open tuning, without the need to change chords.
Tips and techniques: listening to preferred music and/or audiobooks can improve mood and cognitive recovery. Some streaming services have a mood function, enabling the selection of playlists based on your previous listening that are compiled under different headings, for example 'energise' or 'relax.' Listening at set times each day, for 20-60 minutes is recommended.
See example of listening for stroke recovery:
'Measuring the effects of listening for leisure on outcomes after stroke (MELLO)'
25-27th November at the UK Stroke Forum I presented our Music Listening for Fatigue literature review with patient involvement (see article link below), and preliminary findings from our EEG arm and hand rehabilitation study.
Norfolk and Waveney Integrated Care Board awarded us (Cambridge Institute for Music Therapy Research) over £7,000 to conduct patient involvement work with brain injury survivors. We have held the first session with 9 participants who talked about their experience of fatigue as inpatients. The consensus was that more information and support for managing it is required. Some spoke of using meditation and music listening to help. The next two out of five meetings will be in January 2026, firstly meeting online to discuss how preferred energising music could be identified, compiled and delivered on a subacute ward, then we will meet face-to-face and test some procedures, playlists and equipment at Anglia Ruskin University.
Full article: Music listening for fatigue after acquired brain injury: A scoping review project with patient, carer and public involvement (PCPI) data Please read this latest article, written with colleagues at the Colman Hospital, Norwich, with input from service users on the subacute stroke ward, caregivers and staff. We are in the process of applying for research funding to try compiling and delivering playlists for patients on the ward to see if they can use them daily over several weeks. We will try recording engagement in physiotherapy with and without the playlists being delivered 20-30 prior. Another innovation, is recording participants' baseline heart rate and heart rate variability and matching the first track in the playlist to this in terms of its tempo, complexity, etc - this equates to the arousal level of the track and where it sits on an arousal valence. Music is mapped onto this valence using an algorithm developed by X-System.
Music Therapy for Stroke Rehabilitation Friday Clinic at Young Street, Anglia Ruskin University. We ran three Fridays in November and saw six brain injury survivors, delivering 12 sessions, including an amusia assessment. Mood data indicates that for some fatigue was less after the session, which involved an hour of arm and hand exercises! The clinic starts in full on 16th January 2026.
David Cox published this article on the benefits of singing:
Why singing is surprisingly good for your health - BBC Future for which I made a small contribution, including citing something from the evidence base: "Singing is a cognitive, physical, emotional and social act."
Our recovering musicians group is progressing and growing, meeting every two-weeks. Through open discussions between members themes have
emerged on psychological recovery and coming to terms with the emotional impact for musicians who have had a stroke. Pacing their approach to playing again and developing exercises at appropriate levels has become more in focus, and this runs in parallel with creating opportunities to play music with others and shift attention to the quality of the sound rather than being over focused on dexterity and accuracy. This can result in a balanced approach that addresses emotional impact, cognitive and motor recovery, and makes playing music rewarding again. Rather than dreading taking up their instrument, they can look forward to it.
Contact me if this recovering musicians with stroke group is of interest: alex.street@aru.ac.uk We will secure funding to develop this into a project bringing benefits to many musicians who want to get back to making music, with guidelines for rehabilitation practitioners on how to support musicians.
Other articles
Music listening for psychological well-being in adults with acquired vision impairment: a feasibility randomised controlled trial
The study shows enough feasibility to ensure recruitment, retention and data collection, and data indicate potential benefits for managing anxiety and depression with this home-based music intervention. Read it here
Our article 'The Art and Craft of Music Therapy for Stroke Rehabilitation in a Remote North Indian Community: A Case Study' has gained some interest https://voices.no/index.php/voices/article/view/3724. In the article the music therapists discovered the music that was important to the client and this helped them engage and benefit. There is a need for more research into all aspects of neurorehabilitation that provides access where needed to clients' culture specific music preferences, whether for listening to improve mood and cognitive recovery, or to provide temporal frameworks to facilitate sensorimotor exercises and cognitive training. The Garageband app is not a rehabilitation app but touchscreen instruments can be adapted for arm and hand exercises, and there are several instruments from China, Japan, Java and West Africa. I would be very interested in supporting researchers from anywhere in the world in discovering how music from their cultures can be accessed and developed to help increase access to music therapy.
PUBLICATIONS AND BROADCASTS
August 2024: Preferred music listening for people living with dementia: Two home-based case studies discussing compilation process, autobiographical and biophysical responses. In the journal 'Geriatric Nursing.'
https://doi.org/10.1016/j.gerinurse.2024.07.022
BBC World Service: People Fixing the World featuring two participants & Dr Alex Street from the RadioMe for dementia study:
https://www.bbc.co.uk/sounds/play/p0hm9q83 (listen from about 8-minutes)
What might an interactive music therapy service bring to the adult intensive care unit? A suggested service based on data from a scoping review

Amazing! I couldn't pick things up and move my fingers in this way a few days ago. The exercises are really working. I have to concentrate.
Sue
Home-based touchscreen exercises
This is an amazing service that needs extending. As the first tool to (name of husband) finding his voice we were thrilled, we continue to sing! Thank you Alex for your support, your fun, relaxed manner helped in difficult times
Anna
Spouse of inpatient
It made exercises less boring and more interesting. Exercise time passed quickly
Satvik
Inpatient
Please get in touch with any questions. If i can't help, i will try to find someone who can.

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