Dynamics of brain activity in motor and frontal cortical areas during music listening: a magnetoencephalographic study

Music and Caffeine Intake Effects on Gait, and Its Relationship with Psychological Parameters, in Middle-Aged Women

Purpose

This study aimed to explore the combined effects of caffeine intake and listening to music on walking parameters, and its relationship with psychological variables (fatigue and exercise enjoyment) in middle-aged women.

Patients and Methods

Sixteen healthy middle-aged women, aged between 50 and 60 years old, participated in this study. Their walking parameters (distance, number of steps, steps number/minute, cadence and walking speed) were assessed using the 6-minute walking test (6MWT) in four task conditions: in no-music/no-caffeine, no-music/with caffeine, with music/no-caffeine, and with music/with caffeine conditions. Besides, exercise enjoyment and fatigue were evaluated using the Physical Activity Enjoyment Scale (PACES-8) and rating of perceived exertion (RPE) questionnaires, respectively.

Results

As a result, we found that 100 mg of caffeine intake significantly (p < 0.05) improved walking parameters such as distance, cadence and number of steps during both simple (p < 0.05) and dual-task, while listening to preferred music, where optimal results were found (p < 0.01) with a large effect size (η2p >0.14). Listening to music was sufficient to significantly improve the distance (p < 0.001), cadence (p < 0.001), and walking speed (p < 0.05) values. Besides, both caffeine intake and/or listening to music significantly (p < 0.05 with large effect size (η2p >0.14)) decreased the feeling of fatigue and increased exercise enjoyment while walking in healthy middle-aged women.

Conclusion

In conclusion, caffeine intake seems to positively influence gait capacities, and its combined effects with listening to music, mainly preferred ones, would boost these beneficial effects in middle-aged women.

The Effects of Listening to Music on Postural Balance in Middle-Aged Women

Listening to music has been found to influence postural balance in both healthy participants and certain patients, whereas no study investigates such effects among healthy middle-aged women. Thus, this study aimed to investigate the effect of music on postural balance in middle-aged women. Twenty-six healthy women aged between 50 and 55 years participated in this study. A stabilometric platform was used to assess their postural balance by recording the mean center of pressure velocity (VmCOP) in the eyes-opened (OE) and -closed (EC) conditions on both firm and foam surfaces. Our results showed that listening to an excerpt of Mozart's Jupiter significantly decreased the VmCOP values in two sensory conditions (firm surface/EO: (p < 0.01; 95% CI: 0.27 to 2.22); foam surface/EC: (p < 0.001; 95% CI: 0.48 to 2.44)), but not in the other two conditions (firm surface/EC and foam surface/EO). We concluded that listening to Mozart's symphony improved postural performance in middle-aged women, even in challenged postural conditions. These enhancements could offer great potential for everyday functioning.

Treatment effects of adjunct group music therapy in inpatients with chronic schizophrenia: a systematic review

Introduction

Pharmacological treatment may be effective for treating positive symptoms of schizophrenia; no evidence of clinically significant effects on negative and cognitive symptoms, social and behavioral functioning. This review investigated treatment outcomes of multiple (at least four sessions in 4 weeks) group music therapy sessions adjunct to standard care in inpatients with chronic schizophrenia.

Methods

A systematic review search of five electronic medical and psychological databases conducted using keywords "music therapy" and "schizophrenia" up to December 2021. Screening was performed for published articles on any adjunct multiple group music therapy (four sessions in 4 weeks minimum) adjunct to "treatment as usual" for inpatients with "chronic" schizophrenia. All study outcomes were all included. Risk of bias of all studies was assessed.

Results

1160 articles were screened, and 13 randomized controlled trials (RCTs) with a total of 1,114 inpatients were included. Ten RCTs reported open group sessions with active structured music making (ASMM) combining passive music listening (PML) and/or active singing, playing instruments, and improvisations while three other studies applied PML only. Four studies reported significant outcomes for both positive and negative symptoms. Ten of the thirteen studies recorded significant improvements in negative symptoms, behavioral and social functioning. Lasting significant effects were found in a longitudinal RCT with 272 samples evaluated unguided pre-recorded PML as a coping method lasting up to six months and similar results found in another two longitudinal RCTs. Secondary outcomes measured cognition, mood, social interest and function, self-care ability, interpersonal relationships, and QoL all showed significant outcomes. The significance level for pre-post intervention and between-group measures ranged from p < 0.001 to p < 0.05. No negative effects were reported in any studies.

Conclusion

Evidence from this review suggests rehabilitation with adjunctive regular PML or combined ASMM in group settings may provide therapeutic engagement, contributing to improvements in social interest and participation. PML is low-cost and non-invasive therapy. Enhancing overall QoL as one type of psychosocial therapy. More rigorous longitudinal studies with larger sample sizes are needed to investigate whether regular long-term individual PML and active group music therapy have the same significant treatment effects as coping and rehabilitation strategies.

The Influence of Listening to Preferred versus Non-Preferred Music on Static and Dynamic Balance in Middle-Aged Women

Although many women perform postural tasks while listening to music, no study has investigated whether preferred music has different effects than non-preferred music. Thus, this study aimed to explore the effects of listening to preferred versus non-preferred music on postural balance among middle-aged women. Twenty-four women aged between 50 and 55 years were recruited for this study. To assess their static balance, a stabilometric platform was used, recording the mean center of pressure velocity (CoPVm), whereas the timed up and go test (TUGT) was used to assess their dynamic balance. The results showed that listening to their preferred music significantly decreased their CoPVm values (in the firm-surface/eyes-open (EO) condition: (p < 0.05; 95% CI [-0.01, 2.17])). In contrast, when the women were listening to non-preferred music, their CoPVm values significantly (p < 0.05) increased compared to the no-music condition in all the postural conditions except for the firm-surface/EO condition. In conclusion, listening to music has unique effects on postural performance, and these effects depend on the genre of music. Listening to preferred music improved both static and dynamic balance in middle-aged women, whereas listening to non-preferred music negatively affected these performances, even in challenged postural conditions.

Cognitive Crescendo: How Music Shapes the Brain's Structure and Function

Music is a complex phenomenon with multiple brain areas and neural connections being implicated. Centuries ago, music was discovered as an efficient modality for psychological status enrichment and even for the treatment of multiple pathologies. Modern research investigations give a new avenue for music perception and the understanding of the underlying neurological mechanisms, using neuroimaging, especially magnetic resonance imaging. Multiple brain areas were depicted in the last decades as being of high value for music processing, and further analyses in the neuropsychology field uncover the implications in emotional and cognitive activities. Music listening improves cognitive functions such as memory, attention span, and behavioral augmentation. In rehabilitation, music-based therapies have a high rate of success for the treatment of depression and anxiety and even in neurological disorders such as regaining the body integrity after a stroke episode. Our review focused on the neurological and psychological implications of music, as well as presenting the significant clinical relevance of therapies using music.

Modulation of theta and gamma oscillations during familiarization with previously unknown music

Repeated listening to unknown music leads to gradual familiarization with musical sequences. Passively listening to musical sequences could involve an array of dynamic neural responses in reaching familiarization with the musical excerpts. This study elucidates the dynamic brain response and its variation over time by investigating the electrophysiological changes during the familiarization with initially unknown music. Twenty subjects were asked to familiarize themselves with previously unknown 10 s classical music excerpts over three repetitions while their electroencephalogram was recorded. Dynamic spectral changes in neural oscillations are monitored by time-frequency analyses for all frequency bands (theta: 5-9 Hz, alpha: 9-13 Hz, low-beta: 13-21 Hz, high beta: 21-32 Hz, and gamma: 32-50 Hz). Time-frequency analyses reveal sustained theta event-related desynchronization (ERD) in the frontal-midline and the left pre-frontal electrodes which decreased gradually from 1st to 3rd time repetition of the same excerpts (frontal-midline: 57.90 %, left-prefrontal: 75.93 %). Similarly, sustained gamma ERD decreased in the frontal-midline and bilaterally frontal/temporal areas (frontal-midline: 61.47 %, left-frontal: 90.88 %, right-frontal: 87.74 %). During familiarization, the decrease of theta ERD is superior in the first part (1-5 s) whereas the decrease of gamma ERD is superior in the second part (5-9 s) of music excerpts. The results suggest that decreased theta ERD is associated with successfully identifying familiar sequences, whereas decreased gamma ERD is related to forming unfamiliar sequences.

Effects of Music Listening on Postural Balance in Adolescents with Visual Impairment

We aimed to investigate the effect of music on visually impaired adolescents' postural balance across different somatosensory and vestibular input conditions. We recruited 19 adolescent participants (9 males, 10 females) with severe congenital visual impairment. We recorded their mean center of pressure velocity (CoP_Vm) during static upright bipedal standing under somatosensory (firm and foam surfaces) and vestibular (head facing forward (HFF), head rotated 90° to the right (HRR), and head rotated 90° to the left (HRL)) perturbations in three auditory conditions (no-music, listening to Jupiter, and listening to their preferred music). We found that CoP_Vm decreased significantly when listening to both Jupiter and preferred music, compared to the no-music condition on both firm (p < .05) and foam (p < .001) surfaces and with the HFF (p < .05), rotated to the right (p < .001) or rotated to the left (p < .001). Moreover, CoP_Vm values increased significantly with somatosensory manipulation (p < .001) in all the auditory conditions and with vestibular manipulation (p < .01) only in the no-music condition. We concluded that listening to both Jupiter and preferred music improved postural balance in visually impaired adolescents, even in challenged postural conditions.

The influential factors and non-pharmacological interventions of cognitive impairment in children with ischemic stroke

Background

The prevalence of pediatric ischemic stroke rose by 35% between 1990 and 2013. Affected patients can experience the gradual onset of cognitive impairment in the form of impaired language, memory, intelligence, attention, and processing speed, which affect 20-50% of these patients. Only few evidence-based treatments are available due to significant heterogeneity in age, pathological characteristics, and the combined epilepsy status of the affected children.

Methods

We searched the literature published by Web of Science, Scopus, and PubMed, which researched non-pharmacological rehabilitation interventions for cognitive impairment following pediatric ischemic stroke. The search period is from the establishment of the database to January 2022.

Results

The incidence of such impairment is influenced by patient age, pathological characteristics, combined epilepsy status, and environmental factors. Non-pharmacological treatments for cognitive impairment that have been explored to date mainly include exercise training, psychological intervention, neuromodulation strategies, computer-assisted cognitive training, brain-computer interfaces (BCI), virtual reality, music therapy, and acupuncture. In childhood stroke, the only interventions that can be retrieved are psychological intervention and neuromodulation strategies.

Conclusion

However, evidence regarding the efficacy of these interventions is relatively weak. In future studies, the active application of a variety of interventions to improve pediatric cognitive function will be necessary, and neuroimaging and electrophysiological measurement techniques will be of great value in this context. Larger multi-center prospective longitudinal studies are also required to offer more accurate evidence-based guidance for the treatment of patients with pediatric stroke.

Changes in Brain Responses to Music and Non-music Sounds Following Creativity Training Within the "Different Hearing" Program

The "Different Hearing" program (DHP) is an educational activity aimed at stimulating musical creativity of children and adults by group composing in the classroom, alternative to the mainstream model of music education in Czechia. Composing in the classroom in the DHP context does not use traditional musical instruments or notation, instead, the participants use their bodies, sounds originating from common objects as well as environmental sounds as the "elements" for music composition by the participants' team, with the teacher initiating and then participating and coordinating the creative process, which ends with writing down a graphical score and then performing the composition in front of an audience. The DHP methodology works with a wide definition of musical composition. We hypothesized that the DHP short-term (2 days) intense workshop would induce changes in subjective appreciation of different classes of music and sound (including typical samples of music composed in the DHP course), as well as plastic changes of the brain systems engaged in creative thinking and music perception, in their response to diverse auditory stimuli. In our study, 22 healthy university students participated in the workshop over 2 days and underwent fMRI examinations before and after the workshop, meanwhile 24 students were also scanned twice as a control group. During fMRI, each subject was listening to musical and non-musical sound samples, indicating their esthetic impression with a button press after each sample. As a result, participants' favorable feelings toward non-musical sound samples were significantly increased only in the active group. fMRI data analyzed using ANOVA with post hoc ROI analysis showed significant group-by-time interaction (opposing trends in the two groups) in the bilateral posterior cingulate cortex/precuneus, which are functional hubs of the default mode network (DMN) and in parts of the executive, motor, and auditory networks. The findings suggest that DHP training modified the behavioral and brain response to diverse sound samples, differentially changing the engagement of functional networks known to be related to creative thinking, namely, increasing DMN activation and decreasing activation of the executive network.

Benefits of intraoperative music on orthopedic surgeries under spinal anesthesia: A randomized clinical trial

OBJECTIVE

To determine whether instrumental music influences the anxiety status and intraoperative sedative requirements of a patient DESIGN: A single center, prospective, randomized controlled trial SETTING: Patients between 18 and 65 years, physical status of American Society of Anesthesiologists (ASA I or II) who underwent lower limb orthopedic surgery under spinal anesthesia.

INTERVENTIONS

Patients were assigned to one of two groups: (1) Music Group: patients hearing instrumental music through a headset during the entire procedure or (2) No Music Group: patients wearing headphones without music MAIN OUTCOME MEASURES: Before and after the procedure, the anxiety status of the patient was assessed using the State-Trait Anxiety Inventory, and intraoperative sedative drug consumption was quantified.

RESULTS

A total of 107 patients were analyzed. A significant reduction in anxiety in the Music Group patients after surgery (p = 0.023) was found. Patients in this group also required less additional medication for intraoperative sedation (p = 0.004), and 88.9% of Music Group patients self-reported that music helped them remain calm during the procedure. Most patients in both groups agreed that music should be used during surgical procedures (98.2% and 94.3% in Music and No Music Groups, respectively) CONCLUSIONS: This study showed that listening to instrumental music during lower limb orthopedic surgery caused a reduction in anxiety and sedative requirements. Patients also self-reported a positive music-related experience.

The effects of dual-task interference in predicting turn-ends in speech and music

Determining when a partner's spoken or musical turn will end requires well-honed predictive abilities. Evidence suggests that our motor systems are activated during perception of both speech and music, and it has been argued that motor simulation is used to predict turn-ends across domains. Here we used a dual-task interference paradigm to investigate whether motor simulation of our partner's action underlies our ability to make accurate turn-end predictions in speech and in music. Furthermore, we explored how specific this simulation is to the action being predicted. We conducted two experiments, one investigating speech turn-ends, and one investigating music turn-ends. In each, 34 proficient pianists predicted turn-endings while (1) passively listening, (2) producing an effector-specific motor activity (mouth/hand movement), or (3) producing a task- and effector-specific motor activity (mouthing words/fingering a piano melody). In the speech experiment, any movement during speech perception disrupted predictions of spoken turn-ends, whether the movement was task-specific or not. In the music experiment, only task-specific movement (i.e., fingering a piano melody) disrupted predictions of musical turn-ends. These findings support the use of motor simulation to make turn-end predictions in both speech and music but suggest that the specificity of this simulation may differ between domains.

Music Form but Not Music Experience Modulates Motor Cortical Activity in Response to Novel Music

External cues, such as music, improve movement performance in persons with Parkinson’s disease. However, research examining the motor cortical mechanisms by which this occurs is lacking. Research using electroencephalography in healthy young adults has revealed that moving to music can modulate motor cortical activity. Moreover, motor cortical activity is further influenced by music experience. It remains unknown whether these effects extend to corticomotor excitability. Therefore, the primary aim of this study was to determine the effects of novel music on corticomotor excitability using transcranial magnetic stimulation (TMS) in a pilot study of healthy young adults. A secondary aim of this study was to determine the influence of music experience on corticomotor excitability. We hypothesized that corticomotor excitability will change during music conditions, and that it will differ in those with formal music training. Motor evoked potentials (MEPs) were recorded from the first dorsal interosseous using single-pulse TMS in three conditions: (1) No Music, (2) Music Condition I, and (3) Music Condition II. Both pieces were set to novel MIDI piano instrumentation and part-writing conventions typical of early nineteenth-century Western classical practices. Results revealed Music Condition II (i.e., more relaxing music) compared to rest increased MEP amplitude (i.e., corticomotor excitability). Music Condition II as compared to Music Condition I (i.e., more activating music) reduced MEP variability (i.e., corticomotor variability). Finally, years of formal music training did not significantly influence corticomotor excitability while listening to music. Overall, results revealed that unfamiliar music modulates motor cortical excitability but is dependent upon the form of music and possibly music preference. These results will be used to inform planned studies in healthy older adults and people with Parkinson’s disease.

Lateralization of processing spectrally-degraded music in the auditory cortex: An fNIRS study

Music processing is one of the most complex cognitive activities that human brain performs. The mechanism of music processing when musical sounds are perceived by listeners fitted with a cochlear implant (CI) is not well understood yet. The present study examined the effect of spectrally-degrading processing (via a noise-vocoding processing to simulate CI speech processing) on the hemispheric lateralization in music processing using functional near-infrared spectroscopy (fNIRS). The hemodynamic responses in both hemispheres caused by the perception of the original, 32-channel noise-vocoded and 16-channel noise-vocoded musical sounds were measured using fNIRS. The right-hemispheric lateralization in the original, 32-channel noise-vocoded and 16-channel noise-vocoded music processing was about 72%, 67%, 56% of all participants, respectively. The activation level of the auditory cortex caused by the perception of the original music was higher than that of the noise-vocoded music, and the activation level reduced when decreasing the number of channels in the noise-vocoder processing. The activation levels in the right auditory cortex in all conditions were higher than those in the left auditory cortex; however, the difference of the contrast values between the right and left hemispheres reduced when decreasing the number of channels in the noise-vocoder processing. Results in this work indicated that the spectrally-degrading processing in CI speech processing may diminish the dominant role of the right hemisphere in music processing.

Early vocal contact and music in the NICU: new insights into preventive interventions

It is now clearly established that the environment and the sensory stimuli, particularly during the perinatal period, have an impact on infant's development. During the last trimester of gestation, activity-dependent plasticity shapes the fetal brain, and prematurity has been shown to alter the typical developmental trajectories. In this delicate period, preventive interventions aiming at modulating these developmental trajectories through activity-inducing interventions are currently underway to be tested. The purpose of this review paper is to describe the potentialities of early vocal contact and music on the preterm infant's brain development, and their potential beneficial effect on early development. Scientific evidence supports a behavioral orientation of the newborn to organized sounds, such as those of voice and music, and recent neuroimaging studies further confirm full cerebral processing of music as multisensory stimuli. However, the impact of long-term effects of music exposure and early vocal contact on preterm infants' long-term neurodevelopment needs be further investigated. To conclude, it is necessary to establish the neuroscientific bases of the early perception and the long-term effects of music and early vocal contact on the premature newborns' development. Scientific projects are currently on the way to fill this gap in knowledge.

Music enhances structural maturation of emotional processing neural pathways in very preterm infants

Prematurity disrupts brain maturation by exposing the developing brain to different noxious stimuli present in the neonatal intensive care unit (NICU) and depriving it from meaningful sensory inputs during a critical period of brain development, leading to later neurodevelopmental impairments. Musicotherapy in the NICU environment has been proposed to promote sensory stimulation, relevant for activity-dependent brain plasticity, but its impact on brain structural maturation is unknown. Neuroimaging studies have demonstrated that music listening triggers neural substrates implied in socio-emotional processing and, thus, it might influence networks formed early in development and known to be affected by prematurity. Using multi-modal MRI, we aimed to evaluate the impact of a specially composed music intervention during NICU stay on preterm infant's brain structure maturation. 30 preterm newborns (out of which 15 were exposed to music during NICU stay and 15 without music intervention) and 15 full-term newborns underwent an MRI examination at term-equivalent age, comprising diffusion tensor imaging (DTI), used to evaluate white matter maturation using both region-of-interest and seed-based tractography approaches, as well as a T2-weighted image, used to perform amygdala volumetric analysis. Overall, WM microstructural maturity measured through DTI metrics was reduced in preterm infants receiving the standard-of-care in comparison to full-term newborns, whereas preterm infants exposed to the music intervention demonstrated significantly improved white matter maturation in acoustic radiations, external capsule/claustrum/extreme capsule and uncinate fasciculus, as well as larger amygdala volumes, in comparison to preterm infants with standard-of-care. These results suggest a structural maturational effect of the proposed music intervention on premature infants' auditory and emotional processing neural pathways during a key period of brain development.

Wearable technological platform for multidomain diagnostic and exercise interventions in Parkinson's disease

Physical activity and exercise have become a central component of medical management of chronic illness, particular for the elderly who suffer from neurodegenerative disorders that impair their cognition and mobility. This chapter summarizes our recent research showing that a new generation of wearable technology can be adopted as diagnostic and rehabilitation tools for people living with Parkinson's disease. For example, wearable device-enabled 6-min walking test can be automated to eliminate human supervision and many other technical factors that confound the results with conventional testing. With reduced cost and increased test standardization, the technology can be adopted for population-based screening of cardiovascular fitness and gait rehabilitation training efficacy associated with many medical conditions. The Ambulosono platform for multidomain exercise intervention, in particular, has the potential to deliver lasting clinical benefits in slowing PD progression. The platform, through the integration of brisk walking with behavioral shaping strategies such as contingency reinforcement, anticipatory motor control and musical motivational stimulation, creates a home exercise regime that can transform monotonous walking into a pleasurable daily activity and habit.

Alteration of perceived emotion and brain functional connectivity by changing the musical rhythmic pattern

The arrangement of musical notes and their time intervals, also known as musical rhythm is one of the core elements of music. Nevertheless, the cognitive process and neural mechanism of the human brain that underlay the perception of musical rhythm are poorly understood. In this study, we hypothesized that changes in musical rhythmic patterns alter the emotional content expressed by music and the way it is perceived, that assumably causes specific changes in the brain functional connectome. Therefore, 18 male children aged 10-14 years old were recruited and exposed to 12 musical excerpts while their brain's electrical activity was recorded using a 32-channel EEG recorder. The musical rhythmic patterns were changed by manipulating only note values in beats while keeping time signature and other elements in a fixed state. The experienced emotions were assessed using a 2-dimensional self-assessment manikin questionnaire. The behavioral data showed that an increase in the complexity of musical rhythmic patterns significantly enhances perceived valence and arousal levels. In addition, the pattern of brain functional connectivity was also estimated using the weighted phase lag index and their association with behavioral changes was calculated. Interestingly, the behavioral changes were mainly associated with alteration of brain functional connectivity at the alpha band in the fronto-central connections. These results emphasize the important role of the motor cortical site-fronto-central connections, in the perception of musical rhythmic pattern. These findings may improve conception of the underlying brain mechanism involved in the perception of musical rhythm.

Music in premature infants enhances high-level cognitive brain networks

Preterm babies are cared for in neonatal intensive care units (NICU), which are busy places with a lot of mechanical noise increasingly recognized to disrupt normal brain development. NICUs therefore invest in developmental care procedures, with music for example, but neurobiological evidence for these interventions is missing. We present results from a clinical trial to study the effects of a music intervention on preterm infants’ brain development. Based on resting-state fMRI, we provide evidence that music enhanced connectivity in a brain circuitry involving the salience network with regions implicated in sensory and higher-order cognitive functions, previously found to be altered in preterm infants. To our knowledge, this study is unique in observing an impact of music on brain development in preterm newborns.

Neonatal intensive care units are willing to apply environmental enrichment via music for preterm newborns. However, no evidence of an effect of music on preterm brain development has been reported to date. Using resting-state fMRI, we characterized a circuitry of interest consisting of three network modules interconnected by the salience network that displays reduced network coupling in preterm compared with full-term newborns. Interestingly, preterm infants exposed to music in the neonatal intensive care units have significantly increased coupling between brain networks previously shown to be decreased in premature infants: the salience network with the superior frontal, auditory, and sensorimotor networks, and the salience network with the thalamus and precuneus networks. Therefore, music exposure leads to functional brain architectures that are more similar to those of full-term newborns, providing evidence for a beneficial effect of music on the preterm brain.

Pupillometry of Groove: Evidence for Noradrenergic Arousal in the Link Between Music and Movement

The capacity to entrain motor action to rhythmic auditory stimulation is highly developed in humans and extremely limited in our closest relatives. An important aspect of auditory-motor entrainment is that not all forms of rhythmic stimulation motivate movement to the same degree. This variation is captured by the concept of musical groove: high-groove music stimulates a strong desire for movement, whereas low-groove music does not. Here, we utilize this difference to investigate the neurophysiological basis of our capacity for auditory-motor entrainment. In a series of three experiments we examine pupillary responses to musical stimuli varying in groove. Our results show stronger pupil dilation in response to (1) high- vs. low-groove music, (2) high vs. low spectral content, and (3) syncopated vs. straight drum patterns. We additionally report evidence for consistent sex differences in music-induced pupillary responses, with males exhibiting larger differences between responses, but females exhibiting stronger responses overall. These results imply that the biological link between movement and auditory rhythms in our species is supported by the capacity of high-groove music to stimulate arousal in the central and peripheral nervous system, presumably via highly conserved noradrenergic mechanisms.

Assessment of Multivariate Neural Time Series by Phase Synchrony Clustering in a Time-Frequency-Topography Representation

Most EEG phase synchrony measures are of bivariate nature. Those that are multivariate focus on producing global indices of the synchronization state of the system. Thus, better descriptions of spatial and temporal local interactions are still in demand. A framework for characterization of phase synchrony relationships between multivariate neural time series is presented, applied either in a single epoch or over an intertrial assessment, relying on a proposed clustering algorithm, termed Multivariate Time Series Clustering by Phase Synchrony, which generates fuzzy clusters for each multivalued time sample and thereupon obtains hard clusters according to a circular variance threshold; such cluster modes are then depicted in Time-Frequency-Topography representations of synchrony state beyond mere global indices. EEG signals from P300 Speller sessions of four subjects were analyzed, obtaining useful insights of synchrony patterns related to the ERP and even revealing steady-state artifacts at 7.6 Hz. Further, contrast maps of Levenshtein Distance highlight synchrony differences between ERP and no-ERP epochs, mainly at delta and theta bands. The framework, which is not limited to one synchrony measure, allows observing dynamics of phase changes and interactions among channels and can be applied to analyze other cognitive states rather than ERP versus no ERP.

Spatiotemporal brain dynamics of auditory temporal assimilation

Time is a fundamental dimension, but millisecond-level judgments sometimes lead to perceptual illusions. We previously introduced a “time-shrinking illusion” using a psychological paradigm that induces auditory temporal assimilation (ATA). In ATA, the duration of two successive intervals (T₁ and T₂), marked by three auditory stimuli, can be perceived as equal when they are not. Here, we investigate the spatiotemporal profile of human temporal judgments using magnetoencephalography (MEG). Behavioural results showed typical ATA: participants judged T₁ and T₂ as equal when T₂ − T₁ ≤ +80 ms. MEG source-localisation analysis demonstrated that regional activity differences between judgment and no-judgment conditions emerged in the temporoparietal junction (TPJ) during T₂. This observation in the TPJ may indicate its involvement in the encoding process when T₁ ≠ T₂. Activation in the inferior frontal gyrus (IFG) was enhanced irrespective of the stimulus patterns when participants engaged in temporal judgment. Furthermore, just after the final marker, activity in the IFG was enhanced specifically for the time-shrinking pattern. This indicates that activity in the IFG is also related to the illusory perception of time-interval equality. Based on these observations, we propose neural signatures for judgments of temporal equality in the human brain.

Mozart, Rock e a Ativação da Criatividade

Resumo A criatividade e o pensamento divergente são processos cognitivos envolvidos na geração de ideias e soluções novas, que podem contribuir com a inovação nas organizações. Os estudos sobre os antecedentes da criatividade têm focado características individuais, configuração de times e condições organizacionais; menos atenção tem sido dada à estimulação cognitiva. Nessa linha, o presente estudo investiga o efeito da estimulação cognitiva por meio da música sobre o pensamento divergente. Ele baseia-se nos estudos relacionados ao Efeito Mozart, que levaram à proposição de que a exposição à música pode induzir a um melhor desempenho, no curto prazo, em habilidades cognitivas específicas. Foi realizado um experimento com 133 estudantes de cursos de administração e de relações internacionais, divididos em diferentes grupos: dois foram expostos a estimulações musicais com estilos distintos (rock e Mozart) e outro não teve estimulação cognitiva antes da realização de tarefas criativas. O pensamento divergente foi avaliado por meio de uma abordagem subjetiva (método top 2 scoring). Observou-se, empregando a análise de variância (ANOVA), que os grupos expostos à música apresentaram maiores níveis de pensamento divergente, em comparação ao grupo controle. Implicações e limitações do estudo são discutidas.

Independent component processes underlying emotions during natural music listening

The aim of this study was to investigate the brain processes underlying emotions during natural music listening. To address this, we recorded high-density electroencephalography (EEG) from 22 subjects while presenting a set of individually matched whole musical excerpts varying in valence and arousal. Independent component analysis was applied to decompose the EEG data into functionally distinct brain processes. A k-means cluster analysis calculated on the basis of a combination of spatial (scalp topography and dipole location mapped onto the Montreal Neurological Institute brain template) and functional (spectra) characteristics revealed 10 clusters referring to brain areas typically involved in music and emotion processing, namely in the proximity of thalamic-limbic and orbitofrontal regions as well as at frontal, fronto-parietal, parietal, parieto-occipital, temporo-occipital and occipital areas. This analysis revealed that arousal was associated with a suppression of power in the alpha frequency range. On the other hand, valence was associated with an increase in theta frequency power in response to excerpts inducing happiness compared to sadness. These findings are partly compatible with the model proposed by Heller, arguing that the frontal lobe is involved in modulating valenced experiences (the left frontal hemisphere for positive emotions) whereas the right parieto-temporal region contributes to the emotional arousal.

Impaired movement timing in neurological disorders: rehabilitation and treatment strategies

Timing abnormalities have been reported in many neurological disorders, including Parkinson's disease (PD). In PD, motor-timing impairments are especially debilitating in gait. Despite impaired audiomotor synchronization, PD patients' gait improves when they walk with an auditory metronome or with music. Building on that research, we make recommendations for optimizing sensory cues to improve the efficacy of rhythmic cuing in gait rehabilitation. Adaptive rhythmic metronomes (that synchronize with the patient's walking) might be especially effective. In a recent study we showed that adaptive metronomes synchronized consistently with PD patients' footsteps without requiring attention; this improved stability and reinstated healthy gait dynamics. Other strategies could help optimize sensory cues for gait rehabilitation. Groove music strongly engages the motor system and induces movement; bass-frequency tones are associated with movement and provide strong timing cues. Thus, groove and bass-frequency pulses could deliver potent rhythmic cues. These strategies capitalize on the close neural connections between auditory and motor networks; and auditory cues are typically preferred. However, moving visual cues greatly improve visuomotor synchronization and could warrant examination in gait rehabilitation. Together, a treatment approach that employs groove, auditory, bass-frequency, and adaptive (GABA) cues could help optimize rhythmic sensory cues for treating motor and timing deficits.

Synchronized personalized music audio-playlists to improve adherence to physical activity among patients participating in a structured exercise program: a proof-of-principle feasibility study

Background

Preference-based tempo-pace synchronized music has been shown to reduce perceived physical activity exertion and improve exercise performance. The extent to which such strategies can improve adherence to physical activity remains unknown. The objective of the study is to explore the feasibility and efficacy of tempo-pace synchronized preference-based music audio-playlists on adherence to physical activity among cardiovascular disease patients participating in a cardiac rehabilitation.

Methods

Thirty-four cardiac rehabilitation patients were randomly allocated to one of two strategies: (1) no music usual-care control and (2) tempo-pace synchronized audio-devices with personalized music playlists + usual-care. All songs uploaded onto audio-playlist devices took into account patient personal music genre and artist preferences. However, actual song selection was restricted to music whose tempos approximated patients’ prescribed exercise walking/running pace (steps per minute) to achieve tempo-pace synchrony. Patients allocated to audio-music playlists underwent further randomization in which half of the patients received songs that were sonically enhanced with rhythmic auditory stimulation (RAS) to accentuate tempo-pace synchrony, whereas the other half did not. RAS was achieved through blinded rhythmic sonic-enhancements undertaken manually to songs within individuals’ music playlists. The primary outcome consisted of the weekly volume of physical activity undertaken over 3 months as determined by tri-axial accelerometers. Statistical methods employed an intention to treat and repeated-measures design.

Results

Patients randomized to personalized audio-playlists with tempo-pace synchrony achieved higher weekly volumes of physical activity than did their non-music usual-care comparators (475.6 min vs. 370.2 min, P < 0.001). Improvements in weekly physical activity volumes among audio-playlist recipients were driven by those randomized to the RAS group which attained weekly exercise volumes that were nearly twofold greater than either of the two other groups (average weekly minutes of physical activity of 631.3 min vs. 320 min vs. 370.2 min, personalized audio-playlists with RAS vs. personalized audio-playlists without RAS vs. non-music usual-care controls, respectively, P < 0.001). Patients randomized to music with RAS utilized their audio-playlist devices more frequently than did non-RAS music counterparts (P < 0.001).

Conclusions

The use of tempo-pace synchronized preference-based audio-playlists was feasibly implemented into a structured exercise program and efficacious in improving adherence to physical activity beyond the evidence-based non-music usual standard of care. Larger clinical trials are required to validate these findings.

Trial registration

ClinicalTrials.gov ID (NCT01752595)

Electronic supplementary material

The online version of this article (doi:10.1186/s40798-015-0017-9) contains supplementary material, which is available to authorized users.

Music perception: information flow within the human auditory cortices

Information processing of all acoustic stimuli involves temporal lobe regions referred to as auditory cortices, which receive direct afferents from the auditory thalamus. However, the perception of music (as well as speech or spoken language) is a complex process that also involves secondary and association cortices that conform a large functional network. Using different analytical techniques and stimulation paradigms, several studies have shown that certain areas are particularly sensitive to specific acoustic characteristics inherent to music (e.g., rhythm). This chapter reviews the functional anatomy of the auditory cortices, and highlights specific experiments that suggest the existence of distinct cortical networks for the perception of music and speech.

Music listening engages specific cortical regions within the temporal lobes: differences between musicians and non-musicians

Music and speech are two of the most relevant and common sounds in the human environment. Perceiving and processing these two complex acoustical signals rely on a hierarchical functional network distributed throughout several brain regions within and beyond the auditory cortices. Given their similarities, the neural bases for processing these two complex sounds overlap to a certain degree, but particular brain regions may show selectivity for one or the other acoustic category, which we aimed to identify. We examined 53 subjects (28 of them professional musicians) by functional magnetic resonance imaging (fMRI), using a paradigm designed to identify regions showing increased activity in response to different types of musical stimuli, compared to different types of complex sounds, such as speech and non-linguistic vocalizations. We found a region in the anterior portion of the superior temporal gyrus (aSTG) (planum polare) that showed preferential activity in response to musical stimuli and was present in all our subjects, regardless of musical training, and invariant across different musical instruments (violin, piano or synthetic piano). Our data show that this cortical region is preferentially involved in processing musical, as compared to other complex sounds, suggesting a functional role as a second-order relay, possibly integrating acoustic characteristics intrinsic to music (e.g., melody extraction). Moreover, we assessed whether musical experience modulates the response of cortical regions involved in music processing and found evidence of functional differences between musicians and non-musicians during music listening. In particular, bilateral activation of the planum polare was more prevalent, but not exclusive, in musicians than non-musicians, and activation of the right posterior portion of the superior temporal gyrus (planum temporale) differed between groups. Our results provide evidence of functional specialization for music processing in specific regions of the auditory cortex and show domain-specific functional differences possibly correlated with musicianship.

Revealing spatio-spectral electroencephalographic dynamics of musical mode and tempo perception by independent component analysis

Background

Music conveys emotion by manipulating musical structures, particularly musical mode- and tempo-impact. The neural correlates of musical mode and tempo perception revealed by electroencephalography (EEG) have not been adequately addressed in the literature.

Method

This study used independent component analysis (ICA) to systematically assess spatio-spectral EEG dynamics associated with the changes of musical mode and tempo.

Results

Empirical results showed that music with major mode augmented delta-band activity over the right sensorimotor cortex, suppressed theta activity over the superior parietal cortex, and moderately suppressed beta activity over the medial frontal cortex, compared to minor-mode music, whereas fast-tempo music engaged significant alpha suppression over the right sensorimotor cortex.

Conclusion

The resultant EEG brain sources were comparable with previous studies obtained by other neuroimaging modalities, such as functional magnetic resonance imaging (fMRI) and positron emission tomography (PET). In conjunction with advanced dry and mobile EEG technology, the EEG results might facilitate the translation from laboratory-oriented research to real-life applications for music therapy, training and entertainment in naturalistic environments.

On the role of auditory feedback in robot-assisted movement training after stroke: review of the literature

The goal of this paper is to address a topic that is rarely investigated in the literature of technology-assisted motor rehabilitation, that is, the integration of auditory feedback in the rehabilitation device. After a brief introduction on rehabilitation robotics, the main concepts of auditory feedback are presented, together with relevant approaches, techniques, and technologies available in this domain. Current uses of auditory feedback in the context of technology-assisted rehabilitation are then reviewed. In particular, a comparative quantitative analysis over a large corpus of the recent literature suggests that the potential of auditory feedback in rehabilitation systems is currently and largely underexploited. Finally, several scenarios are proposed in which the use of auditory feedback may contribute to overcome some of the main limitations of current rehabilitation systems, in terms of user engagement, development of acute-phase and home rehabilitation devices, learning of more complex motor tasks, and improving activities of daily living.

Brain oscillations and electroencephalography scalp networks during tempo perception

In the current study we used electroencephalography (EEG) to investigate the relation between musical tempo perception and the oscillatory activity in specific brain regions, and the scalp EEG networks in the theta, alpha, and beta bands. The results showed that the theta power at the frontal midline decreased with increased arousal level related to tempo. The alpha power induced by original music at the bilateral occipital-parietal regions was stronger than that by tempo-transformed music. The beta power did not change with tempo. At the network level, the original music-related alpha network had high global efficiency and the optimal path length. This study was the first to use EEG to investigate multi-oscillatory activities and the data support the tempo-specific timing hypothesis.

Music as a therapy: role in psychiatry

Music is popularly believed to usher in bliss and serenity, and healing is considered its natural quality. It has an emotionally charging charisma of its own, that we all as listeners might have experienced at times. Music has been there with mankind since the beginning of history, but where does it stand as a therapy? Is there any evidence base? How this therapy came into being and how it has evolved, and what the old and current research says about its role in psychiatric disorders. This review tries to explore these questions and arrives at a conclusion that music certainly promises more than just entertainment, and evidence so far suggests music therapy can be beneficial in the treatment of psychiatric disorders, as a cost effective noninvasive adjunct to standard therapy in a variety of settings and patient groups, yet more validated scientific research is still required to establish it as a sole quantified therapy.

Mozart k.545 mimics mozart k.448 in reducing epileptiform discharges in epileptic children

Mozart K.448 has been shown to improve cognitive function, leading to what is known as the Mozart Effect. Our previous work reveals positive effects of Mozart K.448 in reducing epileptiform discharges in epileptic children. In this study, we evaluated the effect of Mozart K.545 and compared the effects with those of Mozart K.448 on epileptiform discharges in children with epilepsy. Thirty-nine epileptic children with epileptiform discharges were included in the study. They received electroencephalogram examinations before, during, and after listening to Mozart K.448 and K.545, one week apart, respectively. The frequencies of epileptiform discharges were compared. There was a significant decrease in the frequency of epileptiform discharges during and right after listening to Mozart K.448 and K.545 (reduced by 35.7 ± 32.7% during Mozart K.448 and 30.3 ± 44.4% after Mozart K.448; and 34.0 ± 39.5% during Mozart K.545 and 31.8 ± 39.2% after Mozart K.545). Spectrogrammatic analysis of the two pieces of music demonstrated that both share similar spectrogrammatic characteristics. Listening to Mozart K.448 and K.545 decreased the epileptiform discharges in epileptic children. This suggests that Mozart K.448 is not the only piece of music to have beneficial effects on children with epilepsy. Other music with lower harmonics may also decrease epileptiform discharges in epileptic children.

Dynamics of electrocorticographic (ECoG) activity in human temporal and frontal cortical areas during music listening

Previous studies demonstrated that brain signals encode information about specific features of simple auditory stimuli or of general aspects of natural auditory stimuli. How brain signals represent the time course of specific features in natural auditory stimuli is not well understood. In this study, we show in eight human subjects that signals recorded from the surface of the brain (electrocorticography (ECoG)) encode information about the sound intensity of music. ECoG activity in the high gamma band recorded from the posterior part of the superior temporal gyrus as well as from an isolated area in the precentral gyrus was observed to be highly correlated with the sound intensity of music. These results not only confirm the role of auditory cortices in auditory processing but also point to an important role of premotor and motor cortices. They also encourage the use of ECoG activity to study more complex acoustic features of simple or natural auditory stimuli.

Music listening after stroke: beneficial effects and potential neural mechanisms

Music is an enjoyable leisure activity that also engages many emotional, cognitive, and motor processes in the brain. Here, we will first review previous literature on the emotional and cognitive effects of music listening in healthy persons and various clinical groups. Then we will present findings about the short- and long-term effects of music listening on the recovery of cognitive function in stroke patients and the underlying neural mechanisms of these music effects. First, our results indicate that listening to pleasant music can have a short-term facilitating effect on visual awareness in patients with visual neglect, which is associated with functional coupling between emotional and attentional brain regions. Second, daily music listening can improve auditory and verbal memory, focused attention, and mood as well as induce structural gray matter changes in the early poststroke stage. The psychological and neural mechanisms potentially underlying the rehabilitating effect of music after stroke are discussed.

Rhythmogram-based analysis for continuous electrographic data of the human brain

Ecologically relevant stimuli are rarely used in scientific studies because they are difficult to control. Instead, researchers employ simple stimuli with sharp boundaries (in space and time). Here, we explore how the rhythmogram can be used to provide much needed rigorous control of natural continuous stimuli like music and speech. The analysis correlates important features in the time course of stimuli with corresponding features in brain activations elicited by the same stimuli. Correlating the identified regularities of the stimulus time course with the features extracted from the activations of each voxel of a tomographic analysis of brain activity provides a powerful view of how different brain regions are influenced by the stimulus at different times and over different (user-selected) timescales. The application of the analysis to tomographic solutions extracted from magnetoencephalographic data recorded while subjects listen to music reveals a surprising and aesthetically pleasing aspect of brain function: an area believed to be specialized for visual processing is recruited to analyze the music after the acoustic signal is transformed to a feature map. The methodology is ideal for exploring processing of complex stimuli, e.g., linguistic structure and meaning and how it fails, for example, in developmental dyslexia.

Audiotactile interactions in temporal perception

In the present review, we focus on how commonalities in the ontogenetic development of the auditory and tactile sensory systems may inform the interplay between these signals in the temporal domain. In particular, we describe the results of behavioral studies that have investigated temporal resolution (in temporal order, synchrony/asynchrony, and simultaneity judgment tasks), as well as temporal numerosity perception, and similarities in the perception of frequency across touch and hearing. The evidence reviewed here highlights features of audiotactile temporal perception that are distinctive from those seen for other pairings of sensory modalities. For instance, audiotactile interactions are characterized in certain tasks (e.g., temporal numerosity judgments) by a more balanced reciprocal influence than are other modality pairings. Moreover, relative spatial position plays a different role in the temporal order and temporal recalibration processes for audiotactile stimulus pairings than for other modality pairings. The effect exerted by both the spatial arrangement of stimuli and attention on temporal order judgments is described. Moreover, a number of audiotactile interactions occurring during sensory-motor synchronization are highlighted. We also look at the audiotactile perception of rhythm and how it may be affected by musical training. The differences emerging from this body of research highlight the need for more extensive investigation into audiotactile temporal interactions. We conclude with a brief overview of some of the key issues deserving of further research in this area.

Cognitive deficits associated with acquired amusia after stroke: a neuropsychological follow-up study

Recent evidence on amusia suggests that our ability to perceive music might be based on the same neural resources that underlie other higher cognitive functions, such as speech perception and spatial processing. We studied the neural correlates of acquired amusia by performing extensive neuropsychological assessments on 53 stroke patients with a left or right hemisphere middle cerebral artery (MCA) stroke 1 week, 3 months, and 6 months after the stroke. In addition, structural magnetic resonance imaging (MRI) was performed on all patients 1 week and 6 months post-stroke. Based on their performance on a shortened version of the Montreal Battery of Evaluation of Amusia (MBEA), the patients were classified as amusic (n=32) or non-amusic (n=21). MRI results showed that the incidence of auditory cortex and frontal lobe damage was significantly higher in the amusic group than in the non-amusic group, but the two groups did not differ in respect to lesion laterality. Cognitively, amusia was associated with general deficits in working memory and learning, semantic fluency, executive functioning, and visuospatial cognition, as well as hemisphere-specific deficits in verbal comprehension, mental flexibility, and visuospatial attention (unilateral spatial neglect). Moreover, the recovery of music perception ability was related to the recovery of verbal learning, visuospatial perception and attention, and focused attention, especially in amusic patients. Together, these results suggest the ability to perceive music is closely linked to other higher cognitive functions.

Effects of a 12-week rehabilitation program with music & exercise groups on range of motion in young children with severe burns

Previous studies indicate that rehabilitation programs supplemented with a strength and endurance-based exercise program improve lean body mass, pulmonary function, endurance, strength, and functional outcomes in severely burned children over the age of 7-years when compared with standard of care (SOC). To date, supplemental exercise programming for severely burned children under the age of 7-years has not yet been explored. The purpose of this study was to determine if a 12-week rehabilitation program supplemented with music & exercise, was more effective in improving functional outcomes than the SOC alone. This is a descriptive study that measured elbow and knee range of motion (ROM) in 24 severely burned children between ages 2 and 6 years. Groups were compared for demographics as well as active and passive ROM to bilateral elbows and knees. A total of 15 patients completed the rehabilitation with supplemental music and exercise, and data was compared with 9 patients who received SOC. Patients receiving the 12-week program significantly improved ROM in all joints assessed except for one. Patients receiving SOC showed a significant improvement in only one of the joints assessed. Providing a structured supplemental music and exercise program in conjunction with occupational and physical therapy seems to improve both passive and active ROM to a greater extent than the SOC alone.

Neural Dynamics of Event Segmentation in Music: Converging Evidence for Dissociable Ventral and Dorsal Networks

The real world presents our sensory systems with a continuous stream of undifferentiated information. Segmentation of this stream at event boundaries is necessary for object identification and feature extraction. Here, we investigate the neural dynamics of event segmentation in entire musical symphonies under natural listening conditions. We isolated time-dependent sequences of brain responses in a 10 s window surrounding transitions between movements of symphonic works. A strikingly right-lateralized network of brain regions showed peak response during the movement transitions when, paradoxically, there was no physical stimulus. Model-dependent and model-free analysis techniques provided converging evidence for activity in two distinct functional networks at the movement transition: a ventral fronto-temporal network associated with detecting salient events, followed in time by a dorsal fronto-parietal network associated with maintaining attention and updating working memory. Our study provides direct experimental evidence for dissociable and causally linked ventral and dorsal networks during event segmentation of ecologically valid auditory stimuli.

A network for audio–motor coordination in skilled pianists and non-musicians

Playing a musical instrument requires efficient auditory and motor processing. Fast feed forward and feedback connections that link the acoustic target to the corresponding motor programs need to be established during years of practice. The aim of our study is to provide a detailed description of cortical structures that participate in this audio-motor coordination network in professional pianists and non-musicians. In order to map these interacting areas using functional magnetic resonance imaging (fMRI), we considered cortical areas that are concurrently activated during silent piano performance and motionless listening to piano sound. Furthermore we investigated to what extent interactions between the auditory and the motor modality happen involuntarily. We observed a network of predominantly secondary and higher order areas belonging to the auditory and motor modality. The extent of activity was clearly increased by imagination of the absent modality. However, this network did neither comprise primary auditory nor primary motor areas in any condition. Activity in the lateral dorsal premotor cortex (PMd) and the pre-supplementary motor cortex (preSMA) was significantly increased for pianists. Our data imply an intermodal transformation network of auditory and motor areas which is subject to a certain degree of plasticity by means of intensive training.

Posturographic Changes Associated with Music Listening

OBJECTIVES

The aim of this study was to ascertain whether listening to music might cause changes in human stability and be useful in fall prevention and rehabilitation. The aim was also to find what percentage of subjects without neurologic signs or symptoms associated with falling had less than ideal stability.

DESIGN

Computer dynamic posturography (CDP) provided stability scores in 266 subjects without a history of falls or vertigo. Subjects were randomized into several different music listening groups and one control group. The music listening groups were given a daily specific music listening task and CDP was obtained 10 minutes, 1 week, and 1 month after the subject's treatment in a blinded fashion.

RESULTS

Tests of postural stability have shown that 73% of 266 subjects without neurologic signs or symptoms were found to have balance abnormalities associated with an increased probability of falling. We have demonstrated positive changes in stability scores in these subjects who underwent a variety of music listening tasks, with the music of Nolwenn Leroy found to be significantly superior to other music tested.

CONCLUSIONS

Listening to certain types of music has the potential to change human stability and promote change in the field of fall prevention and rehabilitation with a potential to decrease disability.