J. Except. People 2020, 9(1):21-31

A music therapy experiment based on musical stimuli with artificially implemented physiological complexity in patients with dementia

Lenka Dohnalová1, Tomáš Fürst2, Jana Fürstová3, Jiří Luska1
1 Department of Music Education, Faculty of Education, Palacký University Olomouc, Czech Republic
2 Department of Mathematical Analysis and Applications of Mathematics, Faculty of Science, Palacký University Olomouc, Czech Republic
3 Olomouc University Social Health Institute (OUSHI), Palacký University Olomouc, Czech Republic

The aim of this study was to assess the effect of music therapy (MT) with artificially implemented physiological complexity (PHC) in patients in the first and second stages of dementia.
The research was conducted on 34 seniors divided into three groups: (1) group with MT with PHC; (2) group with MT without PHC; (3) control group with no MT. The participants 'cognitive functions were assessed by the Mini-Mental State Examination (MMSE) and the Addenbrooke's Cognitive Test (ACE).
A high proportion of participants were excluded during the study due to their health condition. No significant difference was found between the compared groups. Nonetheless, the overall results look promising: In the MT group with PHC, the cognitive functions improved in 3 patients; in the MT group without PHC, 1 patient improved; in the control group with no MT, there was no improvement in any of the participants.

Keywords: dementia, Alzheimer's disease, music therapy, physiological complexity

Published: June 11, 2020  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Dohnalová, L., Fürst, T., Fürstová, J., & Luska, J. (2020). A music therapy experiment based on musical stimuli with artificially implemented physiological complexity in patients with dementia. Journal of Exceptional People9(16), 21-31
Download citation

References

  1. ADI. (2019). The Global Voice on Dementia. Retrieved from https://www.alz.co.uk/
  2. Ashida, S. (2000). The effect of reminiscence music therapy sessions on changes in depressive symptoms in elderly persons with dementia. J Music Ther, 37(3), 170-182. Go to original source...
  3. ČALS. (2016). Zpráva o stavu demence 2016. Retrieved from http://www.alzheimer.cz/
  4. Costa, M., Goldberger, A. L., & Peng, C. K. (2005). Multiscale entropy analysis of biological signals. Phys Rev E Stat Nonlin Soft Matter Phys, 71 (2 Pt 1), 021906. doi: 10.1103/PhysRevE.71.021906 Go to original source...
  5. Dohnalova, L., & Furst, T. (2017). The experimental design and technical tools for the research of musical stimuli with artificially implemented complexity used in the rehabilitation of Alzheimer's disease patients. Musicologica Olomucensia. Acta Universitatis Palackianae Olomucensis, 25, 22-33. Go to original source...
  6. Folstein, M. F., Folstein, S. E., & McHugh, P. R. (1975). "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res, 12(3), 189-198. Go to original source...
  7. Herholz, S. C., Herholz, R. S., & Herholz, K. (2013). Non-pharmacological interventions and neuroplasticity in early stage Alzheimer's disease. Expert Rev Neurother, 13(11), 1235-1245. doi: 10.1586/14737175.2013.845086 Go to original source...
  8. Hummelova-Fanfrdlova, Z., Rektorova, I., Sheardova, K., Bartos, A., Linek, V., Ressner, P., … Hort, J. (2009). Czech adaptation of Addenbrooke's Cognitive Examination. Ceskoslovenska Psychologie, 53(4), 376-388.
  9. Hunt, N., McGrath, D., & Stergiou, N. (2014). The influence of auditory-motor coupling on fractal dynamics in human gait. Scientific Reports, 4. doi: 10.1038/srep05879 Go to original source...
  10. Irish, M., Cunningham, C. J., Walsh, J. B., Coakley, D., Lawlor, B. A., Robertson, I. H., & Coen, R. F. (2006). Investigating the enhancing effect of music on autobiographical memory in mild Alzheimer's disease. Dement Geriatr Cogn Disord, 22(1), 108-120. doi: 10.1159/000093487 Go to original source...
  11. Istvandity, L. (2017). Combining music and reminiscence therapy interventions for wellbeing in elderly populations: A systematic review. Complementary Therapies in Clinical Practice, 28, 18-25. doi: 10.1016/j.ctcp.2017.03.003 Go to original source...
  12. Lyu, J., Zhang, J., Mu, H., Li, W., Champ, M., Xiong, Q., … Li, M. (2018). The Effects of Music Therapy on Cognition, Psychiatric Symptoms, and Activities of Daily Living in Patients with Alzheimer's Disease. J Alzheimers Dis, 64(4), 1347-1358. doi: 10.3233/jad-180183 Go to original source...
  13. Manor, B., Costa, M. D., Hu, K., Newton, E., Starobinets, O., Kang, H. G., … Lipsitz, L. A. (2010). Physiological complexity and system adaptability: evidence from postural control dynamics of older adults. J Appl Physiol (1985), 109(6), 1786-1791. doi: 10.1152/japplphysiol.00390.2010 Go to original source...
  14. Mantegna, R. N., Buldyrev, S. V., Goldberger, A. L., Havlin, S., Peng, C. K., Simons, M., & Stanley, H. E. (1994). Linguistic features of noncoding DNA sequences. Phys Rev Lett, 73(23), 3169-3172. doi: 10.1103/PhysRevLett.73.3169 Go to original source...
  15. Maslow, A. H. (1943). A theory of human motivation. Psychological Review, 50(4), 370-396. doi: 10.1037/h0054346 Go to original source...
  16. McDermott, O., Crellin, N., Ridder, H. M., & Orrell, M. (2013). Music therapy in dementia: a narrative synthesis systematic review. Int J Geriatr Psychiatry, 28(8), 781-794. doi: 10.1002/gps.3895 Go to original source...
  17. Mioshi, E., Dawson, K., Mitchell, J., Arnold, R., & Hodges, J. R. (2006). The Addenbrooke's Cognitive Examination Revised (ACE-R): a brief cognitive test battery for dementia screening. Int J Geriatr Psychiatry, 21(11), 1078-1085. doi: 10.1002/gps.1610 Go to original source...
  18. Nasreddine, Z. S., Phillips, N. A., Bedirian, V., Charbonneau, S., Whitehead, V., Collin, I., … Chertkow, H. (2005). The Montreal Cognitive Assessment, MoCA: a brief screening tool for mild cognitive impairment. J Am Geriatr Soc, 53(4), 695-699. doi: 10.1111/j.1532-5415.2005.53221.x Go to original source...
  19. Natarajan, K., Acharya, U. R., Alias, F., Tiboleng, T., & Puthusserypady, S. K. (2004). Nonlinear analysis of EEG signals at different mental states. Biomed Eng Online, 3(1), 7. doi: 10.1186/1475-925x-3-7 Go to original source...
  20. Orti, J. E. D., Garcia-Pardo, M. P., Iranzo, C. C., Madrigal, J. J. C., Castillo, S. S., Rochina, M. J., & Gasco, V. J. P. (2018). Does Music Therapy Improve Anxiety and Depression in Alzheimer's Patients? Journal of Alternative and Complementary Medicine, 24(1), 33-36. doi: 10.1089/acm.2016.0346 Go to original source...
  21. Patel, A. D. (2003). Language, music, syntax and the brain. Nat Neurosci, 6(7), 674-681. doi: 10.1038/nn1082 Go to original source...
  22. Ryan, S. M., Goldberger, A. L., Pincus, S. M., Mietus, J., & Lipsitz, L. A. (1994). Gender- and age-related differences in heart rate dynamics: are women more complex than men? J Am Coll Cardiol, 24(7), 1700-1707. Go to original source...
  23. Sacks, O. (2015). Musicophilia: Tales of Music and the Brain. Praha: Dybbuk.
  24. Schumann, A. Y., & Kantelhardt, J. W. (2011). Multifractal moving average analysis and test of multifractal model with tuned correlations. Physica a-Statistical Mechanics and Its Applications, 390(14), 2637-2654. doi: 10.1016/j.physa.2011.03.002 Go to original source...
  25. Simmons-Stern, N. R., Budson, A. E., & Ally, B. A. (2010). Music as a memory enhancer in patients with Alzheimer's disease. Neuropsychologia, 48(10), 3164-3167. doi: 10.1016/j.neuropsychologia.2010.04.033 Go to original source...
  26. Tosnerova, T., & Bahbouh, R. (1998). Mini-mental state examination, a quick cognitive state test. Ceskoslovenska Psychologie, 42(4), 328-333.
  27. van der Roest, H. G., Meiland, F. J., Maroccini, R., Comijs, H. C., Jonker, C., & Droes, R. M. (2007). Subjective needs of people with dementia: a review of the literature. Int Psychogeriatr, 19(3), 559-592. doi: 10.1017/s1041610206004716 Go to original source...
  28. WHO. (2019). World Health Organization: Dementia Fact Sheet. Retrieved from https://www.who.int/news-room/fact-sheets/detail/dementia

This is an open access article distributed under the terms of the Creative Commons Attribution-ShareAlike 4.0 International License (CC BY-SA 4.0), which permits use, distribution, and reproduction in any medium, provided the original publication is properly cited. No use, distribution or reproduction is permitted which does not comply with these terms.