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types of music therapy for dementia

In the later stages of dementia, patients … Dyer SM, Harrison SL, Laver K, Whitehead C, Crotty M. An overview of systematic reviews of pharmacological and non-pharmacological interventions for the treatment of behavioral and psychological symptoms of dementia. Cochrane Database Syst Rev. Regier NG, Hodgson NA, Gitlin LN. Transl Neurodegener. Prog Brain Res. doi: 10.1155/2015/218980, 9. In our case, sessions varied from 90 min once a week during 10 or 20 weeks to 60 min during 40 weeks. Laver K, Dyer S, Whitehead C, Clemson L, Crotty M. Interventions to delay functional decline in people with dementia: a systematic review of systematic reviews. Unlike many drug therapies that attempt to calm dementia sufferers, music therapy … Doi T, Verghese J, Makizako H, Tsutsumimoto K, Hotta R, Nakakubo S, et al. Many people have music playing in their homes all the time. doi: 10.1016/j.jns.2017.03.034, 38. Music Therapy is commonly used as an intervention for people living with dementia … All datasets generated for this study are included in the article/Supplementary Material. These include activities such as pedaling an indoor bicycle, enjoying music, dancing, and throwing a baseball. Improved Mood: Music can enhance a senior’s wellbeing by reducing agitation, anxiety and depression. Music therapy and Alzheimer's disease: cognitive, psychological, and behavioural effects. This study shows evidence with a positive trend supporting music therapy for the improvement of cognitive function in people living with dementia. Cognitive Stimulation Therapy Also known as CST, cognitive stimulation therapy … Gaser C, Schlaug G. Brain structures differ between musicians and non-musicians. (2014) 54:634–50. Uplifts Moods… Flow of studies through the review process for systematic review and meta-analysis. The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. Kolanowski A, Boltz M, Galik E, Gitlin LN, Kales HC, Resnick B, et al. Rationale and protocol of the ENGAGE study: A double-blind randomized controlled preference trial using a comprehensive cohort design to measure the effect of a cognitive and leisure-based intervention in older adults with a memory complaint. (2017) 65:515–29. J Neurol Sci. *Correspondence: Cristina Pintado, cristina.pintado@uclm.es, †These authors have contributed equally to this work, Front. This was due to the fact that in all studies selected, participants with different dementia stage were randomly assigned to the intervention or control group. Comparing the effects of different individualized music interventions for elderly individuals with severe dementia. and Roman-Caballero et al. Liberati A, Altman DG, Tetzlaff J, Mulrow C, Gøtzsche PC, Ioannidis JP, et al. Med., 19 May 2020 The effects of music therapy on cognition, psychiatric symptoms, and activities of daily living in patients with Alzheimer's disease. The aim of this literature review is to explore how music therapy influences the behaviour of older people with dementia. doi: 10.1016/j.tics.2013.02.007, 56. Others are non-medical Alzheimer’s therapies like art, music, and more. Furthermore, Dyer et al. On the other hand, Doi et al. Med. doi: 10.1111/jgs.13963, 26. Int Psychogeriatrics. On the other hand, the study evaluating the effect of music therapy on the depressive state of people living with dementia showed no improvement in the state of these patients when they were evaluated after the intervention. Musical practice as an enhancer of cognitive function in healthy aging - a systematic review and meta-analysis. On the other hand, there were no high-quality longitudinal studies that demonstrated long-term benefits of music therapy. • Music can be a useful way to change somebody’s mood, especially during personal care. (2019) 20:1–18. Prog Brain Res. Nevertheless, no evidence was shown of improvement of quality of life in long-term and short-term depression. That way, you can start playing it early on and they will get used to hearing it and maybe even start building new memories. Cognitive, emotional, and social benefits of regular musical activities in early dementia: Randomized controlled study. Olazarán J, Cruz BR, Isabel LC, Cruz I, Peña-Casanova J, Del Ser T, et al. (D) on depressive state (E) on depressive state after 6 months. divided the participants into three groups, an active group that sang, a passive group that listened to music, and a control group (24, 25). Pharmacological interventions, such as acetylcholinesterase inhibitors, are mainly aimed to treat cognitive symptoms but without avoiding the course of the disease. Sing-Fit is a music therapy app specifically designed for people with dementia. Belleville S, Moussard A, Ansaldo AI, Belchior P, Bherer L, Bier N, et al. For this reason, in order to confirm the effect of musical interventions, more clinical trials on the effect of music therapy should be promoted. Initially, the search began with the terms “brain” and “music.” Later, “dementia” was added, and finally, “clinical trial” was included. Figure 2. Results of initial search and exclusions are shown in Figure 1. doi: 10.3233/JAD-170991, 36. Lyketsos CG, Steinberg M, Tschanz JAT, Norton MC, Steffens DC, Breitner JCS. doi: 10.1016/23/27/9240, 16. doi: 10.1093/geront/gnt100, 25. All the trials chosen were designed as randomized controlled trials (RCTs). assessed a protocol that includes playing an instrument, dancing, and listening to music. The person doing these activities may not know who you are or who they are, but these activities were learned and engrained in their younger years and remain. Using music as therapy is nothing new. Van der Steen et al. Alzheimer’s disease and other types of dementia can be isolating and upsetting for both patients and caregivers. J Am Med Dir Assoc. (2015) 217:237–52. Come for a tour at Sycamore Creek Ranch! Quantifying heterogeneity in a meta-analysis. Studies have proven that patients tested after listening to music show an increased ability to think. (2018) 5:109. doi: 10.3390/medicines5040109, 51. van der Steen JT, Smaling HJA, van der Wouden JC, Bruinsma MS, Scholten RJPM, Vink AC. The size of the studies was between 30 and 201 subjects, with a total of 816 subjects with mild to severe dementia, assigned randomly to both the intervention and control groups. All the people in the trials stayed in nursing homes or hospitals. doi: 10.1007/s10072-017-2878-9, 24. Music Therapy and Dementia Patients. J Stat Softw. doi: 10.1016/S0004-9514(09)70043-1, 33. Geneva: World Health Organization (2017). • Music has a long-term effect on depression symptoms associated with dementia. Often, small things can trigger memories for them. To reach that assumption, we performed a comprehensive systematic review that includes eight studies with 816 subjects. (2019) 9:1–14. First, it’s a non-pharmacological method of therapy. (2015) 217:207–35. Evokes Engagement. A meta-analysis about the quality of life of people living with dementia after the intervention with music therapy was designed. 7:160. doi: 10.3389/fmed.2020.00160. doi: 10.1017/S1041610217002344, PubMed Abstract | CrossRef Full Text | Google Scholar, 3. Future music therapy studies need to define a theoretical model, include better-focused outcome measures, and discuss how the findings may improve the well-being of people with dementia as discussed by McDermott et al. Unfortunately, several key myths continue to dilute the information and usefulness of music therapy for dementia. However, it wasn’t until just recently that the study of the impact of music on people with dementia or cognitive impairment has been re-opened for extensive modern research and clinical trials. (2007) 104:15894–8. The investment in research in this novel therapy could lead to its implementation as a new and alternative intervention together with current cognitive-behavioral and pharmacological therapies. We observed a significant effect on cognitive function in the passive intervention group (P = 0.0004). Music and brain. Therefore, studying and playing music alter brain function and can improve cognitive areas, such as the neural mechanisms for speech (17), learning, attention (18), and memory (19). Chanda ML, Levitin DJ. For the search, key terms, such as “music,” “brain,” “dementia,” or “clinical trial,” were used. Music can also activate subcortical circuits, the limbic system, and the emotional reward system, provoking sensations of welfare and pleasure (14). Perrone-Capano C, Volpicelli F, di Porzio U. But music has the power to transform the day in the life of someone with dementia. The search period used was from 1990 to present. Data were collected independently using a standardized data extraction form in order to summarize the characteristics of the studies and outcome data (23). Those in the control group continued with the normal “standard care” provided (28). (2015) 2015:CD010783. It also affects the autonomic nervous systems by decreasing stress-related activation (53, 54). The fun of music … doi: 10.1017/S1041610212002256, Keywords: systematic review, meta-analysis, dementia, music therapy, cognitive function, quality of life, depressive state, Citation: Moreno-Morales C, Calero R, Moreno-Morales P and Pintado C (2020) Music Therapy in the Treatment of Dementia: A Systematic Review and Meta-Analysis. A thorough reading of each article was carried out, and a summary of each of them is shown in Table 1. However, those studies do not evaluate cognitive function (58). Meta-regression showed that the intervention method, interactive or passive, is a significant source of heterogeneity accounting for 45.1% of the total heterogeneity detected (Table 2). increased motivation. It also may cause a bit of frustration, as they may struggle to recognize the music or artists. Overall efficacy of music intervention in people with dementia (A) on cognitive function. Background: Dementia is a neurological condition characterized by deterioration in cognitive, behavioral, social, and emotional functions. It has been used for individuals and in groups and studies have shown that even after a few minutes of hearing familiar music, patients with dementia saw a noticeable increase with their level of happiness, were making more eye contact and became more talkative and aware of their surrounding. There are many studies proving how music therapy can be life-changing for patients suffering from Alzheimer’s disease. Table 2. evaluated two cognitive programs of leisure activities: dancing and playing musical instruments (26). doi: 10.1136/bmj.327.7414.557, 43. When we listen to music it triggers both sides of the brain. Lucas-Carrasco R, Gómez-Benito J, Rejas J, Ott BR. All the studies had an acceptable quality as confirmed after applying the PEDro and CASP scales (Supplementary Tables 1, 2, respectively, of the Supplementary Data). (2018) 64:1347–58. Duplicate studies were removed. (2003) 23:9240–5. Encourage movement (clapping, dancing… Global Action Plan on the Public Health Response to Dementia 2017–2025. Ann N Y Acad Sci. Hyde M, Higgs P, Wiggins RD, Blane D. A decade of research using the CASP scale: Key findings and future directions. Lorusso LN, Bosch SJ. Summary of efficacy of music intervention on cognitive function and secondary outcomes. (2014) 16:209–17. Our results suggest that music therapy has a positive effect on cognitive function for people living with dementia. Music Therapy Is Designed Keeping In Mind The Types Of Dementia 1. BMJ Open. doi: 10.1002/gps.3895, 46. did not find a significant difference between the experimental and control groups when evaluating the cognitive function after an 18-month therapy based on listening to music (31). J Am Geriatr Soc. Received: 28 January 2020; Accepted: 09 April 2020; Published: 19 May 2020. Starting early with music means you can ask them about the music they like, their favorites and why. Hoe J, Katona C, Roch B, Livingston G. Use of the QOL-AD for measuring quality of life in people with severe dementia - The LASER-AD study. More than 37 years ago, she walked into a dementia unit carrying her guitar and looked at the patients. It is also a good idea to make the music mobile and let them listen for long walks, trips in the car or waiting in a doctor’s office. Music is a pleasant stimulus, especially when it is adapted to one's personal preferences, and it can evoke positive emotions. Besides, almost all trials in the literature were focused on the mild or moderate stage of dementia, and there were few studies about people living with severe dementia. doi: 10.1016/bs.pbr.2014.11.029, 14. However, it is unclear whether this approach is valid to detect changes regarding symptom improvement. Music Therapy Through the Stages of Dementia Singing and playing music both remain quite possible and should be encouraged for people in the early stages of dementia. (2017) 38:983–92. doi: 10.1371/journal.pone.0207957, 19. Interestingly, we observed that shorter intervention periods (<20 weeks) and passive interventions methods (listening to music) had greater effect on people living with dementia than longer intervention periods or interactive interventions, such as singing and dancing (Figure 2A; Table 2). In addition, there is not enough scientific evidence about the efficacy of music as a therapy on the cognitive and behavioral states of these patients. Kales HC, Gitlin LN, Lyketsos CG. Computer activities for persons with dementia. Statistical heterogeneity was also tested by I2. Musical training and late-life cognition. This can be very beneficial in engaging other skills. Stat Med. doi: 10.1159/000229024, 32. de Morton NA. Int J Geriatr Psychiatry. First, there are many clinical trials in development like NCT03496675 and NCT03271190 (Clinicaltrials.gov), whose completion is estimated to be in 2024 and 2022, respectively, which could not be included in this analysis (56, 57). (2015) 55:S140–S9. The benefits of music therapy have been widely discussed by caregivers and doctors, especially as it is probably just about the safest type of therapy there is! We listen on the right side and sing on the left. (2018) 19:9. doi: 10.1177/1471301218795289, 7. The lack of standardized methods for musical stimulus selection is a common drawback in the studies we reviewed and a probable contributor to inconsistencies across studies (55). Myth: It Cures Alzheimer’s Disease (AD) Some may claim that music therapy … Stimulative music … Use music to create the mood you want. Dementia is an overall term for diseases and conditions characterized by progressive affectation of cognitive alterations, such as memory and language, as well as behavioral alterations including depression and anxiety (2, 3). Biomed Res Int. Because dementia affects different parts of the brain, some people may lose certain functions over others. It’s also comforting to hear something both loved and personal when all around you seems like chaos. Often it is tied to something in our past. Using music for dementia patients at all stages of the disease is a great way to soothe them and keep their minds alert. doi: 10.1093/geront/gnz007, 10. In both cases, the heterogeneity of the studies was high [I2 = 89% (P < 0.0001) in the short term; I2 = 66% (P < 0.01) in the long term]. Also, the musical interventions and the method used to evaluate the cognitive function and depression were diverse and make it difficult to state clearly their benefit when compared to usual care. Additionally, the absence of a suitable control of the intervention to match levels of arousal, attentional engagement, mood state modification, or emotional qualities between participants may be a reason for the differences between studies (55). This implies that music takes part in reward, stress, and arousal processes (55). • Music helps people with dementia … |, https://www.frontiersin.org/articles/10.3389/fmed.2020.00160/full#supplementary-material, http://www.who.int/mental_health/neurology/dementia/action_plan_2017_2025/en/, Creative Commons Attribution License (CC BY). Alzheimer Dis Assoc Disord. 6. However, when studying the depressive state of patients 6 months after the intervention to know if there is a long-term effect (4 studies, 290 cases), the result indicated that music therapy could have a positive effect on the depressive state of people living with dementia (SMD = −0.25, 95% CI: −0.68, 0.18) (Figure 2E). One day, they seem lucid and fine, the next, they don’t know who you are. Aging Ment Heal. Mental and behavioral disturbances in dementia: Findings from the cache county study on memory in aging. Pharmacological interventions are available but have limited effect in treating many of the disease's features. doi: 10.1002/14651858.CD010783.pub2, 35. For instance, singing and talking come from different parts of the brain, therefore it’s not surprising for a person living with dementia to lose the ability to talk, but not to sing. Cochrane Database Syst Rev. (2018) 63:423–44. Prog Brain Res. doi: 10.3233/JAD-160619, 28. While Lyu et al. Likewise, there were no significant differences between groups in the dementia severity and/or demographic variables. STAM protocol in dementia: A multicenter, single-blind, randomized, and controlled trial. Other comparative results, named as secondary outcomes, were quality of life, assessed through Quality of Life in Alzheimer's Disease (QOL-AD) (38), and depression, evaluated through Cornell–Brown Scale for Quality of Life in Dementia (CBS) and Geriatric Depression Scale (GDS) (39, 40). (2015) 2015:1–9. doi: 10.1016/j.outlook.2017.06.006, 4. To further investigate the heterogeneity, meta-regression and subgroup analyses were performed to assess the primary outcome data and associations according to the method of intervention (interactive and passive), trial period, number of sessions per week, and effect of evaluation method used. PLoS ONE. Meta-analysis, heterogeneity study, and graphical representations were performed using R with the Metafor package (44). It can give them a great sense of accomplishment. Musical understanding and a love of music are often two of the last abilities … This finding is not enough to draw further conclusion due to the heterogeneity found. In recent years, studies have shown scientific evidence of the effect of listening to music has on people w… Mini-Mental State Examination (MMSE) for the detection of Alzheimer's disease and other dementias in people with mild cognitive impairment (MCI). by Kathryn Watson | Apr 15, 2020 | Dementia, music therapy. Front Psychol. CM-M and RC: meta-analysis. doi: 10.1515/revneuro-2016-0046, 21. A mixed methods systematic review of multimodal non-pharmacological interventions to improve cognition for people with dementia. Health professional perspectives on rehabilitation for people with dementia. (2009) 1169:182–6. doi: 10.1111/j.1749-6632.2009.04852.x, 48. Other sources of heterogeneity found when we analyzed the effect of music therapy on the cognitive function were the intervention length and the number of sessions per week (34.4 and 9.4%, respectively), the latter not being significant (Table 2). doi: 10.1016/j.nrleng.2015.12.001, 54. The more you know about someone the better you will be able to choose the music that moves them. Severity of dementia ( 21 ) activity on cognition, psychiatric symptoms and. ( 49 ) found online at: https: //www.frontiersin.org/articles/10.3389/fmed.2020.00160/full # supplementary-material, 1. who trial. And behavioral disturbances in dementia: a narrative synthesis systematic review of multimodal non-pharmacological to... Non-Medical Alzheimer ’ s a non-pharmacological method of musical training on structural brain development: a systematic review things trigger... Transform the day the help of music therapy on people living with dementia from 1990 present. 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