Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Wednesday, June 1, 2022

Groove rhythm stimulates prefrontal cortex function in groove enjoyers

If your stroke hospital, doctors and therapists have done nothing with music in the last decade you don't have a functioning stroke hospital, why haven't you fired the board of directors?

 

Groove rhythm stimulates prefrontal cortex function in groove enjoyers

Abstract

Hearing a groove rhythm (GR), which creates the sensation of wanting to move to the music, can also create feelings of pleasure and arousal in people, and it may enhance cognitive performance, as does exercise, by stimulating the prefrontal cortex. Here, we examined the hypothesis that GR enhances executive function (EF) by acting on the left dorsolateral prefrontal cortex (l-DLPFC) while also considering individual differences in psychological responses. Fifty-one participants underwent two conditions: 3 min of listening to GR or a white-noise metronome. Before and after listening, participants performed the Stroop task and were monitored for l-DLPFC activity with functional near-infrared spectroscopy. Our results show that GR enhanced EF and l-DLPFC activity in participants who felt a greater groove sensation and a more feeling clear-headed after listening to GR. Further, these psychological responses predict the impact of GR on l-DLPFC activity and EF, suggesting that GR enhances EF via l-DLPFC activity when the psychological response to GR is enhanced.

Introduction

A growing amount of evidence shows that physical exercise has beneficial effects on cognitive functions1, especially on human executive function (EF) mainly in the prefrontal cortex (PFC)2. Our recent study using acute exercise with music showed that the key factor of exercise’s effect on prefrontal executive function is a positive affective response3 expressed the two-dimensional axis of pleasure and arousal.

Another potential stimulus which can improve EF through a positive affective response is groove rhythm (GR). GR is a musical rhythm that induces the sensation of “Wanting to move to the music” (groove sensation) accompanied by positive affective responses while listening to music4,5. GR can be defined by the subjective score of “Wanting to move to the music” and “Good nori4,6. The groove sensation can be modulated by syncopation. Syncopation is a method of shifting rhythmic emphasis by manipulating the complexity of a rhythm. Rhythm with low to medium syncopation induces a higher groove sensation than does rhythm with high syncopation as evidenced by averages of mass groups in previous studies7,8,9. Low-frequency components, such as the bass drum, induce entrainment of body movement and musical beat10. In several previous studies, drum breaks consisting of hi-hat, snare-drum, and bass-drum sounds were used because they made it easy to control rhythmic factors, syncopation, bass sound, and tempo7,8,9,10,11,12.

Moving the body to music is a universal phenomenon (e.g., clapping, nodding, swaying) and one of the main powers of music13. Music with groove-inducing characteristics increasing in recent music popularity charts may be indicative of this14. That groove music improves gait performance in Parkinson’s disease (PD) by reducing the cognitive demands of synchronizing to the beat and promoting vigorous movement15,16,17 shows that groove music affects the interaction between body movement and brain function. More interestingly, listening to groove music induces entrainment of body movement and musical rhythm together with positive affective responses18 and activates neural networks associated with motor and reward systems11,19,20. Since the dopaminergic reward system projects not only to emotion-related brain areas but also to cognition-related areas such as the PFC21,22,23, GR could increase PFC activity and lead to improved EF. However, no research has explored the effect of groove music on EF and prefrontal activity to date. The reason for this could be that the effect of GR on EF may have large individual differences because both groove sensation and concurrent positive affective responses to groove music would have many individual differences8,24 and both responses are associated with reward system activity11. Therefore, we should examine the single effects of GR on EF and its relationship with PFC activity. To examine this, consideration of the psychological responses to listening to GR as influential factors that explain individual differences and creation of an experimental model which can evaluate the effect of GR on EF and how it is related to PFC activity are necessary.

To that end, in the current study we introduce the combination of an acute experimental model that was used for the detection of exercise’s effect on cognition and prefrontal activity and a grouping analysis to explore the psychological response to GR. In our previous research, we used functional near-infrared spectroscopy (fNIRS) with the color-word-matching Stroop task (CWST)25,26, which evaluates inhibitory EF, in order to clarify the effects of an acute bout (10 min) of exercise27,28,29,30,31. fNIRS is a non-invasive neuroimaging method which can monitor hemodynamic response to neural activation (neurovascular coupling)32 by using near-infrared light passing through tissue. Since fNIRS allows for the least restrictive measuring environment among neuroimaging modalities, it can measure regional cortical activation boosted by listening to music while minimizing possible negative environmental influences on psychological response and cognition. The CWST has been adopted in numerous neuroimaging studies including fNIRS studies33,34,35, and the brain regions related with the task are well known. The DLPFC is a key region for inhibitory control of EF36 and responsible for CWST performance37,38. In addition, the left hemisphere plays a key role in the processing of verbal information39,40,41,42. Therefore, we focused on the left dorsolateral prefrontal cortex (l-DLPFC) as the region of interest (ROI). A previous study indicated that l-DLPFC activity correlated with a positive affective response and that EF changed with a single bout of exercise with music3. Therefore, in the current study, the CWST was performed before and after listening to GR while monitoring l-DLPFC activity using fNIRS. In addition to this acute model, cluster analysis using the subjective senses of both groove sensation and psychological state when listening to GR was introduced, and we tried to reveal the individual differences in the effect of listening to GR on EF and task-related l-DLPFC activity.

GR elicits groove sensation and concurrent positive affective response, but it is not known whether it enhances inhibitory EF with l-DLPFC activity as a result. The purpose of this study is to determine whether GR enhances EF and l-DLPFC activity, focusing on individual differences in psychological responses to GR. Our working hypothesis is that GR presented as drum breaks with low to medium syncopation enhances CWST performance with task-related l-DLPFC activation. Furthermore, the effects can be remarkable in participants who experience a higher groove sensation and positive psychological state. This study will allow us to look ahead to new aspects of the effect of GR, for example a potential cumulative effect with exercise.

Results

Physical load and psychological measures

Physical load and psychological measures for each experimental condition for all participants are shown in Table 1. Paired t tests were conducted over condition (WM, GR). We confirmed that there were no differences in HR between conditions (t(48) = − 0.983, P = 0.33). GR elicited significantly higher scores compared to WM in these items: “Good nori” (t(50) = − 11.99, P < 0.001), “Wanting to move to the music” (t(50) = − 9.17, P < 0.001), “Feeling like my body is resonating with the rhythm” (t(50) = − 5.62, P < 0.001), “Having fun” (t(50) = − 11.62, P < 0.001), “Excited” (t(50) = − 9.00, P < 0.001), and “Feeling clear-headed” (t(50) = − 4.16, P < 0.001). WM elicited significantly higher scores compared to GR in these items: “Struggling to synchronize with the beat” (t(50) = 4.35, P < 0.001), “Bored” (t(50) = 10.73, P < 0.001), “Wanting to stop listening” (t(50) = 6.48, P < 0.001), and “Feeling discomfort” (t(50) = 5.18, P < 0.001).

Table 1 Summary of results for physical load and psychological measures for all participants. Data are presented as mean (SD).

Stroop task performance and l-DLPFC activity

We confirmed whether the Stroop interference could be observed in this experiment (Fig. 1A-C). Reaction time (RT) and error rate (ER) were subjected to a repeated measures three-way ANOVA with task condition (Neutral, Incongruent), experimental condition (GR, WM), and time (Pre, Post) being within-subject factors. The ANOVA for RT and ER exhibited significant main effects of task condition (F(1,50) = 210.06, P < 0.001, Fig. 1A, F (1,50) = 40.15, P < 0.001, Fig. 1B, respectively). We confirmed that the incongruent condition was more difficult than the neutral condition, and Stroop interference occurred in the present study. In the same way, for fNIRS data, l-DLPFC activity exhibited significant main effects of task condition: l-DLPFC oxy-Hb change during the incongruent condition was significantly larger than that during the neutral condition (F(1,50) = 14.80, P < 0.001, Fig. 1C).

Figure 1
figure 1

(A) Reaction time (RT) of neutral and incongruent conditions of the Stroop task. (B) Error rate (ER) of neutral and incongruent conditions of the Stroop task. (C) l-DLPFC oxy-Hb for neutral and incongruent conditions. Slower RT and higher ER in the incongruent condition exhibited significant Stroop interference effects. (D) Stroop interference against RT for the Stroop task. The repeated measures two-way ANOVA revealed no significant differences. (E) Stroop interference against l-DLPFC oxy-Hb. The repeated measures two-way ANOVA revealed no significant differences. Values are represented as box plots where the bottom, middle, and top lines of the boxes are the 25th, 50th (median), and 75th percentiles, respectively, and the whiskers above and below each box indicate the most extreme point within 1.5 times the interquartile range. The points above or below the whiskers represent outliers. ***P < 0.001.

Stroop RTneutral, RTincongruent, RTinterference, l-DLPFC oxy-Hbneutral, l-DLPFC oxy-Hbincongruent, and l-DLPFC oxy-Hbinterference were subjected to repeated measures two-way ANOVA with condition (WM, GR) and time (Pre, Post) as within-subject factors (Fig. 1D, E). For Stroop RTneutral, RTincongruent, there was a main effect of time. Both Stroop RTneutral and RTincongruent were shorter for post-task than for pre-task (F(1,50) = 25.02, P < 0.001 and F(1,50) = 15.18, P < 0.001, respectively). There was no significant change of RTinterference (F(1,50) = 1.33, P = 0.25), l-DLPFC oxy-Hbneutral (F(1,50) = 0.89, P = 0.34), l-DLPFC oxy-Hbincongruent (F(1,50) = 0.78, P = 0.37), or l-DLPFC oxy-Hbinterference (F(1,50) = 0, P = 0.99) before or after listening for either of the GR or WM conditions.

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