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.

Showing posts with label music training. Show all posts
Showing posts with label music training. Show all posts

Sunday, August 3, 2025

Playing Music Tied to Better Cognition in Later Life

 Your competent doctor needs to get you 100% recovered for you to play or sing. And of course, have music therapy for you immediately post stroke. Oh NO, No music therapy? HOW FUCKING INCOMPETENT? CAN YOUR DOCTOR BE AND STILL BE EMPLOYED?

Playing Music Tied to Better Cognition in Later Life

TOPLINE:

Playing a musical instrument is associated with better working memory and executive function, and singing in a group is associated with better executive function, new study results showed.

METHODOLOGY:

This was a nested study within PROTECT-UK, a longitudinal cohort study designed to examine aging and brain health. Participants completed three tests for working memory and one for executive function up to three times a year between 2019 and 2022.A group of 1107 participants (83% female; mean age 68 years) completed the Edinburgh Lifetime Musical Experience Questionnaire, which posed questions about playing musical instruments, singing, listening to music, and self-reported musical ability. Participants were split into two groups, namely, those who reported singing or playing a musical instrument (89%) or not (11%), and compared.

TAKEAWAY:

Participants who reported playing a musical instrument performed significantly better on working memory (P< .0001) and executive function tasks (P < .0005) than those who didn't play an instrument.The effect on working memory was the most heightened in those who reported playing keyboard (P < .0001), while those who played a woodwind instrument (P < .04) and/or sang (P < .014) showed significantly better performance on the executive function task. Nearly 90% of the sample had experience playing a musical instrument, with 44% playing currently. The majority of participants reported playing either one (28%) or two (23%) instruments.

IN PRACTICE:

Public health interventions might promote dementia risk reduction by incorporating music into programming, the authors concluded. "There is considerable evidence for the benefit of music group activities for individuals with dementia, and this approach could be extended as part of a health aging package for healthy older adults to enable them to proactively reduce their risk and to promote brain health," they wrote.

SOURCE:

Gaia Vetere, MD, of the University of Exeter in Exeter, England, led the study, which was published online on January 28, 2024, in the International Journal of Geriatric Psychiatry

LIMITATIONS:

The data were self-reported so may be subject to bias, and the size of the comparison group (those who didn't play an instrument or sing) was much smaller.

DISCLOSURES:

The study was funded by the National Institute for Health and Care Research Exeter Biomedical Research Centre. Disclosures were noted in the original article.

Thursday, August 3, 2023

Short-Term Music Training Enhances Verbal Intelligence and Executive Function

Ask your doctor if this will help recover your  5 lost cognitive years from your stroke.

Will your doctor and hospital have enough functioning brain cells to ensure followup testing occurs on stroke survivors?

Do you prefer your doctor and hospital incompetence NOT KNOWING? OR NOT DOING anything on this?

Short-Term Music Training Enhances Verbal Intelligence and Executive Function

Abstract

Researchers have designed training methods that can be used to improve mental health and to test the efficacy of education programs. However, few studies have demonstrated broad transfer from such training to performance on untrained cognitive activities. Here we report the effects of two interactive computerized training programs developed for preschool children: one for music and one for visual art. After only 20 days of training, only children in the music group exhibited enhanced performance on a measure of verbal intelligence, with 90% of the sample showing this improvement. These improvements in verbal intelligence were positively correlated with changes in functional brain plasticity during an executive-function task. Our findings demonstrate that transfer of a high-level cognitive skill is possible in early childhood.

Get full access to this article

Wednesday, July 5, 2023

Why music training slows cognitive aging from Deric Bownds

 Will your doctor prescribe this to counteract your lost 5 cognitive years from your stroke?

What EXACT PROTOCOL  does your doctor have to recover those 5 years? NOTHING? Then you don't have a functioning stroke doctor or hospital. 

RUN AWAY!

Why music training slows cognitive aging

A team of Chinese collaborators has reported experiments in the Oxford academic journal Cerebral Cortex titled "Functional gradients in prefrontal regions and somatomotor networks reflect the effect of music training experience on cognitive aging" which are stated to show that music training enhances the functional separation between regions across prefrontal and somatomotor networks, delaying deterioration in working memory performance and prefrontal suppression of prominant but irrelevant information. I'm passing on the abstract and a clip from the paper's conclusion, and can send interested readers the whole article. I think it is an important article but I find it is rendered almost unintelligble by Chinese to English translation issues. I'm surprised the journal let this article appear without further editing.
Studies showed that the top-down control of the prefrontal cortex (PFC) on sensory/motor cortices changes during cognitive aging. Although music training has demonstrated efficacy on cognitive aging, its brain mechanism is still far from clear. Current music intervention studies have paid insufficient attention to the relationship between PFC and sensory regions. Functional gradient provides a new perspective that allows researchers to understand network spatial relationships, which helps study the mechanism of music training that affects cognitive aging. In this work, we estimated the functional gradients in four groups, young musicians, young control, older musicians, and older control. We found that cognitive aging leads to gradient compression. Compared with young subjects, older subjects presented lower and higher principal gradient scores in the right dorsal and medial prefrontal and the bilateral somatomotor regions, respectively. Meanwhile, by comparing older control and musicians, we found a mitigating effect of music training on gradient compression. Furthermore, we revealed that the connectivity transitions between prefrontal and somatomotor regions at short functional distances are a potential mechanism for music to intervene in cognitive aging. This work contributes to understanding the neuroplasticity of music training on cognitive aging.
From the conclusion paragraph:
In a nutshell, we demonstrate the top-down control of prefrontal regions to the somatomotor network, which is associated with inhibitory function and represents a potential marker of cognitive aging, and reveal that music training may work by affecting the connectivity between the two regions. Although this work has investigated the neuroplasticity of music on cognitive aging by recruiting subjects of different age spans, the present study did not include the study of longitudinal changes of the same group. Further studies should include longitudinal follow-up of the same groups over time to more accurately evaluate the effect of music intervention on the process of cognitive aging.

Monday, September 26, 2022

Orlando stroke patients tune into music during recovery

Subscriber only, but why does this hospital have music therapy and your incompetent hospital doesn't? 

Does your hospital or doctor have ANY PROTOCOL  on music for your rehab?

 

Why not?

Your doctors' and hospitals' reasons for doing nothing? There is absolutely no excuse for doing nothing.

Laziness? Incompetence? Or just don't care? No leadership? No strategy? Not my job? Not my Problem?

The below is available thru my library.

Cognitive Benefits of Musical Training

Film

Originally produced by The Great Courses in 2015.
Summary Probe the ongoing research into the effects of musical training on the microstructure of the brain, which points to cognitive benefits in areas such as speech processing. Focus on how learning to play a musical instrument influences language acquisition and reading ability in children..

The latest here:

Orlando stroke patients tune into music during recovery

Pictures: Orlando stroke patients tune in with U.K.’s Royal Philharmonic Orchestra

 

Wednesday, August 31, 2022

Cognitive Benefits of Musical Training

Does your doctor have ANY PROTOCOL  on music for your rehab?

 

Why not?

Your doctors' reasons for doing nothing? There is absolutely no excuse for doing nothing.

Laziness? Incompetence? Or just don't care? No leadership? No strategy? Not my job? Not my Problem?

The below is available thru my library.

Cognitive Benefits of Musical Training

Film

Originally produced by The Great Courses in 2015.
Summary Probe the ongoing research into the effects of musical training on the microstructure of the brain, which points to cognitive benefits in areas such as speech processing. Focus on how learning to play a musical instrument influences language acquisition and reading ability in children..
Technical Details Mode of access: World Wide Web.
Language In English
Description 1 online resource (streaming video file) (30 minutes): digital, .flv file, sound
Time 003000
Publisher # 1168201 Kanopy
 

Tuesday, March 30, 2021

How Musical Training Shapes the Adult Brain: Predispositions and Neuroplasticity

 If your doctor hasn't been prescribing music and music training for a decade then s/he is hopeless and this research wouldn't help. 

How Musical Training Shapes the Adult Brain: Predispositions and Neuroplasticity

  • 1Laboratory of Brain Imaging, Nencki Institute of Experimental Biology of the Polish Academy of Sciences, Warsaw, Poland
  • 2Laboratory of Language Neurobiology, Nencki Institute of Experimental Biology of the Polish Academy of Sciences, Warsaw, Poland

Learning to play a musical instrument is a complex task that integrates multiple sensory modalities and higher-order cognitive functions. Therefore, musical training is considered a useful framework for the research on training-induced neuroplasticity. However, the classical nature-or-nurture question remains, whether the differences observed between musicians and non-musicians are due to predispositions or result from the training itself. Here we present a review of recent publications with strong focus on experimental designs to better understand both brain reorganization and the neuronal markers of predispositions when learning to play a musical instrument. Cross-sectional studies identified structural and functional differences between the brains of musicians and non-musicians, especially in regions related to motor control and auditory processing. A few longitudinal studies showed functional changes related to training while listening to and producing music, in the motor network and its connectivity with the auditory system, in line with the outcomes of cross-sectional studies. Parallel changes within the motor system and between the motor and auditory systems were revealed for structural connectivity. In addition, potential predictors of musical learning success were found including increased brain activation in the auditory and motor systems during listening, the microstructure of the arcuate fasciculus, and the functional connectivity between the auditory and the motor systems. We show that “the musical brain” is a product of both the natural human neurodiversity and the training practice.

Introduction: What is Neuroplasticity? Why is it so Important to Study it?

The constantly changing environment, the drive for new knowledge and skills, all require behavioral flexibility. The brain, as the source of behavior, adapts its architecture and functions to perform new tasks through processes broadly defined as neuroplasticity. These processes include, among others, dynamic reconfiguration of neural connections, cell shape, size, myelination, synaptic strength and neurogenesis, the last one limited to the olfactory bulb and the hippocampus in adults (Tardif et al., 2016). In human neuroimaging studies, it is possible to indirectly measure macroscopic effects of the neuroplastic biological dynamics via functional and structural modalities (for the overview of the relationship between macroscopic measures and the underlying biology, see Tardif et al., 2016). Although usually measured separately, functional and structural neuroplasticity reflect various aspects of the same neuroplastic processes and are thus inherently intertwined in a complex manner.

We currently understand that the human brain is not shaped exclusively during critical periods of development. Neuroplastic changes occur in response to internal and external stimuli throughout the entire lifetime (Draganski and May, 2008). From a social perspective, neuroplasticity processes underlie such phenomena as education, neurological rehabilitation, or healthy aging.

Musical Training as a Framework for Studying Brain Plasticity

Generally, in studies on neuroplasticity, two questions arise: what are the structural and functional changes related to a particular behavioral need, and how do they occur over time. To effectively answer these questions, we first need to elicit a novel behavior. There is a wide spectrum of learning protocols which were employed so far to understand neuroplasticity. Simple ones engage only a single sensory modality, like auditory (Zatorre et al., 2012) or tactile (Hodzic, 2004). More complex ones utilize sensorimotor associations and higher-order cognitive functions tasks, like the acquisition of foreign languages or tactile reading (Li et al., 2014; Siuda-Krzywicka et al., 2016). The complexity of music performance requires a unique and multi-system involvement from the human brain (Münte et al., 2002; Herholz and Zatorre, 2012; Schlaug, 2015). Playing a musical instrument requires sensorimotor adaptations, as with the use of any tool, and more: a mapping of specific movements to the auditorily perceived outcomes, which follow a set of more or less intuitively understood rules of musical harmony, esthetics and pleasure. It comprises both feed-forward and feedback interactions between the integrated multisensory input (tactile, proprioceptive, auditory, and visual) with motor output, as well as higher-order cognitive functions such as memory, attention, emotion, and the processing of musical syntax (Zatorre et al., 2007; Brown et al., 2015). Additionally, as rewarding stimuli are learned better than non-rewarding ones (Schultz, 2000), it is likely that the highly rewarding nature of musical performance promotes learning and drives brain plasticity (Penhune, 2019). Therefore, learning to play a musical instrument provides a useful framework to study multimodal brain plasticity.

Secondly, the changes in brain structure and function have to be sampled frequently enough to capture the dynamics of the neuroplastic processes. Brain volume changes do not relate to practice in a monotonically increasing way (Lövdén et al., 2013; Wenger et al., 2017). Yet, we observe continuous behavioral improvement and the extent of behavioral and plastic changes correlate with training duration. The proposed model of neuroplasticity includes a period of initial growth, after which comes a renormalization phase, when the efficiency of brain circuits increases while cortical volume does not (Wenger et al., 2017). From a functional perspective, plastic changes can be reflected in increased functional activation of a brain area related to a function, its expansion on neighboring areas, or an involvement of novel, often distant, areas. Interestingly, cortical map plasticity may also follow a comparable pattern of expansion followed by retraction to pre-training levels during learning as seen in structural changes (for review see Wenger et al., 2017). Therefore, the functional (and structural) expansion temporarily increases the available pool of circuits to be used “exploratively” until the most efficient circuit to perform the task is determined. As learning continues, the selected circuitry is further stabilized through practice, the performance increasingly relies on that circuit and thus the cortical map renormalizes (Wenger et al., 2017).

Two experimental approaches are typically employed in cognitive neuroscience to understand brain reorganization following training, namely the cross-sectional and the longitudinal design. Comparing musically naive and proficient individuals in cross-sectional studies can provide important insights into the neuroplasticity of the human brain (Münte et al., 2002). Musicians practice musical performance regularly for most of their lives, often starting in early childhood and practising for many years. Juxtaposing musicians and non-musicians can show changes associated with very long training. However, while it might be tempting, the causal relationship between musical training and the observed differences cannot be inferred from correlational studies (Schellenberg, 2019). The cross-sectional study design does not reveal the time course of the plastic changes nor does it correct for any possible predispositions. To infer causality, a theoretical model needs to be constructed and validated against properly designed longitudinal studies. Longitudinal studies can account for the interindividual variability pre-training, but are costly, with costs increasing with the duration of the experiments.

Finally, advances in non-invasive neuroimaging methods gave scientists specific tools to non-invasively study brain plasticity in living humans. Structural and functional neuroimaging techniques were used to compare brain anatomy and function between groups of musicians and non-musicians, and, more recently, to study the plastic changes related to musical training in longitudinal studies.

This review aims to present the newest evidence for experience-related neuroplasticity in the context of musical training in adults, concentrating on neuroimaging and with an emphasis on longitudinal studies. Since the scope of this review is limited, and the focus is on musical training as a model for studying brain plasticity in neurotypical adults, studies of complex developmental and aging-related changes are not discussed. We particularly focus on experimental designs in order to better understand both brain reorganization and the neuronal markers of predispositions when learning to play a musical instrument. Since we include studies which use a multitude of functional as well as structural neuroimaging techniques, we also provided a brief overview of such methods highlighting the advantages and disadvantages of each method for neuroplasticity research (Table 1).

More at link.