阿尔茨海默病患者脑叶的音乐参与研究(旋律):一项随机对照试验。

IF 4.3 2区 医学 Q1 GERIATRICS & GERONTOLOGY
Jacobo Mintzer, Rebecca Long, Arianne Fritts, Jane Joseph, Paul J Nietert, Noam Calev, Olga Brawman-Mintzer
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引用次数: 0

摘要

目的:本研究评估了音乐暴露对中重度阿尔茨海默病(AD)受试者的整体临床影响、觉醒和大脑网络连接的影响。设计:这是一项先导、对照、单盲、随机、交叉研究。环境:大学医院门诊部和影像中心以及退伍军人管理局研究机构。参与者:10名年龄在55岁至90岁之间,患有中度至重度AD,迷你精神状态检查(MMSE)评分为5-20分,无痴呆神经精神症状的参与者被纳入研究。干预:参与者同时听自己喜欢的音乐(PM)和自然的声音(NS)。随机化程序用于确定在第一次访问时通过耳罩式耳机进行PM或NS的分配顺序。大约一周后进行的第二次访问与第一次访问相同,但最初接触PM的参与者暴露于NS,反之亦然。测量方法:阿尔茨海默病合作研究临床总体印象变化(ADCS-CGIC)的改进版本是主要的结果测量方法,功能磁共振成像(fMRI)扫描用于评估大脑网络连接。结果:在主要结果测量和次要结果测量中,对音乐刺激有临床和统计学上显著的积极反应,并且当个体暴露于PM和NS时,大脑网络连接有明显的差异。fMRI显示,临床变化与大脑网络连接变化之间也存在很强的相关性。结论:音乐有可能被用作一种非侵入性方法来刺激具有严重认知功能障碍的个体的大脑。试验注册:该试验由Jacobo Mintzer, MD, MBA在ClinicalTrials.gov (ID: NCT05309369)注册。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Musical Engagement of brain LObes in Alzheimer's Disease patients study (MELODY): A randomized controlled trial.

Objectives: This study evaluated the effect of music exposure on global clinical impact, arousal, and brain network connectivity in subjects with moderate to severe Alzheimer's disease (AD).

Design: This was a pilot, controlled, single-blind, randomized, cross-over study.

Setting: The University Hospital Outpatient Clinic and Imaging Center and the Veterans Administration Research Facility.

Participants: Ten participants aged between 55 and 90 years with moderate to severe AD, a Mini-Mental State Examination (MMSE) score of 5-20, and without neuropsychiatric symptoms of dementia were enrolled in the study.

Intervention: Participants were exposed to both preferred music (PM) and nature sounds (NS). A randomization program was used to determine assignment order for either PM or NS to be delivered via over-ear headphones at Visit 1. Visit 2, which occurred approximately one week later, was identical to Visit 1, but the participants who were originally exposed to PM were exposed to NS and vice versa.

Measurements: A modified version of the Alzheimer's Disease Cooperative Study Clinical Global Impression of Change (ADCS-CGIC) was the primary outcome measure and functional magnetic resonance imaging (fMRI) scans were used to evaluate brain network connectivity.

Results: There was a clinically and statistically significant positive response to music stimulation in the primary outcome measure and in the secondary outcome measure, as well as a clear differentiation in brain network connectivity when individuals were exposed to PM versus NS. There was also a strong correlation between clinical changes and brain network connectivity changes as documented by fMRI.

Conclusions: Music has the potential to be utilized as a non-invasive method to stimulate the brain of individuals with severe cognitive impairment in key functions TRIAL REGISTRATION: The trial was registered in ClinicalTrials.gov (ID: NCT05309369) by Jacobo Mintzer, MD, MBA.

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来源期刊
International psychogeriatrics
International psychogeriatrics 医学-精神病学
CiteScore
9.10
自引率
8.60%
发文量
217
审稿时长
3-6 weeks
期刊介绍: A highly respected, multidisciplinary journal, International Psychogeriatrics publishes high quality original research papers in the field of psychogeriatrics. The journal aims to be the leading peer reviewed journal dealing with all aspects of the mental health of older people throughout the world. Circulated to over 1,000 members of the International Psychogeriatric Association, International Psychogeriatrics also features important editorials, provocative debates, literature reviews, book reviews and letters to the editor.
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