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Temporal changes in electroencephalographic power spectrum on passive listening to three selected melodic scales of Indian music on healthy young individuals - a randomized controlled trial 健康年轻人被动聆听三种选定的印度音乐旋律音阶时脑电图功率谱的时间变化——一项随机对照试验
Pub Date : 2022-01-31 DOI: 10.47513/mmd.v14i1.831
K. Kunikullaya U, A. Sasidharan, Rakshith Srinivasa, Jaisri Goturu, N. S. Murthy
Music is said to affect the brain in different ways. To the best of our knowledge, research works on the effect of passive listening to different melodic scales of Indian music on Electroencephalogram (EEG) power spectrum is rare to find. In this randomized control trial, 137 healthy subjects were randomly divided into 4 groups (A to D, n~32 in each group), of which A (raga Ahir Bhairav), B (raga Kaunsi Kanada), C (raga Bhimpalas) received music intervention while group D was the control arm. Nineteen channel scalp EEG was recorded for 30 minutes [10 min for each condition, before (BI), during (DI) and after intervention (AI)] and conducted power spectral analysis of waveforms in standard frequency bands. Two-way ANOVA was performed across conditions and groups, to determine the scalp regions showing significant changes, for each frequency band separately. Across conditions, significant change in BI alpha and AI theta, beta1, beta2 bands, while between groups, group B had significant change in alpha and group C in beta1 power, mostly involving frontal regions was seen. Mid Frontal PSA exhibited an increased theta power in group C and D (AI), while alpha and beta1 power increased in group B and C (in group C, beta2 increased significantly). Temporal trend analysis (2-minute segments), showed that there was a significant fall in frontal alpha DI in group B; while in A, C and D groups, the drop seen BI reduced DI and AI. Similarly, the beta1 drop reduced DI and AI in group C and D, while it increased in group B (DI) and group A (AI). Music caused relaxation effect with scales B and C causing maximal effect. In line with existing literature, it may be concluded that listening to these melodic scales was associated with mind wandering effect and probable visual imagery/recall.
据说音乐以不同的方式影响大脑。就我们所知,关于被动聆听不同音阶的印度音乐对脑电图功率谱影响的研究尚不多见。本随机对照试验将137名健康受试者随机分为4组(A ~ D,每组n~32人),其中A组(raga Ahir Bhairav)、B组(raga Kaunsi Kanada)、C组(raga bimpalas)接受音乐干预,D组为对照组。记录19个通道30分钟的头皮脑电图[每种情况各10分钟,BI前、DI中、AI后],在标准频段对波形进行功率谱分析。在不同条件和组之间进行双向方差分析,以确定每个频段分别显示显着变化的头皮区域。在不同条件下,BI α和AI θ、β a1、β a2波段发生显著变化,而在组间,B组α和C组β a1功率发生显著变化,主要累及额叶区。中额区PSA在C组和D组(AI)表现出theta功率增加,而在B组和C组α和β a1功率增加(C组β 2显著增加)。时间趋势分析(2分钟片段)显示,B组脑额区α - DI明显下降;而在A、C和D组中,BI降低了DI和AI。C组和D组β 1水平降低,DI和AI水平降低,B组(DI)和A组(AI) β 1水平升高。音乐产生放松效果,其中B、C音阶效果最大。根据现有文献,我们可以得出这样的结论:听这些旋律音阶与走神效应和可能的视觉意象/回忆有关。
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引用次数: 2
review of the use of music therapy in the treatment of migraine 音乐疗法在偏头痛治疗中的应用综述
Pub Date : 2022-01-31 DOI: 10.47513/mmd.v14i1.842
Suzanne Hall, Hope L. O’Brien
Background:  Migraine is a common debilitating disorder that is undertreated. Music therapy has been used successfully in pain disorders in the past. The paper is intended to provide a systemic review on the state of research specific to music therapy and migraine headache.  Methods:  Manual search engines of university libraries that includes PubMed Cochrane review, ClinicalTrials.gov were used.  Inclusion criteria were subjects with migraine undergoing music therapy and peer reviewed articles published in English language between January 1980 and July 2021.    Results: Out of 728 search results, 4 met inclusion criteria.  The outcomes regarding the effects of music therapy on patients with migraine were inconsistent.  Conclusions: Further studies are needed to evaluate the effects of music therapy on migraine headaches.
背景:偏头痛是一种常见的衰弱性疾病,治疗不足。过去,音乐疗法在治疗疼痛障碍方面取得了成功。本文旨在对音乐治疗与偏头痛的研究现状进行系统综述。方法:使用PubMed Cochrane review、ClinicalTrials.gov等大学图书馆人工搜索引擎。纳入标准是接受音乐治疗的偏头痛患者和1980年1月至2021年7月间以英语发表的同行评议文章。结果:在728个搜索结果中,4个符合纳入标准。关于音乐治疗对偏头痛患者的影响的结果不一致。结论:音乐疗法对偏头痛的治疗效果有待进一步研究。
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引用次数: 0
The effect of music on sleep 音乐对睡眠的影响
Pub Date : 2022-01-31 DOI: 10.47513/mmd.v14i1.808
Ashley Nicole Sluss, Laura Beer, Soo-Jin Kwoun
Sleep is essential to human survival, yet issues with getting restful, consistent sleep is a common problem. One in three adults do not get the recommended amount of sleep1, creating myriad issues, from physical illness to mental and cognitive disorders, poor work attendance, and disruptions in daily life.2 Traumatic experiences that occur early in life can have life long health implications, including sleep disorders and insufficient sleep.3 With the advent of COVID-19, people in the United States and across the world were forced to quarantine themselves, thereby disturbing previously established norms of behavior, daily engagement with others, and sleeping habits. Being able to rejuvenate the physical, emotional, and mental state through sleep became more important yet also more difficult amidst the stresses of the pandemic.4Healthcare professionals are seeking alternate patient treatment forms regarding healthy sleeping patterns. Music is one solution to this ongoing problem because it is easily accessible, can be personalized to individual tastes, is cost effective, cost avoidant, and lacking in serious side effects. The focus of this article is to explain how music impacts sleep, sleep disorders, and to offer suggestions to optimize sleeping patterns through the conscientious application of music and music therapy.             Keywords: sleep, music, health, sleep disorders, pandemic, music therapy  
睡眠对人类的生存至关重要,然而获得宁静、持续的睡眠是一个普遍的问题。三分之一的成年人没有达到建议的睡眠量,从而产生了各种各样的问题,从身体疾病到精神和认知障碍,工作出勤率低,以及日常生活的中断生命早期发生的创伤经历可能对健康产生终身影响,包括睡眠障碍和睡眠不足随着COVID-19的出现,美国和世界各地的人们被迫自我隔离,从而扰乱了以前建立的行为规范、日常交往和睡眠习惯。在大流行的压力下,能够通过睡眠恢复身体、情绪和精神状态变得更加重要,但也更加困难。医疗保健专业人员正在寻找关于健康睡眠模式的替代患者治疗形式。音乐是解决这一持续问题的一种方法,因为它容易获得,可以根据个人口味进行个性化,具有成本效益,避免成本,并且没有严重的副作用。本文的重点是解释音乐如何影响睡眠,睡眠障碍,并提供建议,以优化睡眠模式,通过认真应用音乐和音乐治疗。关键词:睡眠,音乐,健康,睡眠障碍,流行病,音乐治疗
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引用次数: 1
Trauma treatment in music therapy with veterans and military service members 退伍军人和军人音乐治疗中的创伤治疗
Pub Date : 2022-01-31 DOI: 10.47513/mmd.v14i1.840
Kristen Stewart
The use of music therapy intervention in the treatment of trauma and posttraumatic stress disorder for veterans and military service men and women has received increasing attention in the literature in recent years. The purpose of this paper is to identify primary music therapy techniques utilized in the treatment of trauma and PTSD to best meet the broad and complex needs of veterans and military service members. To continue development of high-quality music therapy treatment standards for services provided this vulnerable population, clinical rationales and theoretical foundations have also been explored. As such, three research questions have been posed for this investigation. These questions were designed with the intention of confirming treatment efficacy and reliability and re-emphasizing the importance of understanding the theoretical underpinnings necessary to inform and validate a trauma-informed music therapy practice. Research questions for this analysis are stated as: (a) What are the primary music therapy techniques utilized in the treatment of trauma and PTSD with veterans and military service members?, (b) Is justification or rationale offered for the use of these identified music therapy interventions?, and (c) Are music, therapy, music therapy and/or trauma theory(ies) identified as informing the rationale(s) for the chosen music therapy interventions used with this treatment population?
近年来,使用音乐疗法干预治疗退伍军人和军人的创伤和创伤后应激障碍在文献中受到越来越多的关注。本文的目的是确定用于创伤和创伤后应激障碍治疗的主要音乐治疗技术,以最好地满足退伍军人和军人广泛而复杂的需求。为了继续发展高质量的音乐治疗标准,为这些弱势群体提供服务,临床理由和理论基础也进行了探索。因此,本研究提出了三个研究问题。设计这些问题的目的是为了确认治疗的有效性和可靠性,并再次强调理解必要的理论基础的重要性,以告知和验证创伤知情音乐治疗实践。本分析的研究问题如下:(a)在治疗退伍军人和军人的创伤和创伤后应激障碍中使用的主要音乐治疗技术是什么?(b)是否提供了使用这些确定的音乐治疗干预措施的理由或理由?(c)音乐、治疗、音乐治疗和/或创伤理论是否被确定为该治疗人群所选择的音乐治疗干预措施的基本原理?
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引用次数: 0
At the turn of a year-a continuing pandemic 在一年之交,持续的大流行
Pub Date : 2022-01-31 DOI: 10.47513/mmd.v14i1.867
R. Spintge, J. Loewy
The world seems to turn around faster and faster as we are approaching the third pandemic year, and at the same time many people around the world are seeming to show less control of their life. Pandemia alone, however, is only one part of our major global problems...
随着我们即将进入第三个大流行年,世界似乎变得越来越快,与此同时,世界各地的许多人似乎对自己的生活失去了控制。然而,大流行病本身只是我们重大全球问题的一部分。
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引用次数: 1
Have COVID norms changed how people communicate? COVID规范是否改变了人们的沟通方式?
Pub Date : 2021-10-25 DOI: 10.47513/mmd.v13i4.854
J. Loewy, R. Spintge
At a neighborhood picnic get-together last weekend, I spotted a crying baby in her mother’s arms. Her mother was bouncing her 20-month, year-old precious one, gently, up and down, inserting some sways- seemingly unbothered, but all the while wishing her baby would settle...
在上周末的一次社区野餐聚会上,我看到一个在她妈妈怀里哭泣的婴儿。她的妈妈正轻轻地上下颠着她20个月大的宝贝宝宝,轻轻地上下颠着,插入一些摇晃——看起来毫不在意,但一直希望她的宝宝能安静下来……
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引用次数: 0
The impact of music therapy in late-moderate premature infants, on their parents and their environment, in a Spanish neonatal intermediate care unit. 音乐治疗对中晚期早产儿的影响,对他们的父母和他们的环境,在西班牙新生儿中级护理单位。
Pub Date : 2021-10-25 DOI: 10.47513/mmd.v13i4.764
María D. Jáñez, María Jesús Del Olmo, Cintia Rodríguez
The aim of this study is to determine whether a live music therapy session during parent holding had an effect on physiological and comfort outcomes of late-moderate preterm infants, on their parents, and on the ward environment. This is a quasi-experimental study of a cohort of 44 preterm / adult pairs exposed to a music therapy session in the first two weeks after birth. There were 3 moments of observation (before, during, and after the intervention), at which heart rate (HR), oxygen saturation (O2-sat), the infant’s behavioral-emotional activation level, and the environmental response were measured. A statistically significant increase was observed in O2-sat (p<.001) after the intervention, as well as a decrease in HR (p<.001). Personal and environmental stress was observed to decrease (p<.001). A music therapy session in the Neonatal Unit at the time of interaction between parents and premature infants was found to be useful in reducing stress and promoted a positive interaction between parents and infants.
本研究的目的是确定在父母抱着期间的现场音乐治疗是否对中晚期早产儿的生理和舒适结果,对他们的父母和病房环境有影响。这是一项准实验研究,对44对早产儿/成人在出生后的前两周接受音乐治疗。在干预前、干预中、干预后3个观察时刻,分别测量婴儿心率(HR)、血氧饱和度(O2-sat)、行为情绪激活水平和环境反应。干预后O2-sat升高(p< 0.001), HR降低(p< 0.001)。个人压力和环境压力降低(p< 0.001)。研究发现,在新生儿病房父母与早产儿互动时进行音乐治疗有助于减轻压力,促进父母与婴儿之间的积极互动。
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引用次数: 3
To the 250th birthday of Ludwig van Beethoven: How sick was the genius musician really in his life? 献给路德维希·凡·贝多芬250岁生日:这位天才音乐家一生中到底有多病?
Pub Date : 2021-10-25 DOI: 10.47513/mmd.v13i4.777
H. Trappe
Background: Ludwig van Beethoven was born 250 years ago on December 17th, 1770 in Bonn, Germany. Although he was one of the most brilliant composers of all time, his life was shaped by many illnesses. Many know that Beethoven was hard of hearing and later deaf and that he could not longer hear his own works. However, there are many diseases that were little and or not known and that still shaped his life significantly.Methods: This article reports the medical history of this artist, based on authoritative scientific sources.Results: Even when he was young, Beethoven fell ill with smallpox, which gave his face a typical appearance. Since 1804/1805 he had been unable to see properly and was wearing glasses. The first hearing disorders appeared in 1796, treatment began in 1800. From 1814, hearing loss worsened significantly. The cause of hearing disorders is still unclear. From the age of 25, there was colic, diarrhea and fever, probably caused by a chronic pancreatitis. It is certain that Beethoven suffered from hepatitis and cirrhosis of the liver, certainly significantly influenced by alcohol consumption. Liver cirrhosis and esophageal varices were the consequences, and certainly also psychological changes to his difficult personality. In 1825, there was a cough of blood, nosebleeds and ascites and until 1827, 30-40 l of ascites were punctured.. On March 26, 1827, Beethoven died in the liver coma.Conclusions: Beethoven was a brilliant musician and composer who had many illnesses in his life. Above all, his hearing impairment significantly influenced his life. He had also frequent gastroenterological diseases, especially pancreatitis, hepatitis and live cirrhosis. Alcohol certainly played an important role in his life and influenced many illnesses.
背景:250年前的1770年12月17日,路德维希·凡·贝多芬出生于德国波恩。虽然他是有史以来最杰出的作曲家之一,但他的一生受到许多疾病的影响。很多人都知道贝多芬听力不好,后来失聪,再也听不到自己的作品了。然而,有许多鲜为人知或不为人所知的疾病仍然对他的生活产生了重大影响。方法:本文根据权威的科学资料,报道该艺术家的病史。结果:贝多芬年轻时就患了天花,这使他的脸呈现出典型的样子。从1804年到1805年,他就一直戴着眼镜看不清东西。第一例听力障碍出现于1796年,治疗开始于1800年。从1814年开始,听力损失显著恶化。听力障碍的病因尚不清楚。从25岁开始,有绞痛、腹泻和发烧,可能是由慢性胰腺炎引起的。可以肯定的是,贝多芬患有肝炎和肝硬化,这无疑是受到酒精消费的显著影响。肝硬化和食道静脉曲张是其后果,当然还有他性格上的心理变化。1825年,他出现了咳血、流鼻血和腹水,直到1827年,有30- 40%的腹水被刺破。1827年3月26日,贝多芬死于肝脏昏迷。结论:贝多芬是一位杰出的音乐家和作曲家,他一生中患有许多疾病。最重要的是,他的听力障碍严重影响了他的生活。他还经常患有胃肠疾病,特别是胰腺炎、肝炎和肝硬化。酒精在他的生活中扮演了重要的角色,并导致了许多疾病。
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引用次数: 0
Hearing the Music in COVID-19’s Medically-Induced Coma: An Interview with Dr. William C. Banfield 在COVID-19医学诱导昏迷中聆听音乐:采访威廉·c·班菲尔德博士
Pub Date : 2021-10-25 DOI: 10.47513/mmd.v13i4.825
S. Hanser, William C. Banfield
In this interview of Dr. William Banfield by music therapist, Dr. Suzanne Hanser, Banfield describes his diagnosis and treatment of COVID-19. While in a medically-induced coma, Banfield heard the music that his wife brought to the hospital, and the music became a vital part of the dreams and nightmares he experienced during his 17 days in a coma (April 4-20, 2020). Dr. Banfield describes how this affected his life and shares lessons about music and meaning.
在音乐治疗师苏珊娜·汉瑟博士对威廉·班菲尔德博士的采访中,班菲尔德描述了他对COVID-19的诊断和治疗。在药物诱导的昏迷中,班菲尔德听到了他妻子带到医院的音乐,在他昏迷的17天(2020年4月4日至20日)中,音乐成为他经历的梦想和噩梦的重要组成部分。班菲尔德博士描述了这对他的生活的影响,并分享了有关音乐和意义的教训。
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引用次数: 0
A web app based-music intervention (MUSIC-CARE) reduces sedative requirement and anxiety during coronary angioplasty 基于web应用程序的音乐干预(MUSIC-CARE)可减少冠状动脉血管成形术期间的镇静需求和焦虑
Pub Date : 2021-10-25 DOI: 10.47513/mmd.v13i4.811
G. Boccara, A. Mazeraud, David Cassagnol, F. Tarragano
Coronary angiography is a procedure in which patients tend to present with a moderately high level of stress and anxiety. The present investigation sought to examine the impact of a patient controlled music listening intervention by mobile application (Music-Care) on sedative consumption as primary endpoint, and on pain, anxiety and satisfaction levels. This is a prospective non-randomized controlled clinical study. Patients scheduled to undergo coronary angioplasty under local anesthesia and sedation were recruited. A 76 patients were included, 54 were assigned under the music arm and 22 under the control arm. Medication intake during the procedure has been reported as well as anxiety as measured by numeric rating score and APAIS, pain and satisfaction scores. Music group was administered "U" sequence during the procedure. Patients under music took significantly less midazolam medication (median 1 vs 3 mg in control, p<0.01). Additionally, there was a significant difference (p<0.01) on anxiety (Mmusic = 2.9, Mcontrol = 4.2, p <0.01) but not in pain score. Almost all of the patients from the music group (98%) were satisfied (score ≥ 4) vs 91% in control group. Music-Care program application provides a 2/3 reduction in midazolam sedation during coronary angiography under local anesthesia and sedation. Furthermore, cardiologists appreciated this technique and suggested it to assist with their procedure in ambulatory practice.
冠状动脉造影是一个过程中,患者往往表现出中等水平的压力和焦虑。本研究旨在研究通过移动应用程序(music - care)对患者控制的音乐聆听干预对镇静消耗的影响,以及对疼痛、焦虑和满意度的影响。这是一项前瞻性非随机对照临床研究。计划在局部麻醉和镇静下进行冠状动脉成形术的患者被招募。76名患者被纳入研究,其中54名被分配到音乐组,22名被分配到对照组。手术期间的药物摄入和焦虑都有报告,通过数值评定评分和APAIS,疼痛和满意度评分来衡量。音乐组在手术过程中按“U”顺序进行治疗。音乐组患者服用咪达唑仑明显少于对照组(中位1 mg vs中位3 mg, p<0.01)。Mmusic = 2.9, Mcontrol = 4.2, p<0.01),而疼痛评分差异无统计学意义(p<0.01)。音乐组几乎所有患者(98%)满意(评分≥4分),对照组91%。在局部麻醉和镇静下,应用音乐护理程序可使冠状动脉造影时咪达唑仑镇静减少2/3。此外,心脏病专家赞赏这种技术,并建议它协助他们的程序在门诊实践。
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引用次数: 0
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Music and medicine
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