Clinically Designed Improvisatory Music (CDIM) is a form of improvised music based on calm-inducing sound parameters which brought relief to our cohort of neurology patients. As a direct sound-based approach, CDIM does not rely on autobiographical memory and may have wider applicability and generalizability. We wish to examine if CDIM decreases anxiety in 15 cognitively healthy individuals and 15 Alzheimer Disease patients with anxiety (AD-A).
The goal of this study is to identify the neural mechanisms of induced calmness through live clinically designed improvisatory music (CDIM) in cognitively healthy individuals and persons with Alzheimer's dementia suffering from agitation. This study is novel as most music interventions for dementia use familiar music and the underlying neural mechanism of calmness induced by music is not well known. We plan to investigate changes in 3 major large-scale brain networks using functional magnetic resonance imaging (fMRI). The major questions we plan to answer are as follows: 1. How does improvisatory music change the connectivity within brain emotion related networks in neurotypical individuals? 2. Does improvisatory music induce a state of calmness in individuals with Alzheimer's dementia and how? Based on objective evidence provided by this study we can justify further usage of music for patients with Alzheimer's, in particular, in the form of improvisation.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
30
Clinically Designed Improvisatory Music (CDIM) is a form of improvised music based on calm-inducing sound parameters which brought relief to our cohort of neurology patients.
Mesulam Center for Cognitive Neurology and Alzheimer's Disease
Chicago, Illinois, United States
Change in Neuropsychiatric Inventory (NPI) [NPI-1: pre-intervention; NPI-2: post-intervention]
Change in NPI (NPI-2 minus NPI-1)
Time frame: Through study completion (3 years)
Change in Beck Anxiety Inventory [BAI-1: pre-intervention; BAI-2: post-intervention]
Change in BAI (BAI-2 minus BAI-1)
Time frame: Through study completion (3 years)
Change in Systolic Blood Pressure [SBP-1: pre-intervention; SBP-2: post-intervention]
Change in SBP (SBP-2 minus SBP-1)
Time frame: Through study completion (3 years)
Change in Heart rate [HR-1: pre-intervention; HR-2: post-intervention]
Change in HR (HR-2 minus HR-1)
Time frame: Through study completion (3 years)
Change Respiratory Rate [RR-1: pre-intervention; RR-2: post-intervention]
Change in RR (RR-2 minus RR-1)
Time frame: Through study completion (3 years)
Change in Skin conductance [SC-1: pre-intervention; SC-2: post-intervention]
Change in SC (SC-2 minus SC-1)
Time frame: Through study completion (3 years)
Change in Resting state functional connectivity MRI
Functional Connectivity within three resting state networks: Change in Default Network (DN), Change in Salience Network (SN), and Change in Reward Network (RN).
Time frame: Through study completion (3 years)
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