Turn Off the Music! Music Impairs Visual Associative Memory Performance in Older Adults

The evolution of subjective cognition after meditation training in older people: a secondary analysis of the three-arm age-well randomized controlled trial

Aging is associated with cognitive changes, even in the absence of brain pathology. This study aimed to determine if meditation training, by comparison to active and passive control groups, is linked to changes in the perception of cognitive functioning in older adults. One hundred thirty-four healthy older participants from the Age-Well Randomized Clinical Trial were included: 45 followed a meditation training, 45 a non-native language training and 44 had no intervention. Subjective cognition was assessed at baseline and following the 18-month intervention period. Perception of attentional efficiency was assessed using internal and external Attentional Style Questionnaire (ASQ) subscale scores. Perception of global cognitive capacities was measured via the total score of Cognitive Difficulties Scale (CDS). Deltas ([posttest minus pretest scores]/standard deviation at pretest) were calculated for the analyses. Generalized mixed effects models controlling for age, sex, education and baseline scores revealed that meditation training decreased the vulnerability score toward external distractors measured by the ASQ compared to non-native language training. However, no between-groups differences on ASQ internal or CDS total scores were observed. Results suggest a beneficial effect of meditation practice on perceived management of external distracting information in daily life. Meditation training may cultivate the ability to focus on specific information (e.g., breath) and ignore stimulation from other kinds of stimuli (e.g., noise).

A review of concurrent sonified biofeedback in balance and gait training

BACKGROUND

Sonified biofeedback is a subtype of auditory biofeedback that conveys biological data through specific non-verbal sounds. It can be designed to provide augmented biomechanical feedback in near-real-time when provided as "concurrent" biofeedback. As a practice that developed spanning across engineering and the arts, sonified biofeedback can extend beyond simple tones and beeps, towards more fully incorporating music in movement training. Sonified biofeedback may leverage the motivational aspects of music in movement training, the neuroplasticity benefits demonstrated from participation in music-based interventions, and neurological auditory-motor coupling, all while providing task-relevant cues to facilitate motor (re)learning. Sonified biofeedback may also provide similar benefits as rhythmic cueing (e.g., rhythmic auditory stimulation), or added benefits because sonified biofeedback does not impose a strict isochronous rhythm when it follows rhythms that are driven by outputs of the motor control system. In this review paper, the unique opportunity presented by concurrent sonified biofeedback as a movement training tool for balance and gait is introduced and discussed.

RESULTS AND DISCUSSION

This review paper brings together prior research from clinical, engineering, and artistic design sources using sonified biofeedback in balance and gait training across diverse end-users to highlight trends, reveal gaps in knowledge, and provide perspective for future work in the area. The goal was to review progress and critically assess research using sonified biofeedback during movement training for postural control or gait. 49 papers were selected based on their experimental investigation and statistical analyses of the effects of using sonified biofeedback to assist in movement training for feet-in-place balance tasks (20 papers) or gait tasks such as walking and running (29 papers). The sound design choices, experimental design features, and movement training results are summarized and reviewed. All but two studies reported at least one statistically significant positive effect of training with sonified biofeedback in biomechanical, clinical, or psychosocial measures. Conversely, only seven studies shared any negative effect on one biomechanical, clinical, or psychosocial measure (with five of these studies also reporting at least one other positive effect). After describing these encouraging findings, this review closes by sharing perspectives about future directions for designing and using sonified biofeedback in balance and gait training, and opportunities for more cohesive growth in this practice. One such suggestion is to pursue sonified designs and experimental designs that can translate to the neurorehabilitation field. This includes strategically selecting control groups and evaluation tasks to understand if improvements from training with one task transfer to additional relevant movement tasks. Additionally, it is important that future publications share details about the design processes and sound designs so researchers can more readily learn from one another.

CONCLUSIONS

Overall, this review shares the positive impact of using sonified biofeedback in balance and gait training. This review highlights the evidence of existing successes and potential for even more impactful future positive effects from using sonified biofeedback to help diverse populations with a spectrum of balance and mobility challenges and goals.

The effects of active and relaxing music on the short-term memory, attention and metabolic parameters of type 2 diabetes patients (T2DM)

Objective

Metabolic parameters and cognition are known to be impaired in diabetes, while music seems to have an impact on both. We aimed to study the effects of active and relaxing music on the short-term memory, attention and metabolic parameters of type 2 diabetes patients (T2DM).

Methods

A two-day interventional, within-subject study was carried on 89 T2DM patients treated only with metformin and 67 age- and sex-matched control. The Pieron Toulouse test and Word Recognition Test were used to evaluate attention and short-term memory. The music listened to was the Allegro, respectively the Andante parts of 2 Mozart Sonatas. Cognitive tests, blood pressure and blood glucose measurements were performed before and after each 20 minutes of music intervention.

Results

Baseline attention performance was better in the control group compared to T2DM (p<0.000). Performance improved significantly in both groups under both types of music, however the last to the first measurement difference was higher in the control group (p=0.04). Female T2DM participants had better improvement under active music (p<0.01). Short-term memory improved during active music, but this was significant only in the control group (p=0.041). Both types of music were associated with significantly lower systolic blood pressure (p=0.00), while relaxing music significantly reduced blood glucose levels (p=0.00).

Conclusion

Our study highlighted the beneficial effect of music on metabolic and cognitive parameters, however, its impact depends on the type of music listened. Furthermore, cognitive scores of T2DM, especially in men, were less influenced by music than those of the control group.

The Impact of Listening to Background Music on Inhibition Control and Prefrontal Cortical Activation in Healthy Older Adults: A Study Using Functional Near-Infrared Spectroscopy

Introduction Aging declines executive functions, including attentional function and inhibitory control, which is the ability to inhibit inappropriate or irrelevant responses. Certain types of background music are negatively correlated with cognitive function. The prefrontal network is correlated with task performance related to executive function. This study aimed to assess the impact of listening to background music on inhibition control and prefrontal cortical (PFC) activation measured using functional near-infrared spectroscopy (fNIRS) in healthy older people. Methods In total, 59 healthy volunteers, including 32 healthy older and 27 younger individuals (mean age ± standard deviation: 69 ± 7 and 32 ± 8 years, respectively), participated in this study. The participants completed the inhibition control task (the go/no-go task) and a similar task while listening to certain melodies of children's songs that are popular in Japan. Changes in cerebral blood flow in the PFC during each task were evaluated using multichannel fNIRS. The relative changes in oxygenated hemoglobin (oxy-Hb) levels during the no-go and go tasks under the music and no-music conditions were compared using a paired t-test. Among the channels with a significant difference in oxy-Hb levels during the go/no-go task between the music and no-music conditions in the older group, the correlation between changes in accuracy response and oxy-Hb levels was validated using Pearson's correlation test. Results The task accuracy was significantly reduced under the music condition compared with that under the no-music condition in the older group but not in the younger group. The accuracy reduction was significantly greater in the older group than in the younger group. In older people, the oxy-Hb levels in 20 channels located in the bilateral Broadman area (BA) 9 and BA46 in the dorsolateral prefrontal cortex and the bilateral BA10 in the frontal pole cortex significantly increased during the no-go tasks under the music condition. During the go/no-go task under the music condition, the decline in task accuracy was significantly correlated with increased oxy-Hb levels in six channels located in the bilateral BA10 in older people. Conclusion Background music induced the decline of inhibition control and increase of PFC activity in healthy older adults.

Visual sequence encoding is modulated by music schematic structure and familiarity

Music is omnipresent in daily life and may interact with critical cognitive processes including memory. Despite music's presence during diverse daily activities including studying, commuting, or working, existing literature has yielded mixed results as to whether music improves or impairs memory for information experienced in parallel. To elucidate how music memory and its predictive structure modulate the encoding of novel information, we developed a cross-modal sequence learning task during which participants acquired sequences of abstract shapes accompanied with paired music. Our goal was to investigate whether familiar and structurally regular music could provide a "temporal schema" (rooted in the organized and hierarchical structure of music) to enhance the acquisition of parallel temporally-ordered visual information. Results revealed a complex interplay between music familiarity and music structural regularity in learning paired visual sequences. Notably, compared to a control condition, listening to well-learned, regularly-structured music (music with high predictability) significantly facilitated visual sequence encoding, yielding quicker learning and retrieval speed. Conversely, learned but irregular music (where music memory violated musical syntax) significantly impaired sequence encoding. While those findings supported our mechanistic framework, intriguingly, unlearned irregular music-characterized by the lowest predictability-also demonstrated memory enhancement. In conclusion, this study demonstrates that concurrent music can modulate visual sequence learning, and the effect varies depending on the interaction between both music familiarity and regularity, offering insights into potential applications for enhancing human memory.

Background Music and Memory in Mild Cognitive Impairment: The Role of Interindividual Differences

BACKGROUND

Recent research has shown that background music may improve memory consolidation and retrieval. Nevertheless, in the clinical conditions preceding dementia such as mild cognitive impairment (MCI), there is no current evidence speaking to what effect background music during memory tasks has on impaired cognition.

OBJECTIVE

Across three experiments, we investigated if background music is able to improve memory performance, the most impacted cognitive domain in amnestic MCI.

METHODS

We tested the effect of background music by using a face recognition memory task in patients with amnestic MCI. In Experiment 1, we tested the effect of background music on memory when it was played solely during an encoding phase. In Experiment 2, we explored effects of background music when played during both encoding and recognition phases. In Experiment 3, we explored the role of musically induced arousal on memory.

RESULTS

The main finding from these three experiments was that background music played during a memory task did not improve or worsen participant performance. However, when exposed to high-arousal music, memory performance was predicted by individual mood regulation. For low-arousal music conditions, there was a negative relationship between rating scores for music pleasantness and performance on the memory task.

CONCLUSION

Our results suggest that the benefits of background music on memory in individuals with MCI are modulated by interindividual preferences towards music.

Should We Turn off the Music? Music with Lyrics Interferes with Cognitive Tasks

People often listen to music while doing cognitive tasks. Yet, whether music harms or helps performance is still debated. Here, we assessed the objective and subjective effects of music with and without lyrics on four cognitive tasks. College students completed tasks of verbal and visual memory, reading comprehension, and arithmetic under three conditions: silence, instrumental music, and music with lyrics. Participants judged their learning during and after each condition. Music with lyrics hindered verbal memory, visual memory, and reading comprehension (d ≈ -0.3), whereas its negative effect (d = -.19) on arithmetic was not credible. Instrumental music (hip-hop lo-fi) did not credibly hinder or improve performance. Participants were aware of the detrimental impact of the lyrics. Instrumental music was, however, sometimes perceived as beneficial. Our results corroborate the general distracting effect of background music. However, faulty metacognition about music's interfering effect cannot fully explain why students often listen to music while studying.

Do you listen to music while studying? A portrait of how people use music to optimize their cognitive performance

The effect of background music (BGM) on cognitive task performance is a popular topic. However, the evidence is not converging: experimental studies show mixed results depending on the task, the type of music used and individual characteristics. Here, we explored how people use BGM while optimally performing various cognitive tasks in everyday life, such as reading, writing, memorizing, and critical thinking. Specifically, the frequency of BGM usage, preferred music types, beliefs about the scientific evidence on BGM, and individual characteristics, such as age, extraversion and musical background were investigated. Although the results confirmed highly diverse strategies among individuals regarding when, how often, why and what type of BGM is used, we found several general tendencies: people tend to use less BGM when engaged in more difficult tasks, they become less critical about the type of BGM when engaged in easier tasks, and there is a negative correlation between the frequency of BGM and age, indicating that younger generations tend to use more BGM than older adults. The current and previous evidence are discussed in light of existing theories. Altogether, this study identifies essential variables to consider in future research and further forwards a theory-driven perspective in the field.

Effects of transcranial direct current stimulation combined with listening to preferred music on memory in older adults

Listening to autobiographically-salient music (i.e., music evoking personal memories from the past), and transcranial direct current stimulation (tDCS) have each been suggested to temporarily improve older adults' subsequent performance on memory tasks. Limited research has investigated the effects of combining both tDCS and music listening together on cognition. The present study examined whether anodal tDCS stimulation over the left dorsolateral prefrontal cortex (2 mA, 20 min) with concurrent listening to autobiographically-salient music amplified subsequent changes in working memory and recognition memory in older adults than either tDCS or music listening alone. In a randomized sham-controlled crossover study, 14 healthy older adults (64-81 years) participated in three neurostimulation conditions: tDCS with music listening (tDCS + Music), tDCS in silence (tDCS-only), or sham-tDCS with music listening (Sham + Music), each separated by at least a week. Working memory was assessed pre- and post-stimulation using a digit span task, and recognition memory was assessed post-stimulation using an auditory word recognition task (WRT) during which electroencephalography (EEG) was recorded. Performance on the backwards digit span showed improvement in tDCS + Music, but not in tDCS-only or Sham + Music conditions. Although no differences in behavioural performance were observed in the auditory WRT, changes in neural correlates underlying recognition memory were observed following tDCS + Music compared to Sham + Music. Findings suggest listening to autobiographically-salient music may amplify the effects of tDCS for working memory, and highlight the potential utility of neurostimulation combined with personalized music to improve cognitive performance in the aging population.

Brain networks mediating the influence of background music on selective attention

Prevalent across societies and times, music has the ability to enhance attention, a property relevant to clinical applications, but the underlying brain mechanisms remain unknown. It is also unclear whether music produces similar or differential effects with advancing age. Here, we used event-related functional magnetic resonance imaging to investigate the influence of music exposure evoking four types of emotions on distinct attentional components measured with a modified attention network test, across 19 young (21 ± 2.6) and 33 old participants (72 ± 5.4). We then determined whether music-related effects differed across age groups and whether they were associated with particular acoustic features. Background music during selective attention requiring distractor conflict resolution was associated with faster response times and greater activations of fronto-parietal areas during happy and high-arousing music, whereas sad and low-valence music was associated with slower responses and greater occipital recruitment. Shifting and altering components of attention were unaffected. The influence of music on performance and brain networks was similar between age groups. These behavioral and neuroimaging results demonstrate the importance of affective music dimensions, particularly arousal, in enhancing selective attention processes. This study adds novel support to the benefits of music in the rehabilitation of attention functions.

Temporal predictions provided by musical rhythm influence visual memory encoding

Selective attention plays a key role in determining what aspects of our environment are encoded into long-term memory. Auditory rhythms with a regular beat provide temporal expectations that entrain attention and facilitate perception of visual stimuli aligned with the beat. The current study investigated whether entrainment to background auditory rhythms also facilitates higher-level cognitive functions such as episodic memory. In a series of experiments, we manipulated temporal attention through the use of rhythmic, instrumental music. In Experiment 1A and 1B, we found that background musical rhythm influenced the encoding of visual targets into memory, evident in enhanced subsequent memory for targets that appeared in-synchrony compared to out-of-synchrony with the background beat. Response times at encoding did not differ for in-synchrony compared to out-of-synchrony stimuli, suggesting that the rhythmic modulation of memory does not simply reflect rhythmic effects on perception and action. Experiment 2 investigated whether rhythmic effects on response times emerge when task procedures more closely match prior studies that have demonstrated significant auditory entrainment effects. Responses were faster for in-synchrony compared to out-of-synchrony stimuli when participants performed a more perceptually-oriented task that did not contain intervening recognition memory tests, suggesting that rhythmic effects on perception and action depend on the nature of the task demands. Together, these results support the hypothesis that rhythmic temporal regularities provided by background music can entrain attention and influence the encoding of visual stimuli into memory.

Musical Tasks and Energetic Arousal

BACKGROUND

Music is widely recognized as a motivating stimulus. Investigators have examined the use of music to improve a variety of motivation-related outcomes; however, these studies have focused primarily on passive music listening rather than active participation in musical activities.

OBJECTIVE

To examine the influence of participation in musical tasks and unique participant characteristics on energetic arousal.

METHODS

We used a one-way Welch's ANOVA to examine the influence of musical participation (i.e., a non-musical control and four different musical task conditions) upon energetic arousal. In addition, ancillary analyses of participant characteristics including personality, age, gender, sleep, musical training, caffeine, nicotine, and alcohol revealed their possible influence upon pretest and posttest energetic arousal scores.

RESULTS

Musical participation yielded a significant relationship with energetic arousal, F(4, 55.62) = 44.38, p = .000, estimated ω2 = 0.60. Games-Howell post hoc pairwise comparisons revealed statistically significant differences between five conditions. Descriptive statistics revealed expected differences between introverts' and extraverts' energetic arousal scores at the pretest, F(1, 115) = 6.80, p = .010, partial η2= .06; however, mean differences failed to reach significance at the posttest following musical task participation. No other measured participant characteristics yielded meaningful results.

CONCLUSIONS

Passive tasks (i.e., listening to a story or song) were related to decreased energetic arousal, while active musical tasks (i.e., singing, rhythm tapping, and keyboard playing) were related to increased energetic arousal. Musical task participation appeared to have a differential effect for individuals with certain personality traits (i.e., extroverts and introverts).

Music for the ageing brain: Cognitive, emotional, social, and neural benefits of musical leisure activities in stroke and dementia

Music engages an extensive network of auditory, cognitive, motor, and emotional processing regions in the brain. Coupled with the fact that the emotional and cognitive impact of music is often well preserved in ageing and dementia, music is a powerful tool in the care and rehabilitation of many ageing-related neurological diseases. In addition to formal music therapy, there has been a growing interest in self- or caregiver-implemented musical leisure activities or hobbies as a widely applicable means to support psychological wellbeing in ageing and in neurological rehabilitation. This article reviews the currently existing evidence on the cognitive, emotional, and neural benefits of musical leisure activities in normal ageing as well as in the rehabilitation and care of two of the most common and ageing-related neurological diseases: stroke and dementia.

Cognitive, emotional, and neural benefits of musical leisure activities in aging and neurological rehabilitation: A critical review

Music has the capacity to engage auditory, cognitive, motor, and emotional functions across cortical and subcortical brain regions and is relatively preserved in aging and dementia. Thus, music is a promising tool in the rehabilitation of aging-related neurological illnesses, such as stroke and Alzheimer disease. As the population ages and the incidence and prevalence of these illnesses rapidly increases, music-based interventions that are enjoyable and effective in the everyday care of the patients are needed. In addition to formal music therapy, musical leisure activities, such as music listening and singing, which patients can do on their own or with a caregiver, are a promising way to support psychological well-being during aging and in neurological rehabilitation. This review article provides an overview of current evidence on the cognitive, emotional, and neural effects of musical leisure activities both during normal aging and in the rehabilitation and care of stroke patients and people with dementia.

The effect of background music on episodic memory and autonomic responses: listening to emotionally touching music enhances facial memory capacity

The aim of this study was to investigate how background auditory processing can affect other perceptual and cognitive processes as a function of stimulus content, style and emotional nature. Previous studies have offered contrasting evidence, and it has been recently shown that listening to music negatively affected concurrent mental processing in the elderly but not in young adults. To further investigate this matter, the effect of listening to music vs. listening to the sound of rain or silence was examined by administering an old/new face memory task (involving 448 unknown faces) to a group of 54 non-musician university students. Heart rate and diastolic and systolic blood pressure were measured during an explicit face study session that was followed by a memory test. The results indicated that more efficient and faster recall of faces occurred under conditions of silence or when participants were listening to emotionally touching music. Whereas auditory background (e.g., rain or joyful music) interfered with memory encoding, listening to emotionally touching music improved memory and significantly increased heart rate. It is hypothesized that touching music is able to modify the visual perception of faces by binding facial properties with auditory and emotionally charged information (music), which may therefore result in deeper memory encoding.