Exergame based therapy and other stuff

Rehab through exer-games

Conclusion:Recent evidence indicates exergame-based therapy has been widely proven to be feasible, safe, and atleast as effective as traditional PD rehabilitation. Further insight into new sensors, best practices and different cognitivestadiums of PD (such as PD with Mild Cognitive Impairment), as well as task specificity, are required. Also, studieslinking game parameters and results with traditional assessment methods, such as UPDRS scores, are required.

Study protocol re: PD movement interventions

The goal of this study is to begin to address this
challenge by piloting a novel, hypothesis-driven, non-
pharmacological intervention to improve motor function
and diminish motor fatigue in PD. This novel approach is
based on the use of hypothesis-driven cognitive task inter-
ventions to stimulate the motor system and ameliorate
motor symptoms

Palmomental reflex is an important clinical marker of REM sleep behavior disorder in patients with Parkinson’s disease Yadav R, Mahale R, Pal PK – Ann Mov Disord

 

Autism and Parkinson’s, and data-driven subtyping of PD

Found this reference to a study involving autistic children.
Since Parkinson’s is a movement disorder, it stands to reason that music would be beneficial to both groups as a therapy (and it is).
“Highlights
● A growing body of evidence suggests that motor impairments are frequently present in children with autism.
● Music therapy along with physical activity might benefit children with autism.
● We observed a significant difference between the experimental and control group after applying music therapy along with play therapy.
Plain Language Summary: Children with autism show motor impairments. Music therapy along with physical activity is a significant treatment in improving motor coordination. In this study, 30 children with autism were participated in 15 music therapy sessions. Music therapy are presented in two methods: (a) inactive one; listening to music and (b) active one; playing and rhythmic movements. Based on the results, motor coordination was achieved in the posttest.”
 
Directly related to Parkinson’s is this research paper on data-driven subtyping of PD:
“466 patients with idiopathic PD were investigated and three subtypes were identified. Subtype I (Mild Baseline, Moderate Motor Progression) is comprised of 43.1% of the participants, with average age 58.79 ± 9.53 years, and was characterized by moderate functional decay in motor ability but stable cognitive ability. Subtype II (Moderate Baseline, Mild Progression) is comprised of 22.9% of the participants, with average age 61.93 ± 6.56 years, and was characterized by mild functional decay in both motor and non-motor symptoms. Subtype III (Severe Baseline, Rapid Progression) is comprised 33.9% of the patients, with average age 65.32 ± 8.86 years, and was characterized by rapid progression of both motor and non-motor symptoms. These subtypes suggest that when comprehensive clinical and biomarker data are incorporated into a deep learning algorithm, the disease progression rates do not necessarily associate with baseline severities, and the progression rate of non-motor symptoms is not necessarily correlated with the progression rate of motor symptoms.”
 
In other words, everybody’s Parkinson’s journey is unique.

A couple of studies on gait improvement in PD, and a thesis on music therapy

What looked promising turned out to be fairly lackluster as far as results – although it appears that putting in time on a treadmill might be better for Parkinson’s patients than some other forms of exercise, when it comes to gait and balance. And challenging courses of treatment were recommended for people with PD.

Exercise and Parkinson’s – comparison

Background and Purpose: Impaired gait, balance, and motor function are common in Parkinson disease (PD) and may lead to falls and injuries. Different forms of exercise improve motor function in persons with PD, but determining which form of exercise is most effective requires a direct comparison of various approaches. In this prospective, controlled trial, we evaluated the impact of tango, treadmill walking, and stretching on gait, balance, motor function, and quality of life. We hypothesized tango and treadmill would improve forward walking and motor symptom severity, and tango would also improve backward walking, balance, and quality of life.
Results: In this study, treadmill walking improved forward and backward walking.

Healing Sounds: an anthropology of Music Therapy

explore embodiment, relationship – building and aesthetic creation as three areas n which music can allow the harnessing of affect towards health goals. I note music’s powerful affect on the human body and movement, and the ways in which these affects are mobilized towards specific clinical goals. I explore the various human –  to – human and human – to sound relationships that are mobilized, created or strengthened through music therapy interventions, and how they relate to health and to the affect of “becoming”. Finally, I note the strong evidence for musical and esthetic creation as a part of self – care, both by music therapists and by their clients, and argue for a broader understanding of how creativity impacts health, by allowing people to affect their environments

Exercise and Gait

Methods: Forty-seven PwPD (mean age: 73 years; 19 females, Hoehn and Yahr stages 2-3) who had participated in 10 weeks of highly challenging gait and balance training were included. Baseline demographics, disease-related factors, physical and cognitive ability, and perceived health were used for the prediction of percent change in balance performance (the Mini-BESTest) and comfortable gait speed between the pre- and postassessments, using multiple linear regression analyses.
Results: Thirty-five percent of the variance of change in balance performance was explained by General Health Perceptions (β = −0.36), the Timed Up and Go test (β = −0.33), and the single-task performance of a cognitive task (β = −0.24). Forty-nine percent of change in gait speed was explained by gait speed while performing a dual task (β = −0.46), dual-task interference while walking (β = 0.43), time to complete the Timed Up and Go test (β = −0.29), and percent error on a cognitive task (β = −0.25).
Discussion and Conclusions: The results may suggest that the PwPD with overall lower perceived health, functional mobility, and cognitive functions are the ones most likely to benefit from highly challenging and attention-demanding gait and balance training.

Management of sleep disturbances in PD – review and consensus recommendations

Just in: a review of sleep disturbances and treatments for PD patients.

I’ve been having trouble getting a full night’s sleep the last few days. Could be due to any number of reasons.

Early this morning, received this review on sleep disturbances in patients with PD, It covers Insomnia, Restless legs, REM Sleep Disorder and obstructive sleep apnea types of sleep disturbances, Could be useful to print out and share with your physician to make sure you are on the most effective regimen: Note the 4 tables that accompany the article.

http://www.cmj.org/article.asp?issn=0366-6999;year=2018;volume=131;issue=24;spage=2976;epage=2985;aulast=Liu

Maimonides and Me: Reflections on Parkinson’s, Perfection, and Cultural Norms (revised, 2019)

Note: originally posted December 8, 2018. Some material deleted and some added October 29, 2019).

I have been thinking about Moses Maimonides’ “Guide for the Perplexed”, and thinking about writing an article about it, for over a year now, specifically reflections on the concept of the four types of perfection towards which mankind aspires, and the hierarchy in which Maimonides has placed them.

… [deleted material] …

A year of limited mobility from September 2017 to September 2018 afforded me much time to reflect on the rapid advance of Parkinson’s symptoms in the absence of sufficient physical exercise and activity as well as the four type of perfection to which humans aspire, according to Moses Maimonides. As we shall see, there may be more types of perfection to which some of us aspire.

Four types of perfection

What are the four types of perfection that people seek to attain, according to Maimonides?

In order from lowest to highest, they are:

1. The attainment of material goods – the acquisition of property and things, including titles and power.

2. The attainment of physical strength or perfection.

3. The attainment of social ethics and principles.

4. The attainment of intellectual perfection., the search for truth and knowledge.

 Perfection in a Material World

The attainment of material goods is the lowest form of perfection, according to this famous philosopher and physician. He argues that he who acquires materials does not acquire anything that can be said to be his. For when he examines it:

He will find that all these things are external, and their qualities are entirely independent of the possessor. ”

 Or, as Yip Harburg once noted,

 “No matter how high or mighty the throne, what sits on it is the same as your own.”

 I would add that perhaps the concept of “Fame” or “Celebrity” may be included among the items which are included in this form of perfection, which Maimonides included as the “titles” of a king. This would also include the power which one can wield over others through the possession of gold, wealth, and other properties.

 Is our culture oriented towards material things as a measure of perfection?

Do I even have to ask this rhetorical question? Forbes magazine devotes a cover story each year to the richest people around, and one has only to turn on their 4K UHD TV to see example after example of this measure of “perfection.”

Physical Perfection

Next up from the bottom is the attainment of physical perfection, which seems to be a little closer to something that can truly be said to be one’s own. But Moses disagrees.

 Man does not possess it as man, but as a living being: he has this property besides in common with the lowest animal; and even if a person possesses the greatest possible strength, he could not be as strong as a mule, much less can he be as strong as a lion or an elephant; he, therefore, can at the utmost have strength that might enable him to carry a heavy burden, or break a thick substance, or do similar things, in which there is no great profit for the body. The soul derives no profit whatever from this kind of perfection.”

Although we can aspire to our personal bests, it is somewhat pointless for us to pursue perfection of a physical nature. Humans are by no measure the strongest, the fastest, or the biggest of all the animals, much less the most beautiful.

Perhaps related to both material goods and power over others as well as to physical perfection, is our culture’s apparent obsession and glorification of violence and the “warrior” mentality. Popular media filled with pseudo-violence, whether staged in television or movies, or the all too real mass shootings that occur in the United States on an almost daily basis.

 Socio-ethical Perfection

The third type of perfection that humans aspire to is that related to ethics:

“It includes moral perfection, the highest degree of excellency in man’s character. Most of the precepts aim at producing this perfection; but even this kind is only a preparation for another perfection, and is not sought for its own sake. For all moral principles concern the relation of man to his neighbor; the perfection of man’s moral principles is, as it were, given to man for the benefit of mankind. Imagine a person being alone, and having no connection whatever with any other person, all his good moral principles are at rest, they are not required, and give man no perfection whatever. These principles are only necessary and useful when man comes in contact with others.”

 Here I have to disagree with Maimonides – as John Donne noted, no man (or woman) exists alone. Indeed, for humans to exist, one has to come in contact with at least one other, and for the species to persist, and some sort of social ethics seems to be the overall arc of history, with a sense of perfection of social ethics aspired towards over the millennia.

So I would say that humans as a species require at least some attempt to aspire towards an ideal of moral perfection, and that it is essential towards valuing ourselves and others, and needs to be extended towards the rest of the planet as well, if Homo sapiens is to become something more than an evolutionary dead end.

 Perfection of intellectual faculties

Finally, the fourth kind of perfection, according to Maimonides,

 ”… is the true perfection of man: the possession of the highest, intellectual faculties; the possession of such notions which lead to true metaphysical opinions as regards God. With this perfection man has obtained his final object; it gives him true human perfection; it remains to him alone; it gives him immortality, and on its account he is called man. Examine the first three kinds of perfection, you will find that, if you possess them, they are not your property, but the property of others; according to the ordinary view, however, they belong to you and to others. But the last kind of perfection is exclusively yours; no one else owns any part of it…”

 It would seem that the fruits of the perfection of the intellectual faculties do not truly belong only to oneself – consider Euclid, Isaac Newton, Bertrand Russell, Albert Einstein, and Stephen Hawking, to name a few in the fields of mathematics and physics. Certainly their attainment of perfection in their fields of study was not limited to themselves, and has been expanded on and perfected even further, through the scientific method and the sharing of their knowledge with others. Once one has achieved the highest levels, though, others can learn from it, and incorporate that knowledge into their own knowledge. As far as metaphysics and God are concerned, Jesus is recorded as saying that the greatest commandment is to love God, the second is to love your neighbor as yourself, and that if you follow the second, you are meeting the first. Other religions and philosophies have variations upon this same idea. Once stated, the commandment, or scientific principle is there for others to share and further develop. Science and religion (true spiritual perfection, and not the sectarian, divisive sort that passes for faux religion) are social endeavors, with the intent of sharing one’s discoveries with the rest of humanity.

 How Many Kinds of Perfection?

Is Moses Maimonides correct in postulating four kinds of perfection attainable by humans? If we start from the fourth kind of perfection, we find that “true perfection” consists of the highest intellectual faculties. In our culture, at least, intellectual perfection has been measured in terms of math, logic and language (for instance by scores achieved on SAT, NMSQT, and GRE exams, and various academic and professional degrees and certifications).

But the psychologist Howard Gardner has put forth no less than nine types of human intelligence, of which math and language are but two of the suggested categories. Among the others are bodily – kinesthetic intelligence, which one might consider as similar to, if not equivalent, to Maimonides’ second type, physical perfection. None of the other forms of perfection fit as tightly to Gardner’s categories of intelligence, which are:

 1. Naturalist (nature smart)

2. Musical (sound smart)

3. Logical-mathematical (number/reasoning smart) (close to Maimonides’ perfection of intellectual faculties, without the metaphysical knowledge of God)

4. Existential (life smart) (perhaps similar to social-ethical perfection, perhaps not)

5. Interpersonal (people smart) (perhaps similar to social-ethical perfection, perhaps not)

6. Bodily-kinesthetic (body smart) (similar to Maimonides’ physical perfection)

7. Linguistic (word smart)

8. Intrapersonal (self smart)

9. Spatial (picture smart)

Certainly neither Naturalist or Musical have any direct relationship to any of Maimonides’ categories, and Existential might be tangentially related to Social and Ethical perfection, although Interpersonal would seem closest. In short, Maimonides’ ideas about intellectual perfection and Howard Gardner’s ideas about multiple intelligence seem irreconcilable. Even if we look at other theories of intelligence, whether 2,3,6,or 7 factored, there is no neat fit, especially since Maimonides talked about intellectual perfection leading to an understanding of God, which doesn’t figure into the equations of contemporary intellectual achievers such as the late Stephen Hawking.

 Culture, Society, and lowest common denominators

 So, let us leave the question of the highest form of perfection unresolved.

 Let’s start at the bottom. The acquisition of property, material goods, wealth, and titles, according to Maimonides, is the lowest of the forms of perfection to which humans can aspire. And yet it would seem obvious to even the most casual of observers that our society in general values this form of perfection very highly.

 Next we have physical perfection. Some of us, born with certain variants in DNA, will never attain or even approach physical perfection. And yet we hold Special Olympics and publicize individual efforts to overcome their physical impairments, some caused by wars conducted to maintain the acquisition of power and materials by others. Ninja Warriors, Wounded Warriors, or Parkinson’s Warriors, the emphasis is on the challenge to be the best one can be in terms of physical achievement. One might note that this warrior mentality to fight against a disease has recently been addressed by physicians in the United Kingdom as counterproductive in the long run – resulting in failure to seek other ways of treatment and living life as well as one can until one reaches the eventual shuffling off of this mortal coil, to paraphrase one playwright. And a research study in Europe has found that a progressively challenging dance program is superior to mere repetitive physical exercise in helping to slow the progression of symptoms (reported elsewhere in this blog). And in general, hugs promote happiness and health more than running races does.

 Social or ethical perfection is less highly prized in our (Western, Anglo culture). When it is given attention, it seems that it is usually tied to the donation of money or funding of foundations to perform social works, instead of the day to day performance of acts of social kindness or ethics. It has been said that Thanksgiving through Christmas is that time of the year when everyone takes care of the poor, the other eleven months of the year, it falls upon the social work agencies. (And the law, in its fairness, forbids both the rich with many rooms in their mansions, as well as the homeless, with their lack of accumulation of wealth, from camping in parts of downtown Austin where their visibility might detract from the highly lucrative tourist and hotel trade).

Finally, we come to Maimonides’ fourth kind of perfection, in which he combined intellectual faculties with metaphysics and the knowledge of God. Although there are prizes and recognition for attainment in the various sciences and arts, they do not receive the same priority or acclamation given to the Super Bowl, the NCAA basketball playoffs, or even the baseball World Series.

This author was told, back in 1967, by the registrar’s office at a member of the American Association of Universities (AAU) (now ranked in the top ten research universities in the USA), that scholarships were not given for academics, only athletics. Things have changed since then to a certain extent, perhaps because the technological advances of the last 50 years have created a need for knowledge skills in the business world. However, would be difficult to argue successfully (and honestly) that our society values intellectual achievement above all others.

 A report in the Chronicle of Higher Education published in 2014 showed that athletic coaches typically earned more than University Presidents. A more recent article on executive compensation showed that some executives in education are now being paid in the millions, but are still compensated at a lower level than athletic coaches. Professors, of course, typically earn even less, and college athletes are legally forbidden from accepting pay for their services (although alumni donors seem to be highly creative in finding loopholes).

Toward a “new” paradigm

Without totally accepting Maimonides’s insights, one still can use his four types of perfection as a “Guide for the Perplexed.”

  • First, we need to find a way to make a living.
  • Second, we need to keep ourselves in as good health as we can so that we can live relatively free from disease and illness. (of course, one might say, there will be exceptions due to genetic variation, but within the limits which individuals have, the general maxim holds true).
  • Third, we need to live among our fellow humans (and, perhaps, our non-human plant and animal fellow inhabitants) in a way that is socially and ethically responsible).
  • Fourth, we need to develop our mental and intellectual faculties and to seek truth, whether it is related to the physical world, the biological world, or the field of metaphysics, if that is our calling or our specific type(s) of intelligence.

Part of our task in life is to find that calling, or meaning for our lives, as described by Victor Frankl.

One might suggest that balance is needed,

  • Without the need to amass as much material goods as one can,
  • To collaborate with others instead of seeking to have power over others,
  • To seek to maintain one’s self physically, and to avoid abusing one’s body,
  • To maintain ethical and compassionate relations with others, and
  • To seek to maintain learning throughout life to the best of one’s abilities.

I, for one, am no longer impressed by public figures, whether elected or entertainers, for the amount of wealth, power or celebrity they attain, but by authenticity and honesty, and what they do with their wealth or power.

As a person with Parkinson’s Disease (PD), I have a great deal of respect for Michael J. Fox, who has turned his condition into a bully pulpit to advocate for and to fund scientific research to find a cure (or cures) for this progressive, degenerative, neurological disease for which there appears to be no cure (yet!).

Closer to home, the co-founders of Power For Parkinson’s ® used the common denominator of PD, which afflicted their fathers, to dedicate their efforts to providing free exercise and dance and now a singing group to help people with PD to get together and get the mentally challenging physical and vocal exercises that help to slow the progression of symptoms, not to mention the sense of community

I might edit or revise or expand this at a later date, but as I write this at the end of 2018, this is how it stands. (And as suggested, this has been revisited and revised at the end of 2019).

Life goes on, and Parkinson’s Disease is not yet curable, but we ain’t givin’ up hope – nope!

(If you like this post, feel free to give/get a hug, real or virtual, next time we meet in the physical or virtual world. But no punches – I may float like a butterfly, but I prefer not to sting like a bee).

###

Advice to People with PD: Sing while you walk

Internal cueing improves gait more than external cueing in healthy adults and people with Parkinson disease 

Results indicate that internal cueing was associated with improvements in gait velocity, cadence, and stride length in the backward direction, and reduced variability in both forward and backward walking. In comparison, external cueing was associated with minimal improvement in gait characteristics and a decline in gait stability. People with gait impairment due to aging or neurological decline may benefit more from internal cueing techniques such as singing as compared to external cueing techniques.

The feasibility of singing to improve gait in Parkinson disease.

Abstract

Brain regions important for controlling movement are also responsible for rhythmic processing. In Parkinson disease (PD), defective internal timing within the brain has been linked to impaired beat discrimination, and may contribute to a loss of ability to maintain a steady gait rhythm. Less rhythmic gait is inherently less efficient, and this may lead to gait impairment including reduced speed, cadence, and stride length, as well as increased variability. While external rhythmic auditory stimulation (e.g. a metronome beat) is well-established as an effective tool to stabilize gait in PD, little is known about whether self-generated cues such as singing have the same beneficial effect on gait in PD. Thus, we compared gait patterns of 23 people with mild to moderate PD under five cued conditions: uncued, music only, singing only, singing with music, and a verbal dual-task condition. In our single-session study, singing while walking did not significantly alter velocity, cadence, or stride length, indicating that it was not excessively demanding for people with PD. In addition, walking was less variable when singing than during other cued conditions. This was further supported by the comparison between singing trials and a verbal dual-task condition. In contrast to singing, the verbal dual-task negatively affected gait performance. These findings suggest that singing holds promise as an effective cueing technique that may be as good as or better than traditional cueing techniques for improving gait among people with PD.

 

Amyloid-Beta and Parkinson’s Disease

Amyloid-Beta and Parkinson’s Disease    (abstract only but list of references includes many available on PubMed)

From the abstract:

A better understanding of the role of this system and more specifically the role of Aβ in PD symptomatology, could introduce new treatment and repurposing drug-based strategies. For instance, apomorphine infusion has been shown to promote the degradation of Aβ in rodent models. This is further supported in a post-mortem study in PD patients although clinical implications are unclear. In this review, we address the clinical implication of cerebral Aβ deposition in PD and elaborate on its metabolism, its role in cognition and motor function/gait, and finally assess the potential effect of apomorphine on Aβ deposition in PD.

So it would seem that apomorphine might be a tool for helping with gait and balance problems…and cognitive decline.
 

Biomarkers,cardio training, singing and dancing, and how jokes work.

This is a long post. Most of the links are to free, full text articles or reports.

Recent advances in Biomarkers for Parkinson’s A review of the advances currently being made in the search for a cure.

INTERVAL TRAINING FOR CARDIOMETABOLIC AND BRAIN HEALTH

 

1. Engaging in interval exercise can boost fitness and improve your mood in a time-efficient manner.

2. Short exercise breaks like climbing the stairs can refocus attention and help maintain productivity in the workplace.

3. Combining interval exercises with motor skill training in a clinical setting can augment the recovery of function.

Dance and Health Training research report   

The aim of this research was to create a best practice model of dance and health continuing professional development (CPD); to create a dynamic, interdisciplinary course of study for dancers who are engaged in facilitating dance across a range of dance genres within health care contexts.

Outcomes of the project:  Full listing of international and national examples of best practice, core literature, key expert practitioners, full course content and delivery requirements are set out in this report.

(Note: specifically related to Ireland).

Sing while you work

This pilot study is the first Irish study of the health and wellbeing benefits of HSE workplace choirs. It is one of few studies to investigate the health and
wellbeing benefits of choir for Health Service Staff internationally.  Qualitative data confirms previous study findings; namely that a workplace choir can promote social connectedness, enjoyment at work, and staff
engagement; reduce stress; and improve perception of health and wellbeing.
Benefits of attending are noticed across workplace communications.

Comparison of two different exercise programs  (abstract only)

After treatment, UPDRS-II scores improved (mean change: EXE, -4.5 points; CYC, -3.2 points). The results for the other outcomes (EXE and CYC, respectively) were: PDQ, 13 and 17%; BDI, -2.5 and -2.1 points; 6MWT, 129.6 and 141.6 m; and EQ-5D, 12 and 9% (all p < 0.05, but there was no difference between groups). EXE vs. CYC resulted in improved SE-ADL (8.4 and 4.0 points, effect size [ES]: 0.12), BBS (8.8 and 4.2 points, ES: 0.44), and 2 measures of posturography (ES: 0.11 and 0.21) (p 0.05).

CONCLUSION:
Two highly different exercise programs resulted in similar improvement of most motor and clinical symptoms in PD patients.

One thing Parkinson’s People do to help cope with  an incurable (so far), progressive, degenerative, neurological disease is to use humor.

The following showed up in the Dance+Parkinson’s search feed, and are included here with a caveat that some of the jokes used to illustrate the ways in which humor works (theoretically) can be be considered offensive.

How do jokes work?

Back before the Internet, there was a Humor list-serve, dedicated to the study of humor and how it works.  The above PDF attempts to address the varieties of jokes, and repeats some potentially offensive ones to illustrate its concepts. Much of the text refers to the following free e-book on the Gutenberg project.

Laughter: an essay on the meaning of humor   by Henri Bergson

 

 

 

Music, Rhythm, etc.

therapeutic effects of singing on neurological diseases Don’t know if I’ve sent this out before. A review of benefits of singing on PD and other conditions.

“Walking to New Orleans” or rhythmic auditory cues improve gait

Results

Gait variability decreased and prefrontal HbO2 levels increased during cued walking relative to usual

walking. Older adults showed greater HbO2 levels in multiple motor regions during cued walking although the response reduced with repeated exposure. In older adults, lower depression scores, higher cognitive functioning and reduced gait variability were linked with increased HbO2 levels during RAC walking.

Conclusion

These findings suggest that walking improves with RAC in older adults and is achieved through increased activity in multiple cortical areas. The cortical response decline with repeated exposure indicates older adults’ ability to adapt to a new task

 

THE BEAT GOES ON AUDITORY CUES FOR PEOPLE WITH PARKINSON’S DISEASE A Powerpoint presentation that covers everything you might want to know about PD and auditory cues. Basically, folks did as well or better with music than a metronome beat, and enjoyed walking to music better. significant results reported and apparently both CMTs and PTs were in agreement.
 
Not Cure but heal: Music and Medicine  a chapter in a book, but the references are listed, and some of them are available free on PubMed Central

Internal cues better than external in improving gait

Results indicate that internal cueing was associated with improvements in gait velocity, cadence, and stride length in the backward direction, and reduced variability in both forward and backward walking. In comparison, external cueing was
associated with minimal improvement in gait characteristics and a decline in gait stability. People with gait impairment due to aging or neurological decline may benefit more from internal cueing techniques such as singing as compared to external cueing techniques.
Meter and learning (open access article) Both dance and music performers must learn timing patterns (temporal learning, or ‘when‘) along with series of different movements (ordinal learning, or ‘what‘). It has been suggested that the organization of temporal events into regular beat cycles (meter strength) may enhance both temporal and ordinal learning, but empirical evidence is mixed and incomplete. In the present study, we examined meter-strength effects on the concurrent temporal and ordinal learning of sequences. Meter strength enhanced ordinal learning (‘what’) when the concurrent temporal learning was incidental, but it had no effects on temporal learning itself (‘when’). Our findings provide guidelines for dance and music teaching as well as rhythm-based neurological rehabilitation.
 
just catching up on my inbox.
I got rhythm, I got music, and if I quote more than that UMG’s lawyers will probably sue me, too.

Music Training and PD

A Rationale for Muusic Training To Enhance Executive Function in Parkinson’s Disease: An Overview of the Problem

From the abstract:: “Deficits in executive functions (e.g., attention, processing speed) in patients with PD result in gait interference, deficits in emotional processing, loss of functional capacity (e.g., intellectual activity, social participation), and reduced quality of life. ” (for people with Parkinson’s Disease.

The authors note that music listening interventions can help with gait and freezing, but that the effecct of actual musical training on executive functions mentioned above is unknown.

“In piano training, fine motor finger movements activate the cerebellum and supplementary motor areas (SMA) , thereby exercising the CTC network. We hypothesize that exercising the CTC network through music training will contribute to enhanced executive functions. Previous research suggested that music training enhances cognitive performance (i.e., working memory and processing speed) in healthy adults and adults with cognitive impairments. ”

” Previous research suggested that music training enhances cognitive performance (i.e., working memory and processing speed) in healthy adults and adults with cognitive impairments. This review and rationale provides support for the use of music training to enhance cognitive outcomes in patients with Parkinson’s Disease (PD).”

The evidence revewed in the article “presents a compelling case for music training to improve executive functioning for adults with PD.

“First, music training activates the cerebellar-thalamocortical network (CTC) network providing a rerouting to activate executive functions through fine motor activity .”

The authors “hypothesize that exercising the CTC network through music training will contribute to enhanced cognitive performance.

The Movement Disorder Society (MDS) values the identification and intervention of cognitive impairment in adults with PD, and sees it as part of essential care—a need yet to be met.”

“Cognitive interventions that include repeated practice exercising the CTC network through sensorimotor integration may assist patients with PD. While research has shown that music training enhances cognitive performance (i.e., working memory and processing speed) in healthy older adults, there is a need to extend the benefits of music training to patients with PD.”

Please excuse me, time for my keyboard practice.