EFFECT OF BALINESE FLUTE INSTRUMENT FOR IMPROVING COGNITIVE FUNCTION IN ELDERLY
DOI:
https://doi.org/10.21776/ub.mnj.2024.010.02.05Keywords:
Balinese flute, cognitive function, elderlyAbstract
Background: Cognitive impairment is mostly affected the elderly population which reduces the quality of life for sufferers and their families. The last research showed that listening to Balinese flute instrument music increased cognitive function, especially in the memory domain. However, the study is still limited to small populations.
Objective: to determine whether playing the Balinese flute with or without listening to the "Morning Happiness" song affects the cognitive function of elderly.
Methods: This experimental study was conducted on healthy geriatric patients above 55 years old with controlled risk factors or no history of any chronic conditions which were divided into 2 groups. The "Morning Happiness" song will be played with Balinese flute instrument in both groups whereas the intervention will add to listen to similar songs.
Results: 28 subjects in the intervention group and 20 subjects in the control group. Both groups were comprised of typical gender distribution with an average of 65.08±6.41 years old. Both the intervention and control groups had improved in MoCA-Ina (The Indonesian Version of Montreal Cognitive Assessment) scores, but the intervention group gained a better Z-score (-3.193, p-value 0.001) than the control group (-1.466, p-value 0.143) after procedural. The delayed recall domain also showed significant improvement in both groups with a Z-score of -3.241 (p-value 0.001) in control and -2.30 (p-value 0.026) in intervention group respectively. Interestingly, the attention domain is improved in the control group with a Z-score of -2.142 (p-value 0.032) rather than in intervention group.
Conclusion: The overall MoCa-Ina score was significantly higher in interventional subjects than control, specifically in the delayed recall domain.
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References
Khanna AB, Metgud CS. Prevalence of cognitive impairment in elderly population residing in an urban area of Belagavi. J Family Med Prim Care; 2020. Jun 30;9(6):2699-2703. DOI: 10.4103/jfmpc.jfmpc_240_20
Li HC, Wang HH, Chou FH, Chen KM. The effect of music therapy on cognitive functioning among older adults: A systematic review and meta-analysis. J Am Med Dir Assoc; 2015. Jan;16(1):71-7.
DOI: 10.1016/j.jamda.2014.10.004
Dahms R, Eicher C, Haesner M, Mueller-Werdan U. Influence of music therapy and music-based interventions on dementia: A pilot study. J Music Ther; 2021. Aug 24;58(3):e12-e36. DOI: 10.1093/jmt/thab005
Flo BK, Matziorinis AM, Skouras S, Sudmann TT, Gold C, Koelsch S. Study protocol for the Alzheimer and music therapy study: An RCT to compare the efficacy of music therapy and physical activity on brain plasticity, depressive symptoms, and cognitive decline, in a population with and at risk for Alzheimer's disease. PLoS One; 2022. Jun 30;17(6):e0270682.
DOI: 10.1371/journal.pone.0270682
Laksmidewi AAAP, Mahadewi NPAP, Adnyana IMO, Widyadharma IPE. Instrumental balinese flute music therapy improves cognitive function and serum dopamine level in the elderly population of west denpasar primary health care center. Open Access Maced J Med Sci; 2019. Feb 20;7(4):553-558.
DOI: 10.3889/oamjms.2019.116
Altenmuller E, Schalug G. Neurologic music therapy: The beneficial effects of music making on neurorehabilitation. Acoust Sci & Tech; 2013. 34(1):5-12. DOI: 10.1250/ast.34.5
Särkämö T. Cognitive, emotional, and neural benefits of musical leisure activities in aging and neurological rehabilitation: A critical review. Ann Phys Rehabil Med; 2018. Nov;61(6):414-418.
DOI: 10.1016/j.rehab.2017.03.006
Soufineyestani M, Khan A, Sufineyestani M. Impacts of Music Intervention on Dementia: A review using meta-narrative method and agenda for future research. Neurol Int; 2021. Jan 1;13(1):1-17.
DOI: 10.3390/neurolint13010001
Koyama M, Wachi M, Utsuyama M, Bittman B, Hirokawa K, Kitagawa M. Recreational music-making modulates immunological responses and mood states in older adults. J Med Dent Sci; 2009. Jun;56(2):79-90. PMID: 20099470
Adnyana IMO, Mahadewi NPAP, Laksmidewi AAAP. Musical therapy with Balinese flute increased cognitive function, brain-derived neurotrophic factor serum levels, and decrease interleukin-6 serum levels among the elderly in West Denpasar Primary Health Clinic. Open Access Maced J Med Sci; 2020. 8(B):699-704. DOI: 10.3889/oamjms.2020.4522
Suharta IW. Jenis dan teknik membuat instrumen seruling dalam seni karawitan Bali. MUDRA; 2019. 34(3):358-65. DOI: 10.31091/mudra.v34i3.794
Dong Y, Sharma VK, Chan BP, Venketasubramanian N, Teoh HL, Seet RC, Tanicala S, Chan YH, Chen C. The Montreal Cognitive Assessment (MoCA) is superior to the Mini-Mental State Examination (MMSE) for the detection of vascular cognitive impairment after acute stroke. J Neurol Sci; 2010. Dec 15;299(1-2):15-8. DOI: 10.1016/j.jns.2010.08.051
Nilsson U. The Anxiety and Pain Reducing Effect of Music Intervention. A Systematic Review. AORN Journal; 2008. 87:780-807.
DOI: 10.1016/j.aorn.2007.09.013
Zahodne LB, Stern Y, Manly JJ. Differing effects of education on cognitive decline in diverse elders with low versus high educational attainment. Neuropsychology; 2015. Jul;29(4):649-57.
DOI: 10.1037/neu0000141
Gates GA, Feeney MP, Mills D. Cross-sectional age-changes of hearing in the elderly. Ear Hear; 2008. Dec;29(6):865-74.
DOI: 10.1097/aud.0b013e318181adb5
Galińska E. Music therapy in neurological rehabilitation settings. Psychiatr Pol; 2015. 49(4):835-46. English, Polish. DOI: 10.12740/PP/25557
Toglia J, Fitzgerald KA, O'Dell MW, Mastrogiovanni AR, Lin CD. The mini-mental state examination and montreal cognitive assessment in persons with mild subacute stroke: Relationship to functional outcome. Arch Phys Med Rehabil; 2011. May;92(5):792-8.
DOI: 10.1016/j.apmr.2010.12.034
Bruer RA, Spitznagel E, Cloninger CR. The temporal limits of cognitive change from music therapy in elderly persons with dementia or dementia-like cognitive impairment: A randomized controlled trial. J Music Ther; 2007. Winter;44(4):308-28.
DOI: 10.1093/jmt/44.4.308
Rohana S. Senam vitalisasi otak lebih meningkatkan fungsi kognitif kelompok lansia daripada senam lansia di balai perlindungan sosial Propinsi Banten. Jurnal Fisioterapi; 2011. 11(1). DOI: 10.47007/fisio.v11i1.632
Guo S, Peng K, Ding R, Zhou J, Liu Y, He Y, et al. Chinese and Western musical training impacts the circuit in auditory and reward system. Front Neurosci; 2021. 15:2021. DOI: 10.3389/fnins.2021.663015
Sung HC, Chang AM, Lee WL. A preferred music listening intervention to reduce anxiety in older adults with dementia in nursing homes. Journal of clinical nursing; 2010. 19(7‐8):1056-64. DOI: 10.1111/j.1365-2702.2009.03016.x
Pruessner JC, Champagne F, Meaney MJ, Dagher A. Dopamine release in response to a psychological stress in humans and its relationship to early life maternal care: A positron emission tomography study using [11C]raclopride. J Neurosci; 2004. Mar 17;24(11):2825-31. DOI: 10.1523/JNEUROSCI.3422-03.2004
Gangrade A. The effect of music on the production of neurotransmitters, hormones, cytokines, and peptides: A Review. Music Medicine; 2012. 4(1):40-43.
DOI: 10.1177/1943862111415117
Darbin O. The aging striatal dopamine function. Parkinsonism Relat Disord; 2012. Jun;18(5):426-32. DOI: 10.1016/j.parkreldis.2011.11.025
Rauscher FH, Shaw GL. Key components of the Mozart effect. Perceptual Mot Skills; 1998. 86(3):835-42.
DOI: 10.2466/pms.1998.86.3.835
Foster NA, Valentine ER. The effect of auditory stimulation on autobiographical recall in dementia. Exp Aging Res; 2001. Jul-Sep;27(3):215-28.
DOI: 10.1080/036107301300208664
Kwon M, Gang M, Oh K. Effect of the Group Music Therapy on brain wave, behavior, and cognitive function among patients with chronic schizophrenia. Asian Nurs Res (Korean Soc Nurs Sci); 2013. Dec;7(4):168-74. DOI: 10.1016/j.anr.2013.09.005
Thompson RG, Moulin CJ, Hayre S, Jones RW. Music enhances category fluency in healthy older adults and Alzheimer's disease patients. Exp Aging Res; 2005. Jan-Mar;31(1):91-9. DOI: 10.1080/03610730590882819
Evers S, Dannert J, Rödding D, Rötter G, Ringelstein EB. The cerebral haemodynamics of music perception. A transcranial Doppler sonography study. Brain; 1999. Jan;122 (Pt 1):75-85. DOI: 10.1093/brain/122.1.75
Romeiser JL, Smith DM, Clouston SAP. Musical instrument engagement across the life course and episodic memory in late life: An analysis of 60 years of longitudinal data from the Wisconsin Longitudinal Study. PLoS One; 2021. Jun 24;16(6):e0253053.
DOI: 10.1371/journal.pone.0253053
Hanna-Pladdy B, MacKay A. The relation between instrumental musical activity and cognitive aging. Neuropsychology; 2011. May;25(3):378-86.
DOI: 10.1037/a0021895
Sherratt K, Thornton A, Hatton C. Music interventions for people with dementia: A review of the literature. Aging Ment Health; 2004. 8(1):3-12.
DOI: 10.1080/13607860310001613275
Mammarella N, Fairfield B, Cornoldi C. Does music enhance cognitive performance in healthy older adults? The Vivaldi effect. Aging Clin Exp Res; 2007. Oct;19(5):394-9. DOI: 10.1007/BF03324720
Purnell-Webb P, Speelman CP. Effects of music on memory for text. Percept Mot Skills; 2008. Jun;106(3):927-57. DOI: 10.2466/pms.106.3.927-957
Zatorre R, McGill J. Music, the food of neuroscience? Nature; 2005. Mar 17;434(7031):312-5.
DOI: 10.1038/434312a
Polston JE, Rubbinaccio HY, Morra JT, Sell EM, Glick SD. Music and methamphetamine: Conditioned cue-induced increases in locomotor activity and dopamine release in rats. Pharmacol Biochem Behav; 2011. Mar;98(1):54-61. DOI: 10.1016/j.pbb.2010.11.024
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