| Music as Therapy for Alzheimer's |
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| Written by Stanton O. Berg |
| Thursday, 21 August 2008 00:00 |
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Martin Luther (1483-1546) one of God's great servants tells of the powerful effect that music had in his life.
"My heart, which is so full to overflowing, has often been solaced and refreshed by music when sick and weary."
Music has long been thought to have a relaxing, soothing and therapeutic effect on persons with Alzheimer’s disease. Now scientific research overwhelmingly validates the therapeutic value of Music for the victims of Alzheimer’s disease. A simple improvement in the quality of life for a person with Alzheimer’s is of great importance. This becomes of even more critical importance in the late and final stages of Alzheimer's where the quality of life is close to zero. The evidence of the value of music appears to be unimpeachable. It is frequently used as a part of hospice programs.
(Photo above is David Berg, June Berg's (our) oldest son, practicing with his Grandpa Henry's (June's father) violin. - Ca. 1956. For June the Violin sounds had special meaning as detailed below.)
Harvard University Gazette (Science/Research – 2000/11.09/01) reports: “Oliver Sacks. author and neurologist, has commented that patients with nervous system disorders who cannot talk or move are often able to sing, and even dance, to music, “I regard music therapy as a tool of great power in many neurological disorders (like) Parkinson’s and Alzheimer’s, because of its unique capacity to organize and reorganize (brain) function when it has been damaged,” he says. Fred Silverstone, Music Therapist, MacLean Hospital Belmont, MA. (Affiliated with Harvard Medical School.) Oldsters who suffer brain damage from Alzheimer’s can still respond to music. “It touches those parts of the brain that are uninjured, and can help Alzheimer’s patients communicate with others and lead a more social life.” (2002) CNN, Stephanie Smith reported (27 December 2001) on a program at the Alzheimer’s/dementia ward of the Morse Geriatric Center in West Palm Beach Florida. According to Dr. Jeurgen Bludau, the medical director at Morse – “We’ve noticed that (the music) helps with hydration, it makes them thirsty, it makes them willing to drink,” says Bludau. “It helps them...get to bed better. We are able to stimulate an appetite. So, it definitely has a positive impact on these patients.” CNN also reported that “A study on the impact of music therapy on dementia patients, conducted by Eastern Michigan University, determined that patients consumed 20 percent more calories when music was played during lunchtime.” USA Today, “Your Health” (7/24/2006) reported on the experience of readers. ”Allen Pfenninger of Brooklyn Heights, Ohio: “Music is a wonderful balm for Alzheimer’s patients. My mother in law...didn’t remember my wife or myself, but she could recognize music from her past....listened to songs we knew she liked. She would hum along. She would laugh at the funny ones...When she stopped humming along about a month ago; we knew the end might be near.” Dr. Ardash Kumar, University of Miami School of Medicine (Florida) reported on a study in Alternative Therapies (1999;5:49-57) “A music therapy program....improved behavior and sleeping problems in 20 male Alzheimer’s patients. The Alzheimer’s patents underwent music therapy for 30-45 minutes, 5 days a week for one month...the participants in the study also became more active and cooperative and slept better.”...”Relaxation with the type of music that calms you down is very beneficial...to promote a sense of calm and well being, you can listen to your favorite soothing music when you eat, before you sleep, and when you want to relax. Music therapy might be a safer and more effective alternative to many psychotropic medications.” British Study reported April – June 2008 in Alzheimer’s Disease & Associated Disorders. 22(2) 158-162. “Efficacy of Music Therapy in the Treatment of Behavioral and Psychiatric Symptoms of Dementia.” Fifty-nine persons with dementia were enrolled in this study. Results were significant improvement when assessed at 8, 16 and 20 weeks. Specific BPSD (ie, delusions, agitation, anxiety, apathy, irritability, aberrant motor activity, and night time disturbances) significantly improved. The empathetic relationship and the patient’s active participation in the music therapy approach, also improved in the experimental group. ..”The study shows that music therapy is effective to reduce BSPD in patients with moderate-severe dementia.” British Study reported in "Dementia", February 2008 7: 95-108. Favorite music decreased agitation in residents with dementia. “Agitation in individuals with dementia living in the nursing home environment affects care and quality of life. Relaxation techniques such as music...are showing promise to decrease agitation and improve quality of life in individuals with dementia. 41 residents with mild to moderate dementia participated in a study to test the effectiveness of favorite music....in reducing agitated behaviors....each treatment lasting 10 minutes...results suggest that favorite music is effective in significantly decreasing agitation immediately following the intervention and also one hour post intervention.”
What type of music should be used?
b. “Play the music that has meaning for the patient....people find some kind of music that relaxes them, gives them pleasure, or takes their minds from obsessive thought and negative feelings.” (Harvard University Gazette.) c. “Music of their courting years” (Dr. Alice Cash, Healing Music Enterprises.)
d. “The type of music that calms you down....favorite soothing music.” (Dr. Ardash Kumar, Miami School of Medicine.)
e. “Favorite music” (British study 2/2008.) What type of music should not be used?
b. Music that does not fit the musical tastes of the residents. Obvious examples would be “Rap” and “Hip-Hop”. Such music can hardly be called music in any event and is more of an assault on the senses. (Alzheimer’s Association and Eastern Michigan University.)
June loved the music of the 40’s and the 50’s as well as classical country and gospel music. June also loved the piano music of Steve Hall and Lorie Line as well as the Mantovani Orchestra. The sound of the violin was very special to June as it reminded her of her father Henry and a favorite uncle Jake, who both played the violin. I recall the time that June and I walked into a "Blue Grass" session just as twin violins struck up their strains. June looked up at me with a smile and said - " I'm so happy! " June was midway into her Alzheimer's at that time. - Circa 2002. (** See below notes!) When music became available on CD’s, June quickly became a collector of the works of her favorite artists.
William Congreve (1670-1729) tells us in his famous line - to soften rocks and bend a knotted oak."
and think of June carried away on the wings of song. As you listen to the music, sing along with Elvis....the words are there...
Thomas Jefferson loved music and loved playing the violin which he described as the - "Passion of my Soul."
"June K. Berg's Gift of Music - a memorial"
June's funeral notice as printed in the Minneapolis Star Tribune following her death in October 2008 can be found on the top blue navigation strip under the label "In Memoriam" on the drop down menu as item: "June K. (Rolstad) Berg - In Memoriam"
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