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A28    SCIENCE
            Thursday 21 december 2017


















             Striking a chord, NIH taps the brain to find how music heals




            By LAURAN NEERGAARD                                                                    them. Finally, she imagined   nect — for example, when
             AP Medical Writer                                                                     singing them.                a  musician  practices  —
            WASHINGTON  (AP)  —  Like                                                              “We’re  trying  to  under-   strengthen    bonds    into
            a  friendly  Pied  Piper,  the                                                         stand the brain not just so   circuitry  that  forms  an  ef-
            violinist  keeps  up  a  toe-                                                          we  can  address  mental     ficient network for, in Flem-
            tapping  beat  as  danc-                                                               disorders or diseases or in-  ing’s case, singing.
            ers  weave  through  busy                                                              juries,  but  also  so  we  can   But  that’s  a  healthy  brain.
            hospital  hallways  and  into                                                          understand what happens      In  North  Carolina,  a  neu-
            the  chemotherapy  unit,                                                               when  a  brain’s  working    roscientist  and  a  dance
            patients  looking  up  in  sur-                                                        right  and  what  happens    professor  are  starting  an
            prised   delight.   Upstairs,                                                          when  it’s  performing  at  a   improvisational   dance
            a  cellist  plays  an  Irish  folk                                                     really  high  level,”  said  NIH   class for Alzheimer’s to tell if
            tune for a patient in inten-                                                           researcher David Jangraw,    music  and  movement  en-
            sive care.                                                                             who  shared  the  MRI  data   hance  a  diseased  brain’s
            Music  increasingly  is  be-                                                           with The Associated Press.   neural networks.
            coming  a  part  of  patient                                                                                        Well  before  memory  loss
            care  —  although  it’s  still                                                         To Jangraw’s surprise, sev-  becomes  severe,  Alzheim-
            pretty  unusual  to  see  rov-                                                         eral  brain  regions  were   er’s  patients  can  experi-
            ing performers captivating   Violinist  Anthony  Hyatt  leads  dancers  through  MedStar   more  active  when  Flem-  ence  apathy,  depression
            entire  wards,  like  at  Med-  Georgetown University Hospital in Washington on Oct. 11, 2017.   ing  imagined  singing  than   and  gait  and  balance
            Star Georgetown University   Musicians and dancers are part of the Georgetown Lombardi   when  she  actually  sang,   problems as the brain’s syn-
            Hospital one fall morning.   Comprehensive Cancer Center’s arts and humanities program.   including the brain’s emo-  aptic  connections  begin
                                                                                  Associated Press
            “It takes them away for just                                                           tion  center  and  areas  in-  to  falter.  The  NIH-funded
            a few minutes to some oth-   To  turn  that  ability  into   But  what’s  missing  is  rigor-  volved  with  motion  and   study  at  Wake  Forest  Uni-
            er place where they don’t    a  successful  therapy,  “it   ous  science  to  better  un-  vision.                  versity will randomly assign
            have to think about what’s   would  be  a  really  good   derstand how either listen-    One  theory:  it  took  more   such patients to the impro-
            going on,” said cellist Mar-  thing  to  know  which  parts   ing  to  or  creating  music   mental effort to keep track   visation  class  —  to  dance
            tha Vance after playing for   of  the  brain  are  still  intact   might  improve  health  in  a   of  where  she  was  in  the   playfully without having to
            a patient isolated to avoid   to  be  called  into  action.   range of other ways — re-  song,  and  to  maintain  its   remember  choreography
            spreading infection.         To  know  the  circuits  well   search  into  how  the  brain   emotion,  without  auditory   — or to other interventions.
            The  challenge:  Harness-    enough to know the back-     processes music that NIH is   feedback.                   The  test:  If  quality-of-life
            ing music to do more than    up plan,” Collins added.     beginning to fund.           Fleming put it more simply:   symptoms  improve,  will
            comfort the sick.            Scientists  aren’t  starting   “The  water  is  wide,  I  can-  “I’m  skilled  at  singing  so  I   MRI  scans  show  correlat-
            Now, moving beyond pro-      from  scratch.  Learning  to   not cross over,” well-known   didn’t have to think about   ing strengthening of neural
            grams  like  Georgetown’s,   play an instrument, for ex-  soprano  Renee  Fleming      it quite so much,” she told   networks  that  govern  gait
            the  National  Institutes  of   ample,  sharpens  how  the   belted out, not from a con-  a  spring  workshop  at  the   or social engagement?
            Health is bringing together   brain processes sound and   cert  stage  but  from  inside   John F. Kennedy Center for   With senior centers increas-
            musicians, music therapists   can  improve  children’s    an MRI machine at the NIH    the Performing Arts, where   ingly touting arts programs,
            and  neuroscientists  to  tap   reading  and  other  school   campus.                  she is an artistic adviser.  “having  a  deeper  under-
            into  the  brain’s  circuitry   skills.                   The opera star — who part-   Indeed,  Jangraw  notes  a   standing  of  how  these
            and figure out how.          Stroke  survivors  who  can’t   nered  with  Collins  to  start   saying  in  neuroscience:   things  are  affecting  our
            “The brain is able to com-   speak sometimes can sing,    the Sound Health initiative   Neurons that fire together,   biology  can  help  us  un-
            pensate  for  other  deficits   and  music  therapy  can   —  spent  two  hours  in  the   wire  together.  Brain  cells   derstand how to leverage
            sometimes  by  using  music   help  them  retrain  brain   scanner  to  help  research-  communicate    by   firing   resources  already  in  our
            to communicate,” said NIH    pathways  to  communi-       ers  tease  out  what  brain   messages  to  each  other   community,”  noted  Wake
            Director Dr. Francis Collins,   cate.  Similarly,  Parkinson’s   activity  is  key  for  singing.   through  junctions  called   Forest   lead   researcher
            a geneticist who also plays   patients  sometimes  walk   How?  First  Fleming  spoke   synapses.                   Christina Hugenschmidt.
            a mean guitar.               better to the right beat.    the  lyrics.  Then  she  sang   Cells  that  regularly  con-  Proof may be tough. q
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