关键词: Aging Alzheimer’s disease auditory perception dementia music neurodegenerative diseases

Mesh : Humans Male Female Aged Aging / physiology psychology Music / psychology Middle Aged Neurocognitive Disorders / physiopathology psychology Psychomotor Performance / physiology Aged, 80 and over Auditory Perception / physiology Adaptation, Physiological / physiology Attention / physiology Mental Status and Dementia Tests

来  源:   DOI:10.3233/JAD-231433   PDF(Pubmed)

Abstract:
UNASSIGNED: Understanding the nature and extent of sensorimotor decline in aging individuals and those with neurocognitive disorders (NCD), such as Alzheimer\'s disease, is essential for designing effective music-based interventions. Our understanding of rhythmic functions remains incomplete, particularly in how aging and NCD affect sensorimotor synchronization and adaptation to tempo changes.
UNASSIGNED: This study aimed to investigate how aging and NCD severity impact tapping to metronomes and music, with and without tempo changes.
UNASSIGNED: Patients from a memory clinic participated in a tapping task, synchronizing with metronomic and musical sequences, some of which contained sudden tempo changes. After exclusions, 51 patients were included in the final analysis.
UNASSIGNED: Participants\' Mini-Mental State Examination scores were associated with tapping consistency. Additionally, age negatively influenced consistency when synchronizing with a musical beat, whereas consistency remained stable across age when tapping with a metronome.
UNASSIGNED: The results indicate that the initial decline of attention and working memory with age may impact perception and synchronization to a musical beat, whereas progressive NCD-related cognitive decline results in more widespread sensorimotor decline, affecting tapping irrespective of audio type. These findings underline the importance of customizing rhythm-based interventions to the needs of older adults and individuals with NCD, taking into consideration their cognitive as well as their rhythmic aptitudes.
摘要:
了解衰老个体和神经认知障碍(NCD)患者感觉运动下降的性质和程度,如老年痴呆症,对于设计有效的基于音乐的干预措施至关重要。我们对节奏功能的理解仍然不完整,特别是在老化和NCD如何影响感觉运动同步和适应节奏变化。
本研究旨在调查衰老和非传染性疾病严重程度如何影响节拍器和音乐,有和没有节奏的变化。
来自记忆诊所的患者参加了攻丝任务,与节奏和音乐序列同步,其中一些包含突然的节奏变化。排除后,最终分析包括51例患者。
参与者的迷你精神状态检查分数与敲击一致性相关。此外,与音乐节拍同步时,年龄对一致性产生负面影响,而当使用节拍器敲击时,一致性在整个年龄段保持稳定。
结果表明,随着年龄的增长,注意力和工作记忆的最初下降可能会影响对音乐节拍的感知和同步,而与NCD相关的进行性认知下降导致更广泛的感觉运动下降,无论音频类型如何,都会影响轻敲。这些发现强调了根据老年人和非传染性疾病患者的需求定制基于节奏的干预措施的重要性,考虑到他们的认知能力和节奏能力。
公众号