Overture for growth hormone : Requiem for interleukin-6?
Identifieur interne : 000116 ( PascalFrancis/Corpus ); précédent : 000115; suivant : 000117Overture for growth hormone : Requiem for interleukin-6?
Auteurs : Claudius Conrad ; Hanno Niess ; Karl-Walter Jauch ; Christiane J. Bruns ; Wolfgang H. Hartl ; Lorenz WelkerSource :
- Critical care medicine [ 0090-3493 ] ; 2007.
Descripteurs français
- Pascal (Inist)
English descriptors
Abstract
Background: Music has been used for therapeutic purposes since the beginning of cultural history. However, despite numerous descriptions of beneficial effects, the precise mechanisms by which music may improve human well-being remain unclear. Methods: We conducted a randomized study in ten critically ill patients to identify mechanisms of music-induced relaxation using a special selection of slow movements of Mozart's piano sonatas. These sonatas were analyzed for compositional elements of relaxation. We measured circulatory variables, brain electrical activity, serum levels of stress hormones and cytokines, requirements for sedative drugs, and level of sedation before and at the end of a 1-hr therapeutic session. Results: Compared with controls, we found that music application significantly reduced the amount of sedative drugs needed to achieve a comparable degree of sedation. Simultaneously, among those receiving the music intervention, plasma concentrations of growth hormone increased, whereas those of interleukin-6 and epinephrine decreased. The reduction in systemic stress hormone levels was associated with a significantly lower blood pressure and heart rate. Conclusion: Based on the effects of slow movements of Mozart's piano sonatas, we propose a neurohumoral pathway by which music might exert its sedative action. This model includes an interaction of the hypothalamic-pituitary axis with the adrenal medulla via mediators of the unspecific immune system.
Notice en format standard (ISO 2709)
Pour connaître la documentation sur le format Inist Standard.
pA |
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Format Inist (serveur)
NO : | PASCAL 08-0013275 INIST |
---|---|
ET : | Overture for growth hormone : Requiem for interleukin-6? |
AU : | CONRAD (Claudius); NIESS (Hanno); JAUCH (Karl-Walter); BRUNS (Christiane J.); HARTL (Wolfgang H.); WELKER (Lorenz) |
AF : | Department of Surgery, Massachusetts General Hospital/Boston, MA/Etats-Unis (1 aut.); Department of Surgery, University of Munich-Grosshadern/Munich/Allemagne (2 aut., 3 aut., 4 aut., 5 aut.); Department of Fine Arts, Institute of Music Science, University of Munich/Munich/Allemagne (6 aut.) |
DT : | Publication en série; Niveau analytique |
SO : | Critical care medicine; ISSN 0090-3493; Coden CCMDC7; Etats-Unis; Da. 2007; Vol. 35; No. 12; Pp. 2709-2713; Bibl. 49 ref. |
LA : | Anglais |
EA : | Background: Music has been used for therapeutic purposes since the beginning of cultural history. However, despite numerous descriptions of beneficial effects, the precise mechanisms by which music may improve human well-being remain unclear. Methods: We conducted a randomized study in ten critically ill patients to identify mechanisms of music-induced relaxation using a special selection of slow movements of Mozart's piano sonatas. These sonatas were analyzed for compositional elements of relaxation. We measured circulatory variables, brain electrical activity, serum levels of stress hormones and cytokines, requirements for sedative drugs, and level of sedation before and at the end of a 1-hr therapeutic session. Results: Compared with controls, we found that music application significantly reduced the amount of sedative drugs needed to achieve a comparable degree of sedation. Simultaneously, among those receiving the music intervention, plasma concentrations of growth hormone increased, whereas those of interleukin-6 and epinephrine decreased. The reduction in systemic stress hormone levels was associated with a significantly lower blood pressure and heart rate. Conclusion: Based on the effects of slow movements of Mozart's piano sonatas, we propose a neurohumoral pathway by which music might exert its sedative action. This model includes an interaction of the hypothalamic-pituitary axis with the adrenal medulla via mediators of the unspecific immune system. |
CC : | 002B27B; 002B24O06; 002A28A02 |
FD : | Réanimation; Soin intensif; Somatotropine; Interleukine 6; Unité soin intensif |
FG : | Hormone adénohypophysaire; Cytokine |
ED : | Resuscitation; Intensive care; Somatotropin; Interleukin 6; Intensive care unit |
EG : | Adenohypophyseal hormone; Cytokine |
SD : | Reanimación; Cuidado intensivo; Somatotropina; Interleuquina 6; Unidad terapia intensiva |
LO : | INIST-17751.354000162159240050 |
ID : | 08-0013275 |
Links to Exploration step
Pascal:08-0013275Le document en format XML
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<EA>Background: Music has been used for therapeutic purposes since the beginning of cultural history. However, despite numerous descriptions of beneficial effects, the precise mechanisms by which music may improve human well-being remain unclear. Methods: We conducted a randomized study in ten critically ill patients to identify mechanisms of music-induced relaxation using a special selection of slow movements of Mozart's piano sonatas. These sonatas were analyzed for compositional elements of relaxation. We measured circulatory variables, brain electrical activity, serum levels of stress hormones and cytokines, requirements for sedative drugs, and level of sedation before and at the end of a 1-hr therapeutic session. Results: Compared with controls, we found that music application significantly reduced the amount of sedative drugs needed to achieve a comparable degree of sedation. Simultaneously, among those receiving the music intervention, plasma concentrations of growth hormone increased, whereas those of interleukin-6 and epinephrine decreased. The reduction in systemic stress hormone levels was associated with a significantly lower blood pressure and heart rate. Conclusion: Based on the effects of slow movements of Mozart's piano sonatas, we propose a neurohumoral pathway by which music might exert its sedative action. This model includes an interaction of the hypothalamic-pituitary axis with the adrenal medulla via mediators of the unspecific immune system.</EA>
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