Music in Research and Rehabilitation of Disorders of Consciousness: Psychological and Neurophysiological Foundations
Identifieur interne : 000171 ( Main/Exploration ); précédent : 000170; suivant : 000172Music in Research and Rehabilitation of Disorders of Consciousness: Psychological and Neurophysiological Foundations
Auteurs : Boris Kotchoubey [Allemagne] ; Yuri G. Pavlov [Allemagne, Russie] ; Boris Kleber [Allemagne]Source :
- Frontiers in Psychology ; 2015.
Abstract
According to a prevailing view, the visual system works by dissecting stimuli into primitives, whereas the auditory system processes simple and complex stimuli with their corresponding features in parallel. This makes musical stimulation particularly suitable for patients with disorders of consciousness (DoC), because the processing pathways related to complex stimulus features can be preserved even when those related to simple features are no longer available. An additional factor speaking in favor of musical stimulation in DoC is the low efficiency of visual stimulation due to prevalent maladies of vision or gaze fixation in DoC patients. Hearing disorders, in contrast, are much less frequent in DoC, which allows us to use auditory stimulation at various levels of complexity. The current paper overviews empirical data concerning the four main domains of brain functioning in DoC patients that musical stimulation can address: perception (e.g., pitch, timbre, and harmony), cognition (e.g., musical syntax and meaning), emotions, and motor functions. Music can approach basic levels of patients’ self-consciousness, which may even exist when all higher-level cognitions are lost, whereas music induced emotions and rhythmic stimulation can affect the dopaminergic reward-system and activity in the motor system respectively, thus serving as a starting point for rehabilitation.
Url:
DOI: 10.3389/fpsyg.2015.01763
PubMed: 26640445
PubMed Central: 4661237
Affiliations:
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Pavlov</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Institute for Medical Psychology and Behavioural Neurobiology, University of Tübingen</institution>,<country>Tübingen, Germany</country></nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea></wicri:regionArea><wicri:regionArea># see nlm:aff region in country</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff2"><institution>Department of Psychology, Ural Federal University</institution>,<country>Yekaterinburg, Russia</country></nlm:aff><country xml:lang="fr">Russie</country><wicri:regionArea></wicri:regionArea><wicri:regionArea># see nlm:aff region in country</wicri:regionArea></affiliation></author><author><name sortKey="Kleber, Boris" sort="Kleber, Boris" uniqKey="Kleber B" first="Boris" last="Kleber">Boris Kleber</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Institute for Medical Psychology and Behavioural Neurobiology, University of Tübingen</institution>,<country>Tübingen, Germany</country></nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea></wicri:regionArea><wicri:regionArea># see nlm:aff region in country</wicri:regionArea></affiliation></author></analytic><series><title level="j">Frontiers in Psychology</title><idno type="e-ISSN">1664-1078</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>According to a prevailing view, the visual system works by dissecting stimuli into primitives, whereas the auditory system processes simple and complex stimuli with their corresponding features in parallel. This makes musical stimulation particularly suitable for patients with disorders of consciousness (DoC), because the processing pathways related to complex stimulus features can be preserved even when those related to simple features are no longer available. An additional factor speaking in favor of musical stimulation in DoC is the low efficiency of visual stimulation due to prevalent maladies of vision or gaze fixation in DoC patients. Hearing disorders, in contrast, are much less frequent in DoC, which allows us to use auditory stimulation at various levels of complexity. The current paper overviews empirical data concerning the four main domains of brain functioning in DoC patients that musical stimulation can address: perception (e.g., pitch, timbre, and harmony), cognition (e.g., musical syntax and meaning), emotions, and motor functions. Music can approach basic levels of patients’ self-consciousness, which may even exist when all higher-level cognitions are lost, whereas music induced emotions and rhythmic stimulation can affect the dopaminergic reward-system and activity in the motor system respectively, thus serving as a starting point for rehabilitation.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Abrams, D A" uniqKey="Abrams D">D. A. Abrams</name></author><author><name sortKey="Nicol, T" uniqKey="Nicol T">T. Nicol</name></author><author><name sortKey="Zecker, S" uniqKey="Zecker S">S. Zecker</name></author><author><name sortKey="Kraus, N" uniqKey="Kraus N">N. Kraus</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Aftanas, L I" uniqKey="Aftanas L">L. I. Aftanas</name></author><author><name sortKey="Golocheikine, S A" uniqKey="Golocheikine S">S. A. 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Zatorre</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Zatorre, R J" uniqKey="Zatorre R">R. J. Zatorre</name></author><author><name sortKey="Belin, P" uniqKey="Belin P">P. Belin</name></author><author><name sortKey="Penhune, V B" uniqKey="Penhune V">V. B. Penhune</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Zatorre, R J" uniqKey="Zatorre R">R. J. Zatorre</name></author><author><name sortKey="Bouffard, M" uniqKey="Bouffard M">M. Bouffard</name></author><author><name sortKey="Ahad, P" uniqKey="Ahad P">P. Ahad</name></author><author><name sortKey="Belin, P" uniqKey="Belin P">P. Belin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Zatorre, R J" uniqKey="Zatorre R">R. J. Zatorre</name></author><author><name sortKey="Gandour, J T" uniqKey="Gandour J">J. T. Gandour</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Allemagne</li><li>Russie</li></country></list><tree><country name="Allemagne"><noRegion><name sortKey="Kotchoubey, Boris" sort="Kotchoubey, Boris" uniqKey="Kotchoubey B" first="Boris" last="Kotchoubey">Boris Kotchoubey</name></noRegion><name sortKey="Kleber, Boris" sort="Kleber, Boris" uniqKey="Kleber B" first="Boris" last="Kleber">Boris Kleber</name><name sortKey="Pavlov, Yuri G" sort="Pavlov, Yuri G" uniqKey="Pavlov Y" first="Yuri G." last="Pavlov">Yuri G. Pavlov</name></country><country name="Russie"><noRegion><name sortKey="Pavlov, Yuri G" sort="Pavlov, Yuri G" uniqKey="Pavlov Y" first="Yuri G." last="Pavlov">Yuri G. Pavlov</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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