Randomized controlled trial2021Open access

Vocal Music Listening Enhances Poststroke Language Network Reorganization

Sihvonen AJ, Ripollés P, Leo V, Saunavaara J, Parkkola R, Rodríguez-Fornells A, Soinila S, Särkämö T

eNeuro · 26 citations

How it was studied

Design
Randomized controlled trial (indexed by PubMed)
Studied in
People
Main outcome
Health markers and function

Who paid for it

Funding
Independent funding
Government
Academy of Finland
Nonprofit
Suomen Kulttuurirahasto
Nonprofit
Signe ja Ane Gyllenbergin Säätiö
Nonprofit
Orionin Tutkimussäätiö
Nonprofit
Suomen Aivosäätiö
University or hospital
Varsinais-Suomen Sairaanhoitopiiri
Nonprofit
Suomen Aivotutkimus- ja Kuntoutussäätiö
Government
European Research Council
Government
H2020 European Research Council
Government
Suomen Akatemia
Nonprofit
Finnish Brain Research and Rehabilitation Foundation
University or hospital
Tyks Research Funding
Grants
Academy of Finland (257077); H2020 European Research Council (803466); Academy of Finland (257077, 277693, 299044); European Research Council (803466); Suomen Kulttuurirahasto (#191230); Academy of Finland (277693); Academy of Finland (299044)

Based on 12 listed funder(s).

Publication

Published
2021-06-17 · eNeuro · vol. 8 · issue 4 · pp. ENEURO.0158–21.2021
Publisher
Society for Neuroscience
Cited
39 citations · more than 92% of similar papers · 3.1× the field average
Impact
Top 10% most cited in its field
References
97 works
Access
Open access (journal) · CC-BY
Research areas
Neurobiology of Language and Bilingualism · Neuroscience and Music Perception · Music Therapy and Health
Keywords
Neuroplasticity, Active listening, Psychology, Stimulus (psychology), Vocal tract, Music therapy, Audiology, Rehabilitation, Stroke (engine), Medicine, Physical medicine and rehabilitation, Cognitive psychology, Neuroscience, Communication, Psychotherapist
MeSH
brain, neural pathways, humans, magnetic resonance imaging, music therapy, single-blind method, language, auditory perception, recovery of function, neuronal plasticity, music, aged, middle aged, female, male, stroke, diffusion tensor imaging, stroke rehabilitation

8 authors

From FI, AU, US, ES

  • Aleksi J. SihvonenUniversity of Helsinki; The University of Queensland
  • Pablo RipollésNew York University
  • Vera LeoUniversity of Helsinki
  • Jani P. SaunavaaraTurku University Hospital
  • Riitta ParkkolaUniversity of Turku; Turku University Hospital
  • Antoni Rodríguez‐FornellsInstitució Catalana de Recerca i Estudis Avançats; Bellvitge University Hospital; Institut d'Investigació Biomédica de Bellvitge; Manufacturas Serviplast (Spain); Universitat de Barcelona

Abstract

Listening to vocal music has been recently shown to improve language recovery in stroke survivors. The neuroplasticity mechanisms supporting this effect are, however, still unknown. Using data from a three-arm, single-blind, randomized controlled trial including acute stroke patients (N = 38) and a 3 month follow-up, we set out to compare the neuroplasticity effects of daily listening to self-selected vocal music, instrumental music, and audiobooks on both brain activity and structural connectivity of the language network. Using deterministic tractography, we show that the 3 month intervention induced an enhancement of the microstructural properties of the left frontal aslant tract (FAT) for the vocal music group compared with the audiobook group. Importantly, this increase in the strength of the structural connectivity of the left FAT correlated with improved language skills. Analyses of stimulus-specific activation changes showed that the vocal music group exhibited increased activations in the frontal termination points of the left FAT during vocal music listening compared with the audiobook group from acute to 3 month poststroke stage. The increased activity correlated with the structural neuroplasticity changes in the left FAT. These results suggest that the beneficial effects of vocal music listening on poststroke language recovery are underpinned by structural neuroplasticity changes within the language network and extend our understanding of music-based interventions in stroke rehabilitation.

Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY).

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