unit for patients with dementia, he would give her a perfunctory kiss,
then wander off through the rooms and stare out the window. Elsie tried
to walk with him and hold hands, but he would shake her off, leaving her
heartsick.
A music therapist at the facility, Alicia Clair, was searching for ways
to help couples like Elsie and Tom connect. Ms. Clair asked Elsie if
she'd like to try dancing with Tom, then put on some music from the '40s
— Frank Sinatra singing "Time after Time." Ms. Clair said recently, "I
knew Tom was a World War II vet, and vets did a lot of ballroom dancing."
As Sinatra began singing, Elsie opened her arms, beckoning. Tom stared a
moment, then walked over and began leading her in the foxtrot. "They
danced for thirty minutes!" Ms. Clair said. When they were finished,
Elsie broke down and sobbed. "I haven't been held by my husband in three
years," she told Ms. Clair. "Thank you for bringing him back."
Ms. Clair, a professor of music therapy at the University of Kansas,
tells this story to show how music can reach people with Alzheimer's
disease. Music has the power to bypass the mind and wash through us,
triggering strong feelings and cueing the body to synchronize with its
rhythm.
Researchers and clinicians are finding that when all other means of
communication have shut down, people remember and respond to music.
Familiar songs can help people with dementia relate to others, move more
easily and experience joy. Tom had forgotten his name and couldn't utter
one word, but hearing Sinatra prompted him to dance.
Music memory is preserved better than verbal memory, according to Ms.
Clair, because music, unlike language, is not seated in a specific area
of the brain but processed across many parts. "You can't rub out music
unless the brain is completely gone."
Ms. Clair noted, too, that Alzheimer's is retrograde: "Things fall off
in the opposite order from the way they were acquired." So if someone
sang to you as a baby, before you even knew words, you'll respond to
music after words are gone.
The discipline of music therapy (MT) was established in 1950, and last
year close to a million people received MT services in hospitals, care
facilities, hospices and schools. MT is not merely playing music for
people, although that's beneficial. Practitioners are skilled musicians
who play instruments and sing, then are trained and certified to use
music for therapeutic purposes.
Patients with a wide range of ailments — from children with disabilities
to burn victims to people with Parkinson's disease and stroke — have
experienced the ability of MT to speed healing, improve mood and
increase mobility. In a study published by the American Society of
Neurorehabilitation, music therapy and conventional physical therapy
were given to two groups of stroke victims who could barely walk. The
group who received music therapy showed greater improvement in walking
in a shorter period of time than those getting physical therapy.
My daughter, Rachel Strauss, who's studying for a master's degree in MT,
said, "It works faster to relax people than any drug. It's cost
effective and has no side effects."
There's been a burst of interest in MT for people with Alzheimer's. Kate
Gfeller, who directs the graduate MT program at the University of Iowa,
published a study in the Journal of Music Therapy finding that
activities like moving to music, playing rhythm instruments and singing
led to more group involvement and less wandering and disruptive behavior
among 51 patients with dementia in five nursing facilities.
Other studies demonstrate that MT can slow the progress of Alzheimer's,
relieve pain and create emotional intimacy. The goal, Ms. Gfeller said,
is to keep people functioning at their present level as long as
possible: "We can't reverse the disease, but we can make the quality of
each day as good as it can be."
Not just any music will do, though. The trick is finding out what music
was popular when the patient was a teen and young adult. Ms. Gfeller
said those years are such a powerful time in developing autonomy — a
time of first love, learning to drive, getting the first home of one's
own — that people will play the music they heard during those years all
their lives, and recall it the longest.
I remember visiting my grandfather, Louie Wass, when he was hospitalized
with dementia, lying in bed, unable to talk. I started singing a
Hungarian song he'd learned as a youth and later taught to me,
"Territch-ka." I sang the verse and when I stopped, he opened his mouth
and sang the chorus: "Yoy, Territch-ka!" Right on key.
My daughter has asked me to send her books of music from the '60s
because, she said, "Boomers will be the next generation in the nursing
facilities." That was cheering. With the generation currently in these
facilities, she uses songs like "A Bicycle Built for Two." She likes
those songs but said, "Your generation will be awesome — we'll get to
play the Beatles."
http://newoldage.blogs.nytimes.com/2009/04/23/the-songs-they-cant-forget/?em
