[Musica et medicina].

Abstract:

:Depending on the personal attitude toward a given style and performance, music can influence mental activities such as emotion, mood, motivation, psychomotor tempo and possibly cognition. Experimental data indicate that music can alter physiological parameters of somatic functions (blood pressure, heart rhythm, peripheral blood flow, respiration). However, efforts are taken in medicine and neuroscience to decipher brain physiological and morphological correlates in processing or performing music. Modern imaging techniques brought a significant advance in this respect. It appears that there is no single music center in the brain, but depending on the components (melody, rhythm) of the music, more cerebral areas with strong network connections participate in that. Important regions are the upper temporal area (primary, secondary, tertiary auditory cortex), and parts of the frontal and parietal lobes, limbic system, and cerebellum. Beyond the above aspects, medicine joins to music in the field of music therapy. Meta-analyses of controlled studies show that music can be suitable to decrease stress, anxiety, and depression in various disease groups (cardiovascular, oncological, mental) and in medical examinations (surgical, urological, cardiac catheterization). Improvements were observed in motor, cognitive and psychosocial functions after music interventions in stroke rehabilitation. The links between mood disorders and creativity in music belong to medicine as well, where eminent composers can be mentioned, and also the examples of scholar and practitioner physicians playing or composing music superbly. Orv Hetil. 2019; 160(11): 403-418. :Absztrakt: Az adott zenei stílusirányzat és előadásmód iránti beállítódástól is függően a muzsika befolyásolhat mentális aktivitásokat, mint érzelem, hangulat, motiváció, pszichomotoros tempó és kogníció. Kísérletes adatok utalnak arra, hogy a zene szomatikus funkciók élettani paramétereit (vérnyomás, szívritmus, perifériás vérkeringés, légzés) képes megváltoztatni. A medicinális és idegtudományi kutatások erőfeszítéseket tesznek, hogy megfejtsék a zene feldolgozásának és előadásának agyi korrelátumait, amiben a modern képalkotó eljárások lényeges előrelépést hoztak. Úgy tűnik, hogy nincs egy bizonyos zenei központ, hanem a zene alkotóelemeitől (dallam, ritmus) függően erős hálózati összeköttetéssel több agyterület vesz részt ebben. Kitüntetettek a felső halántéki régiók (elsődleges, másodlagos, harmadlagos hallókéreg), illetve a homlok- és fali lebeny, a limbicus rendszer és a cerebellum részei. Az orvostudomány a fenti szempontokon túl elsősorban a zeneterápia terén kapcsolódik a muzsikához. Kontrollált tanulmányok metaelemzései jelzik, hogy a zene alkalmas lehet stresszállapot, szorongás, illetve depresszió csökkentésére különféle betegségcsoportokban (cardiovascularis, onkológiai, mentális) és orvosi vizsgálatokban (sebészeti, urológiai, szívkatéterezési). Stroke-rehabilitáció terén a motoros, kognitív és pszichoszociális funkciók javulását figyelték meg zenei beavatkozások után. A medicinához tartozik a hangulatzavarok és a zenei kreativitás kapcsolata, amelyre eminens zeneszerzők körében számos példa akad, valamint tudós és praktizáló orvosok kiváló aktív zenélése vagy zeneszerzése. Orv Hetil. 2019; 160(11): 403–418.

journal_name

Orv Hetil

journal_title

Orvosi hetilap

authors

Janka Z

doi

10.1556/650.2019.31323

subject

Has Abstract

pub_date

2019-03-01 00:00:00

pages

403-418

issue

11

eissn

0030-6002

issn

1788-6120

journal_volume

160

pub_type

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