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Auditory Stimulation Modulates Resting-State Functional Connectivity in Unresponsive Wakefulness Syndrome Patients.

Melanie Boltzmann1, Simone B Schmidt1, Christoph Gutenbrunner2

  • 1BDH-Klinik Hessisch Oldendorf, Hessisch Oldendorf, Germany.

Frontiers in Neuroscience
|March 5, 2021
PubMed
Summary

Preferred music can modulate brain activity in patients with unresponsive wakefulness syndrome (UWS). This study found that music listening impacts functional connectivity in UWS patients, unlike in healthy controls.

Keywords:
auditory stimulationdisorders of consciousnessneurological early rehabilitationresting-state fMRIunresponsive wakefulness syndrome

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Area of Science:

  • Neuroscience
  • Cognitive Science
  • Neurology

Background:

  • Passive music listening offers psychological and physical benefits across populations.
  • Altered brain activity and functional connectivity characterize unresponsive wakefulness syndrome (UWS).

Purpose of the Study:

  • To investigate the effects of preferred music on resting-state functional connectivity in patients with UWS.
  • To compare brain responses to auditory stimuli between UWS patients and healthy controls (HC).

Main Methods:

  • Functional magnetic resonance imaging (fMRI) was used to analyze resting-state functional connectivity.
  • Participants (13 UWS patients, 18 HC) were exposed to scanner noise, preferred music, and aversive auditory stimulation.
  • A seed-based approach was employed for functional connectivity analysis.

Main Results:

  • Healthy controls showed no significant differences in network connectivity across auditory conditions.
  • UWS patients exhibited impaired functional connectivity across all resting-state networks.
  • Preferred and aversive auditory stimulation modulated the functional connectivity of the auditory network in UWS patients.

Conclusions:

  • Auditory stimulation, particularly preferred music, has the potential to modulate brain activity in UWS patients.
  • Findings suggest music's therapeutic potential for modulating consciousness and brain function in UWS.