Spatio-Temporal Dynamics of Entropy in EEGS during Music Stimulation of Alzheimer’s Disease Patients with Different Degrees of Dementia

Music has become a common adjunctive treatment for Alzheimer’s disease (AD) in recent years. Because Alzheimer’s disease can be classified into different degrees of dementia according to its severity (mild, moderate, severe), this study is to investigate whether there are differences in brain respon...

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Main Authors: Tingting Wu, Fangfang Sun, Yiwei Guo, Mingwei Zhai, Shanen Yu, Jiantao Chu, Chenhao Yu, Yong Yang
Format: Article
Language:English
Published: MDPI AG 2022-08-01
Series:Entropy
Subjects:
Online Access:https://www.mdpi.com/1099-4300/24/8/1137
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author Tingting Wu
Fangfang Sun
Yiwei Guo
Mingwei Zhai
Shanen Yu
Jiantao Chu
Chenhao Yu
Yong Yang
author_facet Tingting Wu
Fangfang Sun
Yiwei Guo
Mingwei Zhai
Shanen Yu
Jiantao Chu
Chenhao Yu
Yong Yang
author_sort Tingting Wu
collection DOAJ
description Music has become a common adjunctive treatment for Alzheimer’s disease (AD) in recent years. Because Alzheimer’s disease can be classified into different degrees of dementia according to its severity (mild, moderate, severe), this study is to investigate whether there are differences in brain response to music stimulation in AD patients with different degrees of dementia. Seventeen patients with mild-to-moderate dementia, sixteen patients with severe dementia, and sixteen healthy elderly participants were selected as experimental subjects. The nonlinear characteristics of electroencephalogram (EEG) signals were extracted from 64-channel EEG signals acquired before, during, and after music stimulation. The results showed the following. (1) At the temporal level, both at the whole brain area and sub-brain area levels, the EEG responses of the mild-to-moderate patients showed statistical differences from those of the severe patients (<i>p</i> < 0.05). The nonlinear characteristics during music stimulus, including permutation entropy (PmEn), sample entropy (SampEn), and Lempel–Ziv complexity (LZC), were significantly higher in both mild-to-moderate patients and healthy controls compared to pre-stimulation, while it was significantly lower in severe patients. (2) At the spatial level, the EEG responses of the mild-to-moderate patients and the severe patients showed statistical differences (<i>p</i> < 0.05), showing that as the degree of dementia progressed, fewer pairs of EEG characteristic showed significant differences among brain regions under music stimulation. In this paper, we found that AD patients with different degrees of dementia had different EEG responses to music stimulation. Our study provides a possible explanation for this discrepancy in terms of the pathological progression of AD and music cognitive hierarchy theory. Our study has adjunctive implications for clinical music therapy in AD., potentially allowing for more targeted treatment. Meanwhile, the variations in the brains of Alzheimer’s patients in response to music stimulation might be a model for investigating the neural mechanism of music perception.
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spelling doaj.art-e568941b082c4e9b9216436ef50834a52023-11-30T21:20:48ZengMDPI AGEntropy1099-43002022-08-01248113710.3390/e24081137Spatio-Temporal Dynamics of Entropy in EEGS during Music Stimulation of Alzheimer’s Disease Patients with Different Degrees of DementiaTingting Wu0Fangfang Sun1Yiwei Guo2Mingwei Zhai3Shanen Yu4Jiantao Chu5Chenhao Yu6Yong Yang7School of Automation, Hangzhou Dianzi University, Hangzhou 310018, ChinaSchool of Automation, Hangzhou Dianzi University, Hangzhou 310018, ChinaSchool of Automation, Hangzhou Dianzi University, Hangzhou 310018, ChinaSchool of Automation, Hangzhou Dianzi University, Hangzhou 310018, ChinaSchool of Automation, Hangzhou Dianzi University, Hangzhou 310018, ChinaSchool of Automation, Hangzhou Dianzi University, Hangzhou 310018, ChinaSchool of Automation, Hangzhou Dianzi University, Hangzhou 310018, ChinaSchool of Automation, Hangzhou Dianzi University, Hangzhou 310018, ChinaMusic has become a common adjunctive treatment for Alzheimer’s disease (AD) in recent years. Because Alzheimer’s disease can be classified into different degrees of dementia according to its severity (mild, moderate, severe), this study is to investigate whether there are differences in brain response to music stimulation in AD patients with different degrees of dementia. Seventeen patients with mild-to-moderate dementia, sixteen patients with severe dementia, and sixteen healthy elderly participants were selected as experimental subjects. The nonlinear characteristics of electroencephalogram (EEG) signals were extracted from 64-channel EEG signals acquired before, during, and after music stimulation. The results showed the following. (1) At the temporal level, both at the whole brain area and sub-brain area levels, the EEG responses of the mild-to-moderate patients showed statistical differences from those of the severe patients (<i>p</i> < 0.05). The nonlinear characteristics during music stimulus, including permutation entropy (PmEn), sample entropy (SampEn), and Lempel–Ziv complexity (LZC), were significantly higher in both mild-to-moderate patients and healthy controls compared to pre-stimulation, while it was significantly lower in severe patients. (2) At the spatial level, the EEG responses of the mild-to-moderate patients and the severe patients showed statistical differences (<i>p</i> < 0.05), showing that as the degree of dementia progressed, fewer pairs of EEG characteristic showed significant differences among brain regions under music stimulation. In this paper, we found that AD patients with different degrees of dementia had different EEG responses to music stimulation. Our study provides a possible explanation for this discrepancy in terms of the pathological progression of AD and music cognitive hierarchy theory. Our study has adjunctive implications for clinical music therapy in AD., potentially allowing for more targeted treatment. Meanwhile, the variations in the brains of Alzheimer’s patients in response to music stimulation might be a model for investigating the neural mechanism of music perception.https://www.mdpi.com/1099-4300/24/8/1137EEGAlzheimer’s diseasedifferent degree of dementiamusic stimulationpermutation entropy
spellingShingle Tingting Wu
Fangfang Sun
Yiwei Guo
Mingwei Zhai
Shanen Yu
Jiantao Chu
Chenhao Yu
Yong Yang
Spatio-Temporal Dynamics of Entropy in EEGS during Music Stimulation of Alzheimer’s Disease Patients with Different Degrees of Dementia
Entropy
EEG
Alzheimer’s disease
different degree of dementia
music stimulation
permutation entropy
title Spatio-Temporal Dynamics of Entropy in EEGS during Music Stimulation of Alzheimer’s Disease Patients with Different Degrees of Dementia
title_full Spatio-Temporal Dynamics of Entropy in EEGS during Music Stimulation of Alzheimer’s Disease Patients with Different Degrees of Dementia
title_fullStr Spatio-Temporal Dynamics of Entropy in EEGS during Music Stimulation of Alzheimer’s Disease Patients with Different Degrees of Dementia
title_full_unstemmed Spatio-Temporal Dynamics of Entropy in EEGS during Music Stimulation of Alzheimer’s Disease Patients with Different Degrees of Dementia
title_short Spatio-Temporal Dynamics of Entropy in EEGS during Music Stimulation of Alzheimer’s Disease Patients with Different Degrees of Dementia
title_sort spatio temporal dynamics of entropy in eegs during music stimulation of alzheimer s disease patients with different degrees of dementia
topic EEG
Alzheimer’s disease
different degree of dementia
music stimulation
permutation entropy
url https://www.mdpi.com/1099-4300/24/8/1137
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