Dementia (Credit: Canva)
Music therapy taps into long-term memory, which remains intact longer than short-term memory in dementia patients.
"One of our patients struggles to recall much from his past. He has Dementia. However, whenever he listens to songs in his mother tongue, it boosts his mood and reconnect with his memories," Neha Sinha, Dementia Specialist, Psychologist, CEO & Co-founder of Epoch Elder Care told me recently.
This made me wonder if music can really help elderly patients with complex neurodegenerative diseases like Parkinson's, Dementia and Multiple Sclerosis. Turns out that it can. While it does not specifically treat them, music definitely helps stabilize symptoms, fostering emotional well-being and improving the quality of life for patients.
Behavioural challenges, such as aggression, anxiety, and social disinhibition, are common in patients with Dementia. Music therapy addresses these issues by creating a calming atmosphere and making them more open to treatment. "Listening to or engaging with music can soothe anxiety, regulate sleep patterns, and encourage them to be more receptive to assistance in performing their activities of daily life (ADL) more comfortably. Moreover, Reminiscence therapy, which helps recall events and discuss past events to improve their well-being, is known to be profoundly effective in treating such conditions.
Music therapy also taps into long-term memory, which remains intact longer than short-term memory in those suffering from Dementia. Familiar tunes or songs from childhood can stimulate certain neural connections, particularly if they are in their mother tongue. This soothes their anxiety, provides comfort and even prompts them to engage in social conversations.
Additionally, music therapy aids motor coordination, which is particularly helpful to those with Parkinson's. Incorporating rhythmic movements like walking or light dancing to music can improve muscle relaxation and enhance motor abilities. While there is no direct evidence linking music therapy to alleviating physical symptoms, its positive impact on mood and cognitive function makes patients more receptive to medical treatment.
Healing with music is believed to date back to ancient Greece when music was used in an attempt to cure mental disorders. Throughout history, music has been used to boost morale in military troops, help people work faster and more productively, and even ward off evil spirits by chanting.
Music therapy does not involve specialists in most cases. It involves:
Credit: AI image
In a bizarre medical case, a 28-year-old US man began seeing his pet cat Luna’s features on human faces after brain surgery. These included almond-shaped eye sockets enlarged pupils and stripes.
If Karl sees Luna first thing in the morning, he continues to see her features on human faces throughout the day, whether in person or online.
However, if he wakes up looking at a human face, he may see that person’s pupils and eye shape on other people’s faces and even on his cat.
According to a case report published in the journal Cortex, Karl experiences a form of palinopsia, in which something seen earlier persists or reappears in subsequent perception. In his case, this causes facial distortions known as prosopometamorphopsia (PMO).
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Karl, who lives in the northeastern US, has experienced the condition for two years. It began after surgery to remove part of his right temporal lobe to treat an arteriovenous malformation (AVM), an abnormal tangle of blood vessels connecting arteries and veins that can cause bleeding in the brain.
The right temporal lobe plays an important role in face processing.
"This case of Karl seeing his cat's features in human faces and vice versa demonstrates that individual features can be pulled from memory and influence our ongoing perception," said lead author Brad Duchaine, professor and chair of psychological and brain sciences and principal investigator of the Social Perception Lab at Dartmouth.
Karl is not alone. According to Duchaine's lab, more than 250 people experience facial distortions. Many are mistakenly diagnosed with psychiatric problems.
"We have heard from people who have been told that they had a psychiatric problem and, in some cases, have even been put on antipsychotics, when they are in fact just having visual problems," Duchaine said.
Duchaine also cited a 1986 study published in Cortex. It described a woman who saw a poodle sitting on a passenger's lap while riding a bus. She then began seeing the poodle's face on every passenger. The woman had experienced a stroke nine months earlier.
Unlike that case, Karl sees individual facial features transferred between faces rather than entire faces.
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Duchaine used a large language model to turn a line drawing of Karl’s experience into a photorealistic image. He then worked with Karl to refine the visuals featured in the report.
AI-generated images can help researchers understand visual distortions and help patients explain their experiences to doctors, friends and family, Duchaine said, adding that he will continue working with Karl to decode more about the condition.
Prosopometamorphopsia (PMO) is a rare visual condition in which faces or facial features appear distorted due to changes in the brain's face-processing network. The term combines prosopo (Greek for face) and metamorphopsia (perceptual distortion).
People with PMO may see facial features as:
Two prominent subtypes are:
Most cases last days or weeks, although some persist for years. Around 75 case reports have so far been published.
Credit: iStock
Rubbing your eyes is a common habit, often triggered by itching, dryness or tiredness. However, frequent and vigorous rubbing can damage the cornea and increase the risk of keratoconus, a progressive condition that causes it to thin and bulge outward, experts warn.
World Keratoconus Day is observed every year on November 10 to raise awareness about the condition.
Early diagnosis is important to slow its progression. Frequent changes in spectacle prescriptions or deteriorating vision should prompt an eye examination.
Frequent or aggressive eye rubbing can put mechanical stress on the cornea, potentially weakening its structure and worsening existing eye conditions.
Speaking to HealthandMe, Dr Janhvi Mehta, Consultant Ophthalmologist, Jaslok Hospital and Research Centre, Mumbai, said, "Frequent or vigorous eye rubbing can damage the cornea, particularly by contributing to keratoconus. It can also cause corneal epithelial injury and worsen existing ocular allergy."
Repeated rubbing can:
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Dr Mahipal Singh Sachdev, Chairman and Managing Director, Centre for Sight Group of Hospitals, explained that excessive rubbing puts pressure on the cornea and can damage its collagen structure.
"The cornea might become thinner than usual or its shape may become uneven, leading to impaired vision. Hence, people should avoid the habit of rubbing their eyes," he told HealthandMe.
Children with allergies, especially allergic conjunctivitis, may be more vulnerable to keratoconus because of frequent eye rubbing.
Allergies can cause persistent itching, redness, watering, and discomfort, encouraging children to rub their eyes repeatedly. The resulting mechanical stress may contribute to the development or progression of keratoconus in susceptible individuals.
The experts urged parents to watch for excessive rubbing and changes in their children's vision. Timely allergy treatment and regular eye examinations can help identify potential problems early.
Other risk factors for keratoconus include:
However, not everyone who frequently rubs their eyes develops keratoconus.
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Dr Janhvi noted that keratoconus commonly begins during adolescence or early adulthood but may remain undiagnosed until vision deteriorates.
Its early symptoms can resemble common refractive errors such as myopia. Children and young adults may experience mild blurring or require frequent changes in their spectacle prescriptions, which can be mistaken for routine vision changes.
The condition can also progress gradually and initially affect only one eye, making changes harder to recognise. Routine eye examinations may not always detect early keratoconus without specialised corneal assessment, Dr. Mahipal said.
Warning signs to watch for include:
Increasing astigmatism despite repeated spectacle corrections is an important warning sign that warrants further evaluation.
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Preventing excessive eye rubbing and managing its underlying causes can help reduce avoidable stress on the cornea.
1. Break the eye-rubbing habit
2. Treat underlying allergies
If itching triggers eye rubbing, consult an ophthalmologist about appropriate treatment. Options may include topical antihistamine or mast-cell stabiliser drops, such as olopatadine or ketotifen.
Other measures include:
3. Reduce exposure to environmental triggers
Credit: iStock
Come Saturday morning, many people have just one thing on their mind: catching up on sleep. After a week of early mornings, office deadlines, late-night screen time and household responsibilities, the weekend feels like the perfect opportunity to stay in bed for a few extra hours. Some people even sleep until noon, believing that the extra rest will make up for all those late nights. But is it really possible to undo five days of poor sleep in just two days?
Unfortunately, the brain doesn't work that way. Sleeping longer over the weekend can certainly help you feel less tired, but it cannot completely compensate for a week of inadequate sleep.
Sleep is much more than physical rest. It is when the brain gets down to some of its most important work. Memories are processed, information gathered during the day is organised, and the brain gets an opportunity to recover from constant activity. When we repeatedly cut short our sleep, these processes can suffer.
Think about how you feel after several nights of going to bed late. You may find yourself forgetting small things, struggling to concentrate during meetings or becoming unusually irritable over minor issues. These are some of the ways sleep deprivation can affect everyday functioning.
Sleeping for a few extra hours over the weekend can ease some of this fatigue. You may feel more alert and find it easier to concentrate. However, feeling refreshed is not necessarily the same as being fully recovered. Certain effects of repeated sleep restriction, particularly on attention and reaction time, can take longer to resolve.
There is another side to this weekend habit that people rarely consider. If you sleep at 11 pm during the week but stay awake until 2 or 3 am on Friday and Saturday, your body's internal clock can get disrupted.
This internal timing system, called the circadian rhythm, helps regulate when you feel sleepy and when you wake up. Large changes in sleep timings can make it harder to fall asleep on Sunday night. Before you know it, Monday morning arrives and you are back to feeling exhausted.
It becomes a familiar cycle: insufficient sleep during the week, prolonged sleep on weekends and difficulty getting back into a routine.
One of the biggest areas affected is memory. Sleep plays an important role in consolidating information, which is why a poor night's sleep can make it harder to remember things or absorb new information the following day.
It can also affect emotional regulation. People who regularly sleep less may become more impatient, anxious or sensitive to everyday stress. Their ability to focus and make decisions may also take a hit.
Persistent sleep deprivation has also been associated with metabolic and cardiovascular problems. It is therefore important not to treat poor sleep as an unavoidable part of a demanding work schedule.
Rather than depending on Saturday and Sunday to recover, try making small changes to your routine throughout the week.
Your brain needs rest every day, not just when the calendar says it is the weekend. Instead of treating sleep as something you can postpone and recover later, make it a non-negotiable part of your daily routine.
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