Music-induced cognitive change and whole-brain network flexibility: a pilot study

IntroductionCognitive impairment that exceeds age-related cognitive decline is a risk factor for Alzheimer’s disease and related dementias. As the older adult population is notably increasing every year, significant efforts are being made to preserve cognitive function in older adulthood. Non-pharma...

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Main Authors: E. Lydia Wu-Chung, Melia E. Bonomo, Anthony K. Brandt, Bryan T. Denny, Christof Karmonik, J. Todd Frazier, Karl Blench, Christopher P. Fagundes
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-06-01
Series:Frontiers in Neuroscience
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Online Access:https://www.frontiersin.org/articles/10.3389/fnins.2025.1567605/full
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author E. Lydia Wu-Chung
Melia E. Bonomo
Anthony K. Brandt
Bryan T. Denny
Christof Karmonik
Christof Karmonik
J. Todd Frazier
Karl Blench
Christopher P. Fagundes
Christopher P. Fagundes
Christopher P. Fagundes
Christopher P. Fagundes
author_facet E. Lydia Wu-Chung
Melia E. Bonomo
Anthony K. Brandt
Bryan T. Denny
Christof Karmonik
Christof Karmonik
J. Todd Frazier
Karl Blench
Christopher P. Fagundes
Christopher P. Fagundes
Christopher P. Fagundes
Christopher P. Fagundes
author_sort E. Lydia Wu-Chung
collection DOAJ
description IntroductionCognitive impairment that exceeds age-related cognitive decline is a risk factor for Alzheimer’s disease and related dementias. As the older adult population is notably increasing every year, significant efforts are being made to preserve cognitive function in older adulthood. Non-pharmaceutical approaches such as music interventions have noticeable benefits for cognition. Music engagement utilizes multiple brain regions dually involved in higher cognitive functions. Yet the neurobiology of music-induced cognitive change remains understudied. Complex human behavior and cognition likely depend on continuous communication across brain regions rather than localized activity in one region. Given that music creativity engages a wide range of mental processes, whole-brain network indices quantifying the brain’s tendency to create functional communities (modularity) and then dynamically reorganize these communities (flexibility) may be relevant for assessing music-related cognitive change. Using a semi-randomized clinical trial design (ClinicalTrials.gov; NCT04137913), we examined whether (1) music creativity altered whole-brain network indices (modularity, flexibility) and (2) whether music-related effects on cognition depended on whole-brain network indices.MethodsFifty-two older adults (Mean age = 75 years; 54% female; 84% White) were randomized to a 6-week music creativity intervention (n = 25) or a no-treatment control condition (n = 27) and completed resting-state fMRI scans and the Montreal Cognitive Assessment at baseline and follow-up (post-intervention).ResultsThe music creativity intervention did not alter network flexibility or modularity over time. However, the relationship between group assignment and change in global cognitive function depended on baseline flexibility: music creativity improved global cognition more than the control condition, only among individuals who had higher than average network flexibility.DiscussionFindings suggest that having a dynamic brain network, which has previously been linked to better executive functioning performance, may be necessary for music-related benefits on cognition. This pilot study is innovative as it is among the first to identify possible neural mechanisms underlying why music creativity interventions confer a more significant cognitive benefit for some older adults than others.
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spelling doaj-art-83aa3d33e49d45b8bd31d1adcf81031b2025-08-20T03:24:47ZengFrontiers Media S.A.Frontiers in Neuroscience1662-453X2025-06-011910.3389/fnins.2025.15676051567605Music-induced cognitive change and whole-brain network flexibility: a pilot studyE. Lydia Wu-Chung0Melia E. Bonomo1Anthony K. Brandt2Bryan T. Denny3Christof Karmonik4Christof Karmonik5J. Todd Frazier6Karl Blench7Christopher P. Fagundes8Christopher P. Fagundes9Christopher P. Fagundes10Christopher P. Fagundes11Department of Psychology, University of Pittsburgh, Pittsburgh, PA, United StatesDepartment of Physics and Astronomy, Rice University, Houston, TX, United StatesShepherd School of Music, Rice University, Houston, TX, United StatesDepartment of Psychological Sciences, Rice University, Houston, TX, United StatesTranslational Imaging Center, Houston Methodist Research Institute, Houston, TX, United StatesCenter for Performing Arts Medicine, Houston Methodist Hospital, Houston, TX, United StatesCenter for Performing Arts Medicine, Houston Methodist Hospital, Houston, TX, United StatesDepartment of Psychological Sciences, Rice University, Houston, TX, United StatesDepartment of Psychological Sciences, Rice University, Houston, TX, United StatesDepartment of Behavioral Science, The University of Texas MD Anderson Cancer Center, Houston, TX, United StatesDepartment of Psychiatry & Behavioral Sciences, Baylor College of Medicine, Houston, TX, United StatesInstitute of Health Resilience and Innovation, Rice University, Houston, TX, United StatesIntroductionCognitive impairment that exceeds age-related cognitive decline is a risk factor for Alzheimer’s disease and related dementias. As the older adult population is notably increasing every year, significant efforts are being made to preserve cognitive function in older adulthood. Non-pharmaceutical approaches such as music interventions have noticeable benefits for cognition. Music engagement utilizes multiple brain regions dually involved in higher cognitive functions. Yet the neurobiology of music-induced cognitive change remains understudied. Complex human behavior and cognition likely depend on continuous communication across brain regions rather than localized activity in one region. Given that music creativity engages a wide range of mental processes, whole-brain network indices quantifying the brain’s tendency to create functional communities (modularity) and then dynamically reorganize these communities (flexibility) may be relevant for assessing music-related cognitive change. Using a semi-randomized clinical trial design (ClinicalTrials.gov; NCT04137913), we examined whether (1) music creativity altered whole-brain network indices (modularity, flexibility) and (2) whether music-related effects on cognition depended on whole-brain network indices.MethodsFifty-two older adults (Mean age = 75 years; 54% female; 84% White) were randomized to a 6-week music creativity intervention (n = 25) or a no-treatment control condition (n = 27) and completed resting-state fMRI scans and the Montreal Cognitive Assessment at baseline and follow-up (post-intervention).ResultsThe music creativity intervention did not alter network flexibility or modularity over time. However, the relationship between group assignment and change in global cognitive function depended on baseline flexibility: music creativity improved global cognition more than the control condition, only among individuals who had higher than average network flexibility.DiscussionFindings suggest that having a dynamic brain network, which has previously been linked to better executive functioning performance, may be necessary for music-related benefits on cognition. This pilot study is innovative as it is among the first to identify possible neural mechanisms underlying why music creativity interventions confer a more significant cognitive benefit for some older adults than others.https://www.frontiersin.org/articles/10.3389/fnins.2025.1567605/fullcreativityfMRIflexibilitynetwork analysiscognitionmild cognitive impairment
spellingShingle E. Lydia Wu-Chung
Melia E. Bonomo
Anthony K. Brandt
Bryan T. Denny
Christof Karmonik
Christof Karmonik
J. Todd Frazier
Karl Blench
Christopher P. Fagundes
Christopher P. Fagundes
Christopher P. Fagundes
Christopher P. Fagundes
Music-induced cognitive change and whole-brain network flexibility: a pilot study
Frontiers in Neuroscience
creativity
fMRI
flexibility
network analysis
cognition
mild cognitive impairment
title Music-induced cognitive change and whole-brain network flexibility: a pilot study
title_full Music-induced cognitive change and whole-brain network flexibility: a pilot study
title_fullStr Music-induced cognitive change and whole-brain network flexibility: a pilot study
title_full_unstemmed Music-induced cognitive change and whole-brain network flexibility: a pilot study
title_short Music-induced cognitive change and whole-brain network flexibility: a pilot study
title_sort music induced cognitive change and whole brain network flexibility a pilot study
topic creativity
fMRI
flexibility
network analysis
cognition
mild cognitive impairment
url https://www.frontiersin.org/articles/10.3389/fnins.2025.1567605/full
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