Neural and Cognitive Effects of Customized Music Therapy

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Authors: Tracie Liu
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Abstract

IntroductionMusic therapy has a unique connection to the brain.Music, a fundamental aspect of connection and expression, can tap into people's cognitive and emotional systems, activating memory, attention, and motor functions.These effects enable music to support physical and mental well-being in ways other therapies do not.Although music therapy is increasingly used in neurological care for patients with diseases such as Alzheimer's, Parkinson's, and dementia-which involve declines in cognitive capabilities and movement-it remains underutilized in clinical settings.While many experiments have demonstrated its promising results, it is not yet fully integrated into mainstream treatment for neurological disorders.A main cause of this is the lack of clarity and research on how musical elements, like genre, tempo, rhythm, and familiarity, drive cognitive improvements.Therefore, clinicians may struggle to apply music therapy in a structured, evidence-based way within treatment and recovery plans.From this emerges the central question of the paper: How do customizations affect cognitive benefits in patients with neurological disorders?This paper will examine findings from clinical studies and brain imaging research to evaluate how personalization in music therapy shapes therapeutic outcomes. Clinical Benefits of Music TherapyMusic therapy's true value comes from the many ways it can support a person's well-being.Its measurable effects on cognition, emotion, behavior, and daily function have been shown through numerous studies and experiments with patients with various neurodegenerative diseases.Specifically, it improves the cognitive function and emotional well-being of patients with Alzheimer's and dementia, while enhancing gait and mobility in patients with Parkinson's disease.Cognitive outcomes in music therapy encompass a wide range of mental domains, primarily memory, language, attention, and orientation.In a study on the effects of music therapy on patients with Alzheimer's disease and dementia, therapy sessions led to an increase in cognitive processes and understanding ( Gallego & García, 2017 ).Using the Mini-Mental State Examination (MMSE), a cognitive screening test consisting of 30 questions, the study assessed Alzheimer's and dementia patients at baseline, after 6 sessions, and after 12 sessions of music therapy.Patients showed approximately a 60% increase in attention, around a 40% increase in memory and orientation, and roughly a 15% increase in language at the end of the study based on the MMSE.The researchers reasoned that this was due to music therapy's ability to stimulate neuronal connectivity, especially because neurodegenerative diseases usually lead to loss in neuron connections.Additionally, music therapy triggers emotional arousal, leading to greater memory retention and increased overall well-being and satisfaction.The study also compared the effects of music therapy on patients with mild and moderate dementia.Both groups experienced roughly a 40% increase in orientation, language, and memory, with the only difference being a slight decrease in language scores for the mild dementia group.However, these improvements were not examined across a long-term timeframe, underscoring the need for further research on the sustained effects of music therapy.Furthermore, in a recent review on the effect of music on cognitive impairment, many studies noted cognitive improvements in memory and attention as a result of music therapy

Fields of Study & Subjects

Music Therapy and Health Neuroscience and Music Perception Music Education and Analysis

Publication details

Publication date
11 January 2026
Document type
Preprint