Baltimore County Public Schools Department of Curriculum and Instruction Concept Unit Title Encounter The Task Theme Statement/ Enduring Understandings Essential Question(s) Suggested Timeframe Staff Teaching Responsibility Inquiry is a framework for learning. Research is a process. General Notes: Teacher Note: This entire course will provide many of the lesson materials through the BCPS independent research website. Students will need access to this website on a daily basis. See this website at: http://www.bcps.org/offices/lis/researchcourse/steps.html. This unit will focus on step one of the process. The majority of the material needed for this unit can be found at: http://www.bcps.org/offices/lis/researchcourse/encounter.html. Objective: Standards Alignment Lesson: 2 “Steps in the Research Process” What are the steps in the research process? What does the end product look like? Two periods, 45 minutes each or one 90 minute period Media Specialist/ Teacher The teacher should keep in mind that this lesson includes suggestions for meeting the stated objectives. The teacher should adjust the lesson based on the needs of his or her students; however, all objectives should be covered. Students will evaluate the end product of student research in order to determine the steps needed to conduct a research project. AASL Standards for the 21st Century Learner 1.1.1 Follow an inquiry- based process in seeking knowledge in curricular subjects, and make the real- world connection for using this process in own life. 1.1.2 Use prior and background knowledge as context for new learning. 1.1.6 Read, view, and listen for information presented in any format (e.g., textual, visual, media, digital) in order to make inferences and gather meaning. 1.1.8 Demonstrate mastery of technology tools for accessing information and pursuing inquiry. MD Technology Standards for Students Formative Assessment Digital Content, Tools, and Resources Unit 1 Lesson 2 6.A.1.a. Use technology to help identify the type of problem and the data needed to answer that type of problem. 6.A.2.a. Identify possible technology tools to gather data. Completed literacy process model worksheet. http://www.bcps.org/offices/lis/researchcourse/steps.html 1 Summer 2013 Baltimore County Public Schools Before Direct Instruction Suggested Activity Sequence: Differentiation Suggestions Unit 1 Lesson 2 Department of Curriculum and Instruction Review materials at: http://www.bcps.org/offices/lis/researchcourse/steps.html, under “what are the steps in the research process?” Materials: o Student computers o Sample research report, “The impact of music on the cognition of Alzheimer’s disease patients” o Sample powerpoint from report, “The impact of music on the cognition of Alzheimer’s disease patients” o Sample note cards from report, “The impact of music on the cognition of Alzheimer’s disease patients” Drill – Supply each student in the class with one note card from the attached sample note cards. Students should read the note card and summarize the information included on the card in writing. Debrief drill as a class. o Create a sequence chain on the board. Have students read their cards out loud, one by one, and place the cards in the chronological order on the chalkboard. o After all cards are placed, run through the order that was created, and allow students the opportunity to adjust the order. Activity – Students will use complete a worksheet identifying examples of each step of the research process based on a student project o Direct students to the course website, http://www.bcps.org/offices/lis/researchcourse/encounter.html o Students should read through the information literacy process model under the section, “what are the steps in the research process” o Students need to print out the blank worksheet for the information process model from the website. o Students will read through the sample research report, “The impact of music on the cognition of Alzheimer’s disease patients” and identify a specific example of each step from the report. Since the report does not list the steps directly, students may infer. Formative Assessment – Completed literacy process model worksheet. Components Content Process Product Curriculum Resources Brief Description 1 Summer 2013 Baltimore County Public Schools *-When I began this program I almost immediately knew what I wanted to research, something that had been a fascination of mine for about 5 years. - the relationship between music and the brain. 1 Department of Curriculum and Instruction *-I have played the flute for 6 years- solo & ensemble, etc…. -But the moment that sparked my interest in the topic was when my middle school band director, Mrs. Clavell told us about a previous professor of her’s . -He had read about, and was fascinated about , the relationship between music and the brain. He had learned that one of the only ways to get a group of people’s brain waves synchronized was to play music in an ensemble 2 *-I found this to be very interesting, so I began *-An example of brain waves while 2 to read articles online about the topic and I bought a book titled This is Your Brain On Music. -I read select stories from the book and I was very interested in this topic. musicians are playing together is (point to image) right here. -This is an image of the synchronization of the cortical phase of two guitarists playing a duet. *-(Go to next image): This is an image of the -Naturally, when I was given the opportunity brain waves of two guitar players, playing a to research any topic of my choice, I jumped at guitar duet. As you can see, at different periods the chance to research something that was so during the duet, the guitarists’ brain waves compelling. 4 were remarkably similar 3 -So once I had a broad topic that I knew I *-MIT therapy is a relatively new form of wanted to research, I began to research speech therapy developed in 1973, which different aspects of the topic. layers melodies and rhythms to teach the -As I began to research, patient how to speak again. *-I was very surprised when I read about how Gabby Giffords learned to speak after her -MIT was created based on neuroplasticity, the injury ability of the brain to adapt to changes and grow cognitively and physically. -Gabby underwent Melodic Intonation Therapy called (MIT). 5 6 to be accessed *-When Gabby Giffords was injured, her lefthemisphere was damaged, causing her lose her ability to speak. -Then you may ask, how can MIT help then? -The way the brain works is, that our everyday functions, like speaking, use a certain brain route each time (Broca’s region) -So, these networks are very strong, whereas -MIT focuses on using an uncommonly used other networks may still exist, but they are not brain route to teach the patient how to speak tapped into again because the easiest brain route, used 8 when first learning to speak, is no longer able 7 Unit 1 Lesson 2 1 Summer 2013 Baltimore County Public Schools -This could be compared to a muscle, the ones most commonly used are the strongest, but the ones that we don’t use everyday still exist, but are not as strong Department of Curriculum and Instruction -I was so fascinated by this that I began to research the impact of music on people with speech impairments and with aphasia. -I discovered that as early as 1888, music skills -Since music uses both parts of the brain, right- began to be associated with aphasia and hemisphere and left-hemisphere, MIT gives language. open access to that right region of the brain, allowing the patient to learn to speak again *-This was written about by Hermann using a new neural network. Oppenheim in his presentation of the first case 9 series of music and aphasia in 1888. 10 -As I began my research I began using - This helped me to think about how music resources like pub med to get published could help people who had lost the ability to scholarly articles speak as a result of the brain injury. -These articles were very in-depth with information about the impact of music on speech. -In order to understand how music could impact speech, I researched the link between music and language. 11 *-The study made subjects complete a fragment of a melody and a sentence in a way that would make sense. -So, the subject would have to stay in the same key and rhythm pattern as the melody fragment and the sentence fragment would have to make sense when finishing the segment. -Parsons found that the brain process is the same when processing music and language. 13 -this led me to some brainstorming about what other topics I could research involving music and the brain -I started to research the impact of music on Alzheimer’s patients *-I learned from a book called The Power of Music by Elena Mannes that in a study conducted by Lawrence Parsons, a Professor of Cognitive Neuroscience at the University of Sheffield in the United Kingdom, that music and language are processed in the same part of the brain. 12 -Parsons believed that humans improvise language everyday, so how is music any different? -He was right. *-He found that, of course, auditory and motor areas of the brain were activated, but he also found that the Broca’s area, typically thought to be involved in the processing of language, was also involved in the processing of music in the brain. 14 -In some cases when a musician has developed dementia, they have a well preserved procedural memory (meaning their motor skills) for musical performance, along with declarative semantic memory(intentional recall of facts) like forte, piano, etc…. -So the musician with dementia can remember all things associated with music like the music seems to be the only part of an vocabulary and how to play and read music, Alzheimer’s patient’s memory that seems but they cannot remember their own children intact. 16 15 - They also remembered the words that they -I had read this in an article titled Music and had sung in songs of their therapy better than Dementia: Observing effects and searching for *-I found this topic to be interesting because Unit 1 Lesson 2 1 Summer 2013 Baltimore County Public Schools Department of Curriculum and Instruction underlying theories -The scientists had completed a study on the impact of music therapy and live music which yielded some surprising results spoken material. However, what I found interesting was that this wasn’t limited to old songs. They remembered the words from new songs. -The Alzheimer’s patients also had more fluent spontaneous speech after the music therapy versus after the conversational therapy. -The music therapy group had a significant reduction in agitation, delusion, and apathy 17 -Though there was no impact of live music on agitation and anxiety any different from reading a book, there was an increase in verbal activity in those who attended more than 50% of the live music sessions 18 *-When I visited Keswick, I played the flute for the memory care unit for dementia patients that need 24 hour care. -When choosing the music I would play, I tried to think of songs that would be familiar to everyone, so I played Christmas music (in April), along with other familiar songs. -Though I did not necessarily witness an “awakening,” I witnessed some very interesting events. Unit 1 Lesson 2 19 -Fluency of spontaneous speech is important because it allows the person to express themselves. This ability is robbed from people with Alzheimer’s -Awakenings sometimes occur in what are considered to be autobiographically salient songs, which are songs that have a special memory or significance to that person. 20 -When I first walked into the room, the people were very agitated and a lady who I will refer to as “X” from now on was shouting. -I was told things by other people like “take off from earth with me” and that “there is [was] a very contagious disease in the room” -The people who I was playing for were at an advanced stage of dementia, so things like this were expected. However, what happened when I started playing was not expected. 22 21 1 Summer 2013 Baltimore County Public Schools Department of Curriculum and Instruction -The woman “X” was shouting during the first two songs that I was playing and then she stopped and began smiling. -The woman who had wanted to take me off earth with her no longer wanted to go to the moon, but wanted stay right there and listen. She began talking to my mother and had much more appropriate comments, like “she plays nice” and “wasn’t that pretty?” 23 -The lady who I referred to as “X” began acting like she was playing on a keyboard while I was playing and she began smiling and was very happy, all after she had been screaming. -When I played “Trumpet Voluntary” (play excerpt from trumpet voluntary) she got excited and said “That’s my wedding! That’s my wedding!” 27 -A man was in a gerrychair, meant for people who cannot sit up on their own, but he was tapping his foot along to the music when I began to play Christmas carols. -Another woman, who will be referred to as “Y” was extremely agitated, probably the most agitated in the room. 24 -‘Y” was telling people to “shut up” and “shut their mouths”, but when I started to play the third song and had been playing for about 4 minutes, she stopped saying shut up, but she would say “be quiet” and “listen to her play” and became much less aggressive. -Overall, their reactions and interactions with each other were much more appropriate. 25 -Then a few songs later, her daughter entered the room and she said “that’s my daughter! Rochelle!” -They began to say things like “that was beautiful”, “thank you so much” and “do you live on Keswick Avenue?” and they began to clap appropriately after each song -As anyone knows who has a relative with Alzheimer’s, or can imagine what it is like, being recognized as a relative is a very important thing. -The atmosphere of the room changed and they all quieted down and became less agitated. -However, some of my most surprising 28 observations were these… 26 -Then there was a woman who was sitting behind me as I played and she was humming along to Greensleeves. -This I found to be pretty remarkable because she could remember the tune of Greensleeves. -I could tell that she was very moved by the song because she made a signal to my mother like this (show her sign) -These are examples of autobiographically salient songs 29 -Here is a video that I would like to leave you with…. -A story that made national news from a Unit 1 Lesson 2 -Edelweiss example… -These observations may seem minor, but when considering that their disease has progressed so much that the Alzheimer’s patients don’t remember when they last had a meal, or where they live, or in some cases, even how to tell time, it is amazing to me that music can make a connection for them and allows them to function more normally. 30 1 Summer 2013 Baltimore County Public Schools Department of Curriculum and Instruction documentary titled “Alive Inside” -Henry Dryer is 92 with dementia and has been in the memory care unit for 10 years (show video start at 1:58) 30A -In a study completed in 2010 titled, Music as a memory enhancer in patients with Alzheimer’s, the scientists found that lyrics in children’s songs were better remembered by the Alzheimer’s group than the control group of healthy elderly individuals. -The scientists believe that the Alzheimer’s group may have remembered the lyrics that were sung better than spoken because of the complexity of the neural mapping (meaning where the parts of the brain are active) that recruits from all areas of the brain. -also, musical mnemonics have been shown to 31 induce synchronous neural firing in networks associated with verbal learning and memory (which they believe could help the learning of lyrics) 32 -The relationship between music and the cognitive processes of the brain are even more interesting when analyses of the aging brain were conducted in 2002 which I found in an article titled, Voxel-based Morphometry reveals increased gray matter density in Borca’s area in male symphony orchestra musicians -They further found that there were significant age –related reductions in the cerebral hemispheres, the dorsolateral prefrontal cortex subfields bilaterally and in gray matter density in the left inferior frontal gyrus only in the control group of nonmusicians. The musicians did not have any age-related reductions in brain matter. *-The scientists who conducted this study -The scientists believe that this is the result of their daily music activities because the years of playing correlate with the volume of gray brain matter concluded that musicians appear to be less susceptible to age related degenerations in the brain because they found that musicians had increased gray matter in the Broca’s area in the left inferior frontal gyrus. 33 -therefore, musicians seem less susceptible to age-related degenerations in the brain. -This is further supported by a study titled Leisure activities and the risk of dementia in the elderly which followed a group of elderly 75 years or over for 5 years. -They found that those who frequently played a musical instrument were less likely to develop dementia than those who did not play an instrument or who rarely played. 35 --The elderly aged 60-85 years were given a half-hour piano lesson each week for six months and practiced each week for 3 hours. Unit 1 Lesson 2 34 -This protective effect of music was stronger than any other cognitive activity such as reading, writing, or doing crossword puzzles. -In a literature review written by Gottfreid Schlaug and Catherine Wan, they believed that music may counteract some of the negative effects of aging. -They supported their hypothesis with a study titled, Individualized piano instruction enhances executive functioning and working memory in older adults. 36 -This research is important for the treatment of dementia patients and for prevention of dementia 1 Summer 2013 Baltimore County Public Schools Department of Curriculum and Instruction -They had improved test scores on working memory, perceptual speed, and motor skills, but the control group didn’t experience these improvements. -According to scientists who conducted research on Leisure Activities and the risk of dementia in the elderly their results could support recommendations for cognitive activities like music to lower the risk of -All of this information points to the possibility dementia just as physical activity is that musical training or music in general could recommended to lower the risk of impact the process of the aging brain positively cardiovascular diseases. depending on the degree of the activity. 37 38 Unit 1 Lesson 2 1 Summer 2013 Baltimore County Public Schools Department of Curriculum and Instruction The Impact of Music on the Cognition of Alzheimer’s Patients Caitlin Seluzicki Unit 1 Lesson 2 1 Summer 2013 Baltimore County Public Schools Department of Curriculum and Instruction Alzheimer’s disease is the 6th leading cause of death in the U.S. According to “Alzheimer’s Facts & Figures” (2013), “it [Alzheimer’s disease] is the only cause of death among the top ten in America without a way to prevent it, cure it, or even slow its progression”. Alzheimer’s disease affects 1 in 3 seniors and is developed in an American every 68 seconds. By 2050, every 33 seconds Alzheimer’s disease will develop in one American as the population of Americans over 65 years old increases. This progressive and devastating disease has a widespread impact, affecting not only the individual with the disease, but family members and caregivers. $9.1 billion were spent in additional healthcare costs in 2012 because of the emotional and physical impact on Alzheimer’s patients’ caregivers. According to “Alzheimer’s Facts & Figures,” (2013) unless Alzheimer’s disease is cured or treated in a better way, Alzheimer’s will cost an estimated $1.2 trillion (in today’s dollars) in 2050 and costs to Medicare and Medicaid will increase over 500 percent. Therefore, Alzheimer’s disease does not only have an emotional and physical consequence, but will have an economic consequence. Exploration of alternative promising future treatments is the key in the battle against Alzheimer’s disease. Music therapy and other musical activities like listening to music and playing a musical instrument offer promise in the search for a treatment to help Alzheimer’s patients regain their identity. However, only about 5,000 certified music therapists exist in the U.S. and less than 20% work with the elderly ("Alzheimer's Facts & Figures," 2013). In Alzheimer’s patients, music seems to be the most complex part of memory that is spared by the disease (Spiro, 2010). Verghese et al. followed elderly adults 75 years or older for five years (Verghese, Lipton, Katz, Hall, Derby, Kuslansky & Buschke, 2003). The scientists discovered that those who frequently played a musical instrument were less likely to develop dementia. Also, those with participation scores in the top 1/3 of all participants, judged by the amount of time spent on the activity, had a 63% lower risk of dementia. Therefore, music seems to have the strongest “protective effect” against the degeneration of the brain out of cognitive activities like reading, writing, or doing crossword puzzles (as interpreted by Wan & Schlaug, 2010, p.5). However, in musicians who have developed dementia, the procedural memory (motor Unit 1 Lesson 2 1 Summer 2013 Baltimore County Public Schools Department of Curriculum and Instruction skills needed for playing the instrument) and declarative semantic memory (memory of the vocabulary associated with playing the instrument) are still intact (Spiro, 2010). In a study completed by Sluming et al. (2002), the scientists discovered that there was increased gray matter density in the left inferior frontal gyrus of professional musicians that was not observed in non-musicians (Sluming, Barrick, Howard, Cezayirili, Mayes, Roberts, 2002). In addition, the scientists found that there were “significant age-related volume reductions in cerebral hemispheres, dorsolateral prefrontal cortex subfields bilaterally, and gray matter density in the left inferior frontal gyrus in controls but not musicians”. Sluming et al. (2002) believe that the differences in brain matter are a result of musicians’ daily musical activities because their years of playing correlate with their brain matter volume. This data supports the protective impact of music and supports the role of music in possible prevention of Alzheimer’s. Catherine Wan and Gottfreid Schlaug believe that music may counteract some of the negative impacts of the aging brain (2010). Wan and Schlaug (2010) supported their hypothesis with the results of a study about piano lessons for elderly individuals completed by Bugos, Perlstein, McCrae, Brophy and Bedenbaugh (as cited in Wan & Schlaug, 2010, p.5) In the Bugos and et al. study, 60-85 year old individuals participated in a half-hour piano lesson each week for six months and practiced each week for three hours. After the piano lessons, the elderly had improved test scores on working memory, perceptual speed, and motor skills (as cited in Wan & Schlaug, 2010, p.5). However, the control group, which did not have the piano lessons, did not experience any of these improvements. Further support for the protective impact of music on the aging brain is found in a study by Verghese et al. (2003). This study investigated the impacts of the frequency of cognitive and physical leisure activities on chance of developing Alzheimer’s (Verghese et al., 2003). The cognitive activities could be reading, writing, completing crossword puzzles, playing cards or board games, playing musical instruments and participating in organized group discussions. The physical activities were playing golf or tennis, bicycling, swimming, participating in group exercises, dancing, playing team games like bowling, climbing more than two flights of stairs, walking for exercise, babysitting, and doing housework. The 469 subjects did not have dementia at the beginning of the research, but 124 developed dementia during the Unit 1 Lesson 2 1 Summer 2013 Baltimore County Public Schools Department of Curriculum and Instruction approximately five years of follow-up. Of the 124 that developed dementia, 61 subjects developed Alzheimer’s disease, 30 subjects developed vascular dementia, 25 developed mixed dementia, and 8 subjects developed other dementia types. The frequency of activity was recorded based on a point system with seven points for everyday participation; four points for performing the activity several days per week; one point for performing the activity once a week; and zero points for performing the activity occasionally, monthly, or never. Those who were the most involved in their activity, in the top 1/3 on the cognitive activity scale, had a 63% lower risk of dementia than those who participated in their activity less. Risk of dementia was reduced by only 7% in participants who participated in their activity 1 day per week. Overall, Verghese et al. found that “among cognitive activities, reading, playing board games, and playing musical instruments were associated with a lower risk of dementia. Dancing was the only physical activity associated with a lower risk of dementia” (Verghese et al., 2003, p.2511-2512). Music seems to be the most complex part of an Alzheimer’s patient’s memory that is still intact (Spiro, 2010). When musicians have developed dementia, they have a well-preserved procedural memory (motor skill memory) for musical performance and a well-preserved declarative semantic memory (the language associated with music). In a study completed by Prickett and Moore (1991) scientists found that dementia patients remembered the lyrics sung during their music therapy session better than spoken material (as cited in Spiro, 2010, p.893). However, Prickett and Moore (1991) found that the memory of lyrics was not limited to the memory of old songs; new song lyrics were remembered as well (as cited in Spiro, 2010, p.893). Brotons and Koger (2000) also found that “following music therapy, performance on speech content and fluency of spontaneous speech was better than following therapeutic conversation sessions,” (as cited in Spiro, 2010, p. 893-894). Fluency of spontaneous speech is an important impact because it allows the Alzheimer’s patients to communicate their feelings, which Alzheimer’s patients cannot do once the disease progresses. Cooke, Moylea, Shumb, Harrisonc, and Murfield (2010) conducted a study about the impacts of attendance of live music sessions, music therapy, and conversational therapy sessions on cognition and behavior of Alzheimer’s patients (as cited in Spiro, 2010, p.895). Cooke et al. found that Alzheimer’s patients who attended more than Unit 1 Lesson 2 1 Summer 2013 Baltimore County Public Schools Department of Curriculum and Instruction 50% of live music sessions experienced an increase in spontaneous speech, even though there was no difference in agitation and anxiety from that of the Alzheimer’s patients who merely read a book (as cited in Spiro, 2010, p.895). Listening to music can also trigger memories, causing an awakening. Awakenings occur when an autobiographically salient song, a song that may have a special or emotional connection to a person, is played (Rossato-Bennett, director, 2012). At Keswick, a facility which contains a 24 hour Memory Care Unit, Seluzicki played the flute (Seluzicki, narrator, 2013). When Seluzicki first began to play, the memory impaired patients were very agitated and not aware of their surroundings. The agitation, delusion, and apathy witnessed by Seluzicki were expected because the memory care patients were at an advanced stage of their disease. About 4-5 minutes after Seluzicki began playing classical music arrangements, the memory impaired patients (including Alzheimer’s and other forms of dementia), were not agitated and were relaxed. A woman who will be referred to as “X” was shouting during the first two songs that Seluzicki played, but she stopped screaming, began smiling and acted more appropriately; “X” began to make comments like, “she plays nice” and “wasn’t that song pretty”. There was also another woman, who will be referred to as “Y,” who was the most agitated in the room. When Seluzicki began playing, her aggressive behaviors and comments, such as “shut your mouth” and “shut up,” were reduced to “be quiet” and “listen to her play”. Overall, the reactions to the music and performance became much more appropriate because they began to comment on the music and clap after each song, which they had not been doing during the first 2-3 pieces that Seluzicki played. However, in addition to behavioral changes, some cognitive changes were observed. “X” reacted to the performance of “Trumpet Voluntary,” a song commonly played at weddings, with excitement and exclaimed “that’s my wedding! That’s my wedding”. A few minutes later, “X’s” daughter entered the room, and X recognized her daughter by saying “that’s my daughter! Rochelle”. “Y,” upon hearing the tune, “Edelweiss,” began to repeat the phrase, “that’s right- don’t ever forget. Always remember. Don’t ever forget”. Edelweiss is a tune from the “Sound of Music,” that is sung to remember how Austria was before the German occupation. Therefore, “Y” seemed to make an appropriate connection between the song and its meaning. Also another woman, who is Unit 1 Lesson 2 1 Summer 2013 Baltimore County Public Schools Department of Curriculum and Instruction referred to as “Z,” began to sing along to Greensleeves as Seluzicki began to play the tune. Seluzicki realized, while she was playing, that the woman recognized the song and was very moved by hearing the tune. After the tune was finished, “Z” waved to get the attention of Seluzicki’s mother and, while putting her hand across her heart, “Z” mouthed ‘thank you’ to Seluzicki’s mother. While Seluzicki could not say for sure that her observations are awakenings, she can say that she observed cognitive changes. “The range of music-based activities in care homes is increasing” (Spiro, 2010). Music has been shown to have profound impacts on cognition. At Keswick, iPods are being used to calm memory care residents and to bring back old memories (Walker, 2013). iPods are also being used at Cobble Hill, a healthcare facility in Brooklyn, New York, to help patients with Alzheimer’s disease (Rossato-Bennett, director, 2012). In the documentary Alive Inside, Henry Dryer, a 10 year resident at Cobble Hill has an iPod with music that fits his likes. Dryer’s disease has progressed to the point that he does not keep his head raised, but keeps it laid down on the tray of his wheelchair during day. Dryer does not communicate with anyone and can barely answer simple ‘yes’ or ‘no’ questions. However, when Dryer is given his iPod, he begins to move his upper body and sing to the music. When the iPod is taken away, he is able to communicate with people, to answer ‘yes’ or ‘no’ questions with ease, and even to elaborate on his answers. Dryer was able to remember his younger days when his favorite artist was Cab Calloway and when he used to go to dances frequently. Dryer proclaimed that he loved music. Dr. Oliver Sachs described the effect of music on Dryer as the “quickening effect”. Dr. Sachs explained that Dryer was being “quickened” by the music on his iPod and was being given his identity back. Dryer began to remember who he was as a young adult and was able to communicate in a coherent and audible way in which he had not been able to communicate before listening to the music. This cognitive impact, though transitory, reflects the beneficial impact of music on cognition in Alzheimer’s patients. Alive Inside demonstrates well the results found in various studies about the impact of music on cognition in Alzheimer’s patients [Prickett and Moore (1991) (as cited in Spiro, 2010, p.893), Brotons and Koger (2000) (as cited in Spiro, 2010, p.893-894), Sluming et al. (2002), Bugos et al. (2007) (as cited in Wan & Schlaug, 2010, p.5), and Cooke et al. (2010) (as cited in Spiro, 2010, p.895)]. The results of these studies and others like them Unit 1 Lesson 2 1 Summer 2013 Baltimore County Public Schools Department of Curriculum and Instruction (Verghese et al., 2003) may lead to recommendations that the elderly engage in cognitive activity to decrease the risk of development of dementia, similar to those that people engage in physical activity to decrease the risk of development of cardiovascular diseases (Verghese et al., 2003, p.2516). Unit 1 Lesson 2 1 Summer 2013 Baltimore County Public Schools Department of Curriculum and Instruction References Alzheimer's Association. (2011). Alzheimer's brain tour. Alzheimer's Association. Retrieved December 5, 2012, from http://www.alz.org/braintour/3_main_parts.asp Alzheimer's Facts & Figures. (2013). Alzheimer's Association. Retrieved May 20, 2013, from http://www.alz.org/alzheimers_disease_facts_and_figures.asp#prevalence Aphasia. (2008, October). National Institute on Deafness and Other Communication Disorders. Retrieved January 6, 2013, from http://www.nidcd.nih.gov/health/voice/pages/aphasia.aspx Baker, F., Wingram, T., & Gold, C. (2005). The effects of song-singing programme on the affective speaking intonation of people with traumatic brain injury. Brain Injury,19(7), 519-528. doi: 10.1080/0269905040000515 Beck, Melinda. "A Key for Unlocking Memories." The Wall Street Journal. N.p., 16 Nov. 2009. Web. 20 May 2013. http://online.wsj.com/article/SB10001424052748704538404574540163096944766.html Brains of blind people reading in braille show activity in same area that lights up when sighted readers read. (2011). Science Daily. Retrieved December 3, 2012, from http://www.sciencedaily.com/releases/2011/02/110217124903.htm Campbell, R., MacSweeney, M., & Waters, D. (2007). Sign language and the brain: A review. Journal of Deaf Studies and Deaf Education, 13(1), 2-20. doi: 10.1093/deafed/enm035 Hallam, S., & Price, J. (1998, February 4). Can listening to background music improve children's behaviour and performance in mathematics? In Education-Line/British Educational Research Association Annual Conference. Retrieved January 6, 2013, from http://www.leeds.ac.uk/educol/documents/000000469.htm Katzman, R. (1986). Alzheimer's disease. New England Journal of Medicine, 314, 964-971 Mannes, E. (2011). The power of music: Pioneering discoveries in the new science of song. New York, NY: Walker & Company Unit 1 Lesson 2 1 Summer 2013 Baltimore County Public Schools Department of Curriculum and Instruction Mc Dermott, J., & Hauser, M. (2005). The origins of music: Innateness, uniqueness and evolution. 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Alive inside [Video]. Retrieved May 13, 2013, from http://www.youtube.com/watch?v=Fw7Y78aqf_I Satoh, M. (2011). Music therapy for dementia and higher cognitive dysfunction: A review [Abstract]. Brain and Nerve, 63(12), 1370-1377. doi: http://www.ncbi.nlm.nih.gov/pubmed?term=Music%20therapy%20for%20dementia%20and%20higher %20cognitive%20dysfunction%3A%20A%20review Seluzicki, Caitlin M. "The Impact of Music on Cognition of Alzheimer's Patients." Baltimore County Independent Research Symposium. Eastern Technical High School, Baltimore. 16 May 2013. Lecture. Sluming, V., Barrick, T., Howard, M., Cezayirili, E., Mayes, A., & Roberts, N. (200). Voxelbased morphometry reveals increased gray matter density in Broca's area in male symphony orchestra musicians [Abstract]. Neuroimage, 17(3), 1613-1622. 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The Baltimore Sun. Retrieved May 30, 2013, from http://keswick-multicare.org/whats-new/keswickmemory-care-services-featured-on-the-baltimore-sun-online/ Walton, J. P., Frisina, R. D., Swartz, K. P., Hantz, E., & Crummer, G. C. (1988). Neural basis for music cognition: Future directions and biomedical implications. Psychomusicology, 7(2), 127-138. Retrieved November 20, 2012. Wan, C. Y., & Schlaug, G. (2010). Music making as a tool for promoting brain plasticity across the life span. The Neuroscientist : A Review Journal Bringing Neurobiology, Neurology and Psychiatry, 16(5), 566-577. doi: 10.1177/1073858410377805 Zipse, L., Norton, A., Marchina, S., & Schlaug, G. (2012). When right is all that is left: Plasticity of right hemispheric tracts in a young aphasic patient [Abstract]. Annals of the New York Academy of Sciences, 1252, 237-245. doi: 10.1111/j.1749-6632.2012.06454.x Unit 1 Lesson 2 1 Summer 2013