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Can Music Help Multiple Sclerosis Patients Feel Better?

“I think music in itself is healing,” singer-songwriter Billy Joel once said. As it turns out, the popular musician may be onto something. Numerous scientific studies are singing the praises of music for its ability to enhance our overall health and well-being. For multiple sclerosis patients, melodies may offer an additional chorus of physical and emotional benefits.

“Multiple sclerosis is an autoimmune disease that damages the covering of neurons in the brain and spinal cord; it’s a disabling disease without a cure as of yet,” says Dr. Randy Rosenberg, assistant professor of neurology at the Lewis Katz School of Medicine at Temple University in Pittsburgh.

“We have medications that can deal with many of the symptoms of MS, such as problems with spasticity and gait, depression, brain fog, fatigue and pain,” Rosenberg says. “But all medications have their own blessings and curses. That’s why if we can find alternatives with a humanistic advantage, such as music, I’m fully in favor of it.”

[See: 10 Lessons from Empowered Patients.]

Rosenberg is not only a neurologist, but also the principal flutist in the Warminster Symphony Orchestra in Pennsylvania. So, it’s not surprising that he’s especially keen on music’s healing potential. His particular enthusiasm is in rhythm’s potential to help patients deal with their spasticity issues by “retraining” their brains and making new neural pathways. The National Multiple Sclerosis Society says spasticity is one of the most common symptoms of the disease. “The pulsations of rhythm can help patients with spastic gait retrain their brain’s circuitry and override the damaged areas,” Rosenberg explains. “Eventually they may be able to experience newfound elasticity as well as better balance.”

A 2012 report by the U.S. Department of Veterans Affairs Multiple Sclerosis Centers of Excellence agrees that rhythm is indeed key. “Programs in which patients learn to match repetitive motor actions (like hand and foot exercises) with a computer-generated rhythmic beat can improve coordination, concentration and physical endurance. Through these exercises, patients experienced more even gait,” the report said.

Along with gait issues, brain fog is also a common symptom of MS. “Many of my patients complain about problems with their memories, specifically not being able to retrieve words,” explains Dr. Jacqueline Marcus, director of the Kaiser Permanente multiple sclerosis program in San Francisco.

Marcus, who grew up in a musical family and whose mother, a music teacher, developed MS at age 51, says, “Just think how easily you can remember the lyrics to songs and the words to jingles. In a similar way, singing can help people retrieve vocabulary. Putting words together with a catchy melody can help MS patients remember important information.”

[See: 5 Rare Diseases You’ve Never Heard of (Until Now).]

What’s more, there are studies showing that learning to play an instrument can help improve cognition and memory.

One of the reasons the link between music and memory is so powerful is that music activates large areas of the brain. A 2013 brain imaging study published in the journal NeuroImage reports that music activated the auditory, motor and limbic (emotional) regions of the brain — all of which contribute to movement, moods and cognition. These are areas often impaired by MS.

Music also seems to soothe pain, and that’s especially good news for MS patients who can suffer with two kinds of physical discomfort. One is neuropathic, caused by damage to the nerves in the brain and spinal cord. The other is musculoskeletal, the result of damage to muscles, tendons, ligaments and soft tissue. “Pain can be difficult to treat for people with MS, or any disease for that matter, because most pain medications have the added complication of possible dependency and addiction,” Marcus says. “Anything that is therapeutic and doesn’t cause harm is an option worth trying.” For example, researchers from the Cleveland Clinic found that patients who listened to music had four times less pain after their surgeries. Why? The music reached into deep brain structures. Music literally soothed the patients’ nerves. These findings were presented at the Music and Brain Symposium in New York in October 2009.

What about stress and anxiety? The Multiple Sclerosis Association of America says anxiety disorders are estimated to affect 43 percent of MS patients. “Music, especially slow and quiet music, has been shown to slow our pulse and heart rate, lower blood pressure and decrease levels of the stress hormone, cortisol,” Rosenberg points out. Music also helps boost mood, and that’s especially important for MS sufferers who typically report higher rates of depression than the general population. “Music can enhance optimism. When patients hear a tune tied to a pleasant memory, the joy can trigger the brain chemical dopamine and turn on the pleasure circuit — the same thing that happens after we eat a good meal or have sex,” Rosenberg says.

[See: Am I Just Sad — or Actually Depressed?]

Studies confirm music’s ability to help us feel happier. In one, researchers from McGill University in Canada monitored the brains of volunteers using PET scans and MRIs, while the participants listened to the music they chose, ranging from classical to punk. The only requirement was that the music had to give the listener “chills.” When the researchers compared neutral tunes to the kind that caused chills, they discovered a boost in the volunteers’ dopamine. Results were published in the journal Nature Neuroscience in 2011.

More from U.S. News

10 Lessons From Empowered Patients

5 Rare Diseases You’ve Never Heard Of (Until Now)

Am I Just Sad — or Actually Depressed?

Can Music Help Multiple Sclerosis Patients Feel Better? originally appeared on usnews.com

Don’t Settle for Student Loans to Pay for Online Education

Online college programs are becoming a more popular choice for prospective students, with one study finding that more than 6 million students enrolled in at least one online course in fall 2015. The popularity of these courses can be attributed in part to their flexibility with working adults' schedules, students' ability to progress more quickly through online programs and, oftentimes, cheaper tuition. [See 10 low-cost online bachelor's programs for out-of-state students.]Online degrees can be beneficial to many college students, but some studies have shown online learners complete their programs at lower rates than students at traditional brick-and-mortar campuses. Individuals with student loans but no degree comprise two-thirds of defaulted borrowers. Though these numbers are not encouraging, just like for traditional programs, there are ways to reduce how much you'll need to borrow for an online program to ensure you won't become one of these statistics. Don't just settle on borrowing student loans to cover the whole cost of your program and living expenses. Instead, start thinking about how to cut costs and cover your balance in different ways, such as the following. -- Grants and scholarships: Even though you are taking an online course, you can still apply and receive grants and scholarships. But your first step should be to complete the Free Application for Federal Student Aid, commonly referred to as the FAFSA, which will allow you to receive a Pell Grant if your expected family contribution is low enough. The EFC criteria and award amounts are adjusted annually, but the 2017-2018 academic year awards range from $606 to $5,920, which could significantly lower the amount you borrow annually. Your next step is to apply for scholarships. You can start by checking online scholarship search engines, such as the Salt Scholarship Search, College Board's BigFuture and Peterson's. But don't forget to take advantage of local organizations and your school's financial aid office. Both may offer scholarships that you can't find with a national scholarship search. [Review these 10 sites to kick off your scholarship search.]For instance, organizations like the Elks Club, Knights of Columbus or the Rotary Club typically offer scholarships annually to local students. Just because you're going to school online doesn't mean you're ineligible. Visit your local library for scholarship listings, and ask around town. You might be surprised how many local organizations offer scholarships. While these scholarships typically aren't large, every little bit counts. Each dollar you receive in a scholarship is a dollar you don't have to borrow and pay interest on. -- Work-study: Another option for online students may be work-study awards. Not all students enrolled in online programs are eligible, but students at some schools -- including, for example, SUNY Empire State College and Liberty University -- are. Work-study awards are not given upfront like scholarships and grants. In most cases, they are an offer to earn up to the awarded amount if you secure an eligible work-study job. While there is a misconception that all work-study jobs must be on campus, students can work for off-campus, nonprofit or public employers as long as the work is in the public's interest. You may be able to work for a for-profit employer if the job is relevant to your course of study. No matter who the outside employer is, it will need to have an established agreement with your college for you to receive work-study funds. Remember, to be eligible for federal financial aid, you must be enrolled and pursuing a degree or certificate. If you're not working toward a credential, Pell Grants and work-study won't be option, but you may still be able to take advantage of private scholarships -- just be sure to read the eligibility criteria carefully. [Explore what to know about financial aid in online programs.]-- Pay as you go: One of the great benefits to enrolling online is the flexible schedule, which can allow you to complete your college coursework around your responsibilities. But prospective students often overlook using their part- or full-time job earnings as an option for paying for college. Almost 80 percent of college students in 2015 worked at least part time while attending classes, according to the National Center for Education Statistics. By budgeting and thinking strategically about your college costs, you can likely reduce your dependence on student loans by paying a portion out of pocket. Many -- but not all -- online programs are less expensive than traditional programs and often have shorter payment periods. Six, eight or 10 weeks are common course durations. Because of the frequency of payments in an online setting, you may be well-placed to pay as you go and possibly avoid borrowing altogether. Attending college online and avoiding student loans may be challenging, but if you are willing to put in the effort, you can limit the amount you need to borrow. More from U.S. News Q&A: Understanding Student Loan Discharge Eligibility Student Loan Refinancing Isn't Right for All Borrowers
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