Evidence map›Paper›PMID 34531410›Full record

ArticleScientific reports2021

Musical components important for the Mozart K448 effect in epilepsy.

Robert J Quon, Michael A Casey, Edward J Camp, Stephen Meisenhelter, Sarah A Steimel, Yinchen Song, Markus E Testorf, Grace A Leslie, Krzysztof A Bujarski, Alan B Ettinger and 1 more

Registry-linked trialAbstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06425029 (SONATA), which is not on this map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06425029 narecruitingnot on this mapstarted 2025, after this paper: background citation

SONATA: Self-administered ONe-of-a Kind Approach to Epilepsy Therapy Through a Web-based Music Application

TypeinterventionalSponsorDartmouth-Hitchcock Medical CenterRan2025 to 2027Enrolled24ConditionsEpilepsy, Refractory Epilepsy, MusicArmsExperimental Intervention (Music A), Active Comparator Intervention (Music B), Active Comparator Intervention (Music C)
3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Robert J QuonDepartment of Neurology, Geisel School of Medicine at Dartmouth, Hanover, NH, USA. Robert.J.Quon.GR@dartmouth.edu.ORCID 0000-0002-9926-1539
Michael A CaseyDepartment of Music at Dartmouth College, Hanover, NH, USA.
Edward J CampDepartment of Neurology, Dartmouth-Hitchcock Medical Center, 1 Medical Center Drive, Lebanon, NH, 03766, USA.
Stephen MeisenhelterDepartment of Neurology, Dartmouth-Hitchcock Medical Center, 1 Medical Center Drive, Lebanon, NH, 03766, USA.
Sarah A SteimelDepartment of Neurology, Geisel School of Medicine at Dartmouth, Hanover, NH, USA.
Yinchen SongDepartment of Neurology, Geisel School of Medicine at Dartmouth, Hanover, NH, USA.
Markus E TestorfDepartment of Neurology, Dartmouth-Hitchcock Medical Center, 1 Medical Center Drive, Lebanon, NH, 03766, USA.
Grace A LeslieDepartment of Music, Georgia Institute of Technology, Atlanta, GA, USA.
Krzysztof A BujarskiDepartment of Neurology, Geisel School of Medicine at Dartmouth, Hanover, NH, USA.
Alan B EttingerUnited Diagnostics, New Hyde Park, NY, USA.
Barbara C JobstDepartment of Neurology, Geisel School of Medicine at Dartmouth, Hanover, NH, USA.ORCID 0000-0001-9243-2238

Funding

Quantitative Biomedical Sciences at DartmouthT32LM012204 · NLM · DARTMOUTH COLLEGE · PI TOSTESON, TOR D · 2016 to 2020
$876k
NLM NIH HHS T32 LM012204
6 · The paper itself

Abstract

There is growing evidence for the efficacy of music, specifically Mozart's Sonata for Two Pianos in D Major (K448), at reducing ictal and interictal epileptiform activity. Nonetheless, little is known about the mechanism underlying this beneficial "Mozart K448 effect" for persons with epilepsy. Here, we measured the influence that K448 had on intracranial interictal epileptiform discharges (IEDs) in sixteen subjects undergoing intracranial monitoring for refractory focal epilepsy. We found reduced IEDs during the original version of K448 after at least 30-s of exposure. Nonsignificant IED rate reductions were witnessed in all brain regions apart from the bilateral frontal cortices, where we observed increased frontal theta power during transitions from prolonged musical segments. All other presented musical stimuli were associated with nonsignificant IED alterations. These results suggest that the "Mozart K448 effect" is dependent on the duration of exposure and may preferentially modulate activity in frontal emotional networks, providing insight into the mechanism underlying this response. Our findings encourage the continued evaluation of Mozart's K448 as a noninvasive, non-pharmacological intervention for refractory epilepsy.

Indexed as

MusicAcoustic StimulationAdultAgedAuditory PerceptionBrainDrug Resistant EpilepsyElectroencephalographyEpilepsyFemaleHumansMaleMiddle AgedMusic TherapySeizuresTreatment Outcome

Identifiers

PMID34531410
PMCPMC8446029

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.