§ effect of music therapy in the attitude,

 

§  To study the effect of listening to classic Hindustani Ragas on
individuals, who are having different medical disorders / diseases like
Diabetes Mellitus; Hypertension (Chronic raise in blood pressure); different
kind of Psychiatric problems (Chronic anxiety status, vague psychosomatic
problems and their response to listened music (Ragas) and to compare with
healthy volunteers with no abnormalities as control group.

§  To observe the effect of music therapy in the attitude, feeling,
behavior of individuals having different medical disorders and confirm the
findings at the end of six-month study.

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5.3. METHODOLOGY

   Total 80 volunteers (40 male and 40 female) within the age group
of 30 to 60 years were recruited for the study. Twenty volunteers were selected
as Control group with no medical
disorders. The Hypertensive group
consists of 20 individuals (10 male, 10 female) who had Blood Pressure BP of
more than 140/90 mm hg (as per JNC VII guide lines).

Psychiatric group consists of 20
individuals (10 male, 10 female) having psychosomatic symptoms like vague
chronic pains and aches all part of body, chronic headache, palpitation, lack
of sleep (insomnia), feeling low, not interested in work, inactive, feeling
unnecessary sad, no motives and unhappy people with chronic anxiety unprovoked
sweating, term ours and tremulousness, fear feeling (phobias) sudden lack of
energy in body, poor appetite restlessness etc. 
The Diabetes Mellitus group
consists of 20 individuals (10 male, 10 female) having history of chronic
Diabetes Mellitus. Diabetic patients were already on treatments with oral
drugs, insulin and combination of therapies. The diagnose oratorio were
according to ADA guide lines and IDF guide lines (Blood sugar, Sugar PP/Random
more than 200 mg /dl and Fasting Blood Sugar more than 126 mg / dl) The
diabetic, hypertensive and psychiatric patients were under treatments for month
and years with no significant improvement. This music therapy was used using 9
ragas during the time of clinic (OPD) on these responders. Different subjects
of all the groups mentioned were recruited voluntarily out of OPD / clinic / inpatient
section with their consent to undergo the study.

   Recruitment started in the first week of January 2013. They were
briefed about the study for 3- 4 days in Shanti Medical Centre – Chanda
Auditorium by the Doctor in charge Dr. S.S. Kanni for 1 hour. They were briefed
about their regular attendance in the auditorium to relay and listen classical
ragas (selective) for 1-hour period every day. If they are unable to attend our
centre, they were given CD of the recording ragas (briefed about choosing depending
upon the individual case) at home.

   All subjects including control group were asked to come initially
once a week and get their vitals and other lab parameters and strictly
supervised by our trained staff. After one month (4 weeks), they were asked to
come monthly once for period of another 5 months and were scrutinized strictly.
Care was also taken to interview them personally about their feeling and
changes. All people who underwent studies were blind folded for the
investigations. This music therapy was used 9 Hindustani Classical Ragas for
the period of six months.

            Subjects
who fail to attend for follow-up were excluded from studies. The details of all
subjects (Addresses and telephone No. and the photos) are enclosed in annexure.
In hypertensive groups 2 subjects had accelerated BP of 210/110 and were
admitted for a period of 7 days. They were treated with 3 drugs and emergency
drugs. Despite of best efforts their BP did not come down significantly even
after 5 days of intensive therapy and excluded from the study. One patient had
brain edema (his CT Scan photo enclosed) and by music therapy his BP
significantly comedown. At the end of 6 months of study and follow-up the
results were analyzed and final conclusion was drawn.

  Through study vitals were strictly measured and documents. For
biochemical parameters like lipid profile FBS, PBBS/RBS standard computerized
auto analyses were used. All were subjected for careful interrogation clinical
examination personally. Standard 12 lead ECG was recorded. None of them had ECG
changes (Significantly) Analysis.

5.4. RESULTS

            Hypertensive Group:  Out of 20
subjects who’s BP varied from 140/92 mm Hg to 220/110 (avg. 160/92) 10
individuals responded to listening classic Hindustani Ragas significantly.
Their BP come down to 130/80 mm Hg.

   Out of 10 male volunteers 6 male listen to Raag Darbari and Ahir
Bhairav, Asawari Todi and with age group between 48 to 60 years shown better
response. Out of 10 females 5 responded well in controlling BP (132/80 mm
Hg).  Female responds were reactive to
Darbari and Hansadwani ragas.

            Diabetes
mellitus group: In male group, the average age was
53 years (45 to 60) with blood sugar of fasting 116 to 200 mg / dl. and
postprandial (PP) / Random of 240 to 375 mg / dl. Seven persons responded in
bring up down the blood sugar fasting 116 and P P Sugar 220 mg / dl. There was
a drop of 20- to 30 mg/dl sugar in fasting and 40 – 70- mg / dl postprandial
sugar. The response was good in listening to Madhuvanti, Hamsadwani and Bhim
Palas Ragas.

   Out of 10 females only 3 individuals responded in bringing their
blood sugar form fasting 92 mg/dl, PP 390 mg / dl. to F-92 mg/dl. and PP 216
mg/dl. The ragas which were effective was Madhuvanti and Hamsadhwani.

            Psychiatric
Group: Out of 10 male subjects with different
subjects (4 depression, 4 Anxiety, 1 Schizophrenia and 1 alcoholic with drank
all) eight shoved objective and subjective improvement in responding to
Darbari, Pooriya Dhanasri and Hansadwani ragas. Out of 10 females involved in
study only two patients responded better to Pooriya Dhanasri Raga and remaining
eight did not show any respond to the therapy.

5.5.
DISCUSSION

            Music
of any kind practiced and performed anywhere in the word for any reason was
interestingly affected individual health mentally. Music as therapy when used
in different patients as an adjutant to any system a treatment in the world has
treatment our impact in wellbeing of patients is an established fact that music
existed from time immemorable days.  It
is in the nature, in the body everywhere. We need to appreciate and perceive
music need no language as music itself is a language. Harmony rhythm melody and
dynamics is within ourselves to when these things are connected to outside
world through listening the frequency of each cell of our body, our physiology
biochemistry, alters in good response and helps in wear and tear of the body.

   In our study the basic response was from Hypertensive individuals
(Those who have high BP. Out of 20 11 individuals responded well in bringing
down the BP significantly by 10 – 20 mm Hg. (6 Male 5 Female). This 55 %
response was to Darbari Ahir Bhirav and Asrwari Todi ragas had little less
response in females is probably due to the high sensitivity in female genders.

   Raga Sudah Kalyan is supposed to be best for hypertensive and the
present study shows that Asrwari Todi and Ahir Bhairav ragas also have good
effect in regulating hypertension.

   In the Diabetic group the raise in blood sugar is multi factorial
multi genetic cause and 10 males responded exceedingly well in controlling
their sugar level after 6 months of listening to Hansadwani and Bhimpalasi
ragas (80-90% response) only 5 out of 10 females responded to same ragas. They
were also exposed to Maduwanti Raga simultaneously. The lower rate of response
in 50% of females may be attributed to hormonal influence over music therapy.

   The most important group interestingly was Psychiatric group with
range of mild chronic headaches, vague somatic pains, body aches, fluctuality
modes, tremors, phobia sickness to frank depression.

   In male group of 10 all of them felt good with increase in their
works officious concentration, memory and in controlling their emotions,
anxiety, anger tremulousness. Objectively their mild elevated BP came down and
the effect was almost 90 to 100% in male groups.  The response was better with Dabari and
Hansadwani Ragas. In female group only 2 improved to Puriya Kalyan Raga.
Overall low effectiveness in female group was due to variety of neuroendocrine
changes occurring over a period of time.

This
phenomenon can be explained as follows: 

§  Ultimate preservation of our body mechanism is maintaining smooth
organ formation is the liberation of chemicals (Hormones) these are fully under
control of our nervous system.

§  It is our brain which is seat to perceiving pain, agony, happiness
and sadness is due to fine interplay of hormones. Hormones which bring positive
emotion like happiness is encephalin and endorphins, Dopamine (natural opioids
of body). Exercise, meditation, yoga hobbies increase the levels of this feel
good hormones.

§  The negative or destructive type of hormones are catecholamine and
these will week our system and produce anxiety, depressive, excursion and
tremors and will increase BP pulse rate, respiratory rates etc.    

§  Our brain and other body systems respond to different kind of
stimulus as we are constantly under pressure in this modern word. Stress when
increased intolerance body mechanism goes highway and we get symptoms. The
symptoms of no adaptability are excesses emotions; anger frustration, lack
judgment, and increases Blood sugar, Blood pressure etc.

§  Hindustani classical music (Ragas) have soothing tone, melody rhythm
variations which causes vibration in interrupter which carried as
electrochemical signals to brain, and brain directs synapses to release
positive chemicals all along the neurovascular channels to control organ system
working and calms down the mind and our internal organ and maintain perfect
equilibrium. The effect of neurochemical on target organs is amazing. There
will be fast healing of the damages caused by unwanted things by music and
music act as immune booster. This is the reason the psychiatric patients’ gets
maximum benefit listening to Hindustani Classical Music.

CONCLUSION

 

 

 

      The
old theory and writings of Scholar’s like Pluto and Aristotle several years
ago, who noted healing qualities and influence of music, on both humans and animals,
seems to be catching on this modern world. The immense potential power of cosmic
flow of sound (Om..s..s..), Shastric school of music discovery of musical
octave (Sa.. Re.. Ga.. Ma……), suble sounds of nature has become well known
fact. Extra sensory vibrations and realization is a vogic reality now.

      Designed
and specific raagas bring a lot of changes in our nervous system through
neurochemical mediators, in tern effecting rhythmic organ functions in the
body. This skill has been explored and applied in music therapy now, in
controlling and curing many diseases., where drugs on long term can create
havoc.

      Many
modern diseases are man created or induced and provoked, because of our fast-changing
life style like “Hurry, Worry and Curry”
or “Speed and greed”.  Though available modern therapies like
Allopathy, Homeopathy and Ayurveda are to large extent controlled communicable
diseases, there is still research is going on in attaining control of non-communicable
diseases like Diabetes, Hypertension and Heart diseases.

      Psychiatric
illnesses has been increasing rapidly like from Minor Anxiety, Insomnia to more
serious like Depressions Effective Disorders. Modern stress in high-tech life
has added misery to our normal life and disturbed our happiness (Though luxury,
comfortness, wealth and physical health is increasing, the fast life has
produced disharmony in our communication and social life).

      The
young generation, even the growing kids are catching up mental illnesses very
fast and getting confused in all spheres of life. Social evils like alcohol
abuse, drug abuse crimes in young age has become the time pass and destroyed
our social structure. Except the pressurized school or college curriculum,
academic competition resulting in lack of creative activities like yoga, sports,
music, painting etc. has disturbing effects on these developing brains resulting
in inappropriate networking. This is a great concern of modern world. The best
way of addressing deteriorating system is to motivate the young brains in music
(Carnatic or Hindustani) and Yoga as part of curriculum.

      Music
Therapy through different ragas in alienating symptoms and controlling chronic
diseases is well documented.  Music
therapy is an effective add on tool in treating many illness medicine, surgery,
dentistry and women and child care ……

      The
clinical study has thrown some insight in controlling chronic diseases like
Diabetes, Blood Pressure and Psychiatric illness.  However, further large scale multicentric double
blind crossover studies in large number of population is necessary to establish
the facts of Music Therapy with surety.