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J Audiol Otol > Volume 25(3); 2021 > Article
Benet, Krishna, and Kumar: Enhancement of Processing Capabilities of Hippocampus Lobe: A P300 Based Event Related Potential Study

Abstract

Background and Objectives

The influence of music training on different areas of the brain has been extensively researched, but the underlying neurobehavioral mechanisms remain unknown. In the present study, the effects of training for more than three years in Carnatic music (an Indian form of music) on the discrimination ability of different areas of the brain were tested using P300 analysis at three electrode placement sites.

Subjects and Methods

A total of 27 individuals, including 13 singers aged 16-30 years (mean±standard deviation, 23±3.2 years) and 14 non-singers aged 16-30 years (mean age, 24±2.9 years), participated in this study. The singers had 3-5 years of formal training experience in Carnatic music. Cortical activities in areas corresponding to attention, discrimination, and memory were tested using P300 analysis, and the tests were performed using the Intelligent Hearing System.

Results

The mean P300 amplitude of the singers at the Fz electrode placement site (5.64±1.81) was significantly higher than that of the non-singers (3.85±1.60; t(25)=3.3, p<0.05). The amplitude at the Cz electrode placement site in singers (5.90±2.18) was significantly higher than that in non-singers (3.46±1.40; t(25)=3.3, p<0.05). The amplitude at the Pz electrode placement site in singers (4.94±1.89) was significantly higher than that in non-singers (3.57±1.50; t(25)=3.3, p<0.05). Among singers, the mean P300 amplitude was significantly higher in the Cz site than the other placement sites, and among non-singers, the mean P300 amplitude was significantly higher in the Fz site than the other placement sites, i.e., music training facilitated enhancement of the P300 amplitude at the Cz site.

Conclusions

The findings of this study suggest that more than three years of training in Carnatic singing can enhance neural coding to discriminate subtle differences, leading to enhanced discrimination abilities of the brain, mainly in the generation site corresponding to Cz electrode placement.

Introduction

Research review suggests that there are numerous studies linking association between music training and development of various cognitive parameters [1-3]. It is assumed that music training enhances central executive function of the discrimination ability, however, there is paucity of empirical data to support this hypothesis [4]. The role of robust cognitive process have been extensively advocated from language acquisition to the masterful use of language at various levels of life [5]. The role of cognitive skills has been also identified to ensure effective use of language and other higher functions. Furthermore, cognitive approach based speech and language intervention is also extensively used to address a wide range of communication disorders.
Among various event related potential (ERP) components, the P300 is the most important component for assessing cognitive processes such as attention, working memory (WM), and concentration [6]. P300 scalp distribution is defined as the amplitude change over the midline electrodes (Fz, Cz, and Pz), which typically increases in magnitude from the frontal to parietal electrode sites and is referred to as a P300 when recorded in response to difficult stimulus contrasts [7]. A multitude of nonpathologic and pathologic subject factors influence the P300. For example, pathologic factors of dementia, depression, and dyslexia affect the P300, as do nonpathologic factors of fatigue, handedness, and personality [8]. The P300 waves varies across experiments, and it is likely that widespread but possibly focal regions contribute to the P300 waves, including hippocampal, sensory-specific cortex, centroparietal cortex, and frontal cortex [9]. The P300 may have multiple intracerebral generators, with the hippocampus and various association areas of the neocortex all contributing to the scalp-recorded potential.
Apart from the behavioral approach, association between music training and cognitive development has been explored at neural level [10,11]. Thus, recording of the ERP has been widely accepted as an effective method [12]. The P300 wave is an ERP and it is elicited in the process of decision making. It is considered to be an endogenous potential, as its occurrence links to the specific reaction by an individual not to the physical attributes of a stimulus [13]. Precisely, the P300 is thought to reflect the processes involved in detection of target stimulus [14]. It is usually elicited using the oddball paradigm, in which low-probability target items are mixed with hig-hprobability non-target items [15]. The positive wave in the latency region of 300 ms are generated from the detection of target signal, which are infrequent (rare), unpredictable (presented randomly), or different (deviant) in some way from the first signal [16]. The response is sometimes referred as P300 because it is observed in the 300 ms region, and sometimes as the P300 wave, because it forms a third major positive voltage component after auditory late response waves PI and P2 [17].
The P300 response itself is a slow and broad positive peak that may occur between 250 and 800 ms and may exceed 10 µV [18]. The P300 wave is elicited by a task known as the odd-ball paradigm. During this task, a series of one type of frequent stimuli (standard stimulus) is presented along with a different type of non-frequent (target) stimulus [19]. The task of the experimental subject is to react to the presence of target stimulus by a given motor response. If a person attends to target stimuli, P300 is produced and if not then P300 potentials are not produced.
The duration of music training linking the discrimination ability of cortical areas is highly varying from less than five years, five years to 10 years, and more than 10 years [2,20]. The empirical evidences for the role of duration of music training and its subsequent impact on enhancement of discrimination ability are limited. In the present study, it is assumed that shorter duration such as less than five years of music training may enhance the finer cognitive skills such as attention, discrimination, and memory, which are actively used in the learning of music, speech, and language. Furthermore, atleast three years of music training enhances the ability to detect minor changes in the auditory stimulus. Carnatic and Hindusani are the music forms of Inida, based on the availability of singer category of paprticipants in southern part of country Carnatic music was chosen [21].
Thus, primary objective of the study was to investigate which areas of the brain i.e., Fz, Cz, and Pz gets more strengthes after exposure of music traing of more than three years. Secondly, the objective was to compare the P300 response across singers and age matched control group.

Subjects and Methods

Participants

A total of 27 individuals categorized into 13 singers of age range between 16-30 years (mean±standard deviation, 23±3.2 years) and 14 non-singers aged range between 16-30 years (24±2.9 years) participated in this study. The participants in the singer group had a minimum of three years of formal Carnatic music learning experience. The participants had a singing history of minimum 5-6 hours of practice in a week. The participants were residence of Mysore district of Karnataka state in India. Written consent was obtained from every participants and the institutional ethical approval was also obtained (13AUD016).

Equipment and stimulus

The Intelligent Hearing Systems auditory evoked potential system with smart electrophysiology software (IHS 4.3.02 version; Intelligent Hearing Systems, Miami, FL, USA) was used for recording and analyzing P300. The P300 was done by using oddball paradigm, with /da/ as a frequent stimulus and /ga/as an in-frequent (target) stimulus. Stimulus was presented in right ear at 70 dB nHL in alternating polarity with a repetition rate of 1.1/s. Probability of non-target (frequent) and target stimulus was set to 80% and 20%, respectively. A total of 120 sweeps were presented and 100 ms prestimulus and 800 ms post stimulus waveforms were analyzed. Disc electrode was used for recording P300 waveform. Non-inverting electrode placed at Fz, Cz, and Pz site, inverting at tip of nose and ground electrode at ipsilateral mastoid.

Procedure

In the present study, P300 responses were measured, the participants underwent preliminary hearing evaluation before P300 testing. The P300 responses were recorded by instructing the participants to sit in a comfortable reclining chair and were asked to mentally detect the target stimulus /g/. The Fz, Cz, and Pz electrode sites were cleaned with skin preparation gel and the disc electrodes were placed using a conduction paste. Prior to recording P300, an absolute impedance of less than 5 kΩ and relative impedance of less than 2 kΩ was ensured. The participants were asked to minimize eye blinks to reduce contamination from alpha activity. The stimulus was presented to right ear. Blocks of stimulus were presented in a series of frequent/non-target (/d/) and infrequent/target (/g/) stimulus. The participants were instructed to pay attention to the blocks of stimuli which were presented and were asked to mentally detect only the target stimulus (/g/) during the auditory presentation mode. The discrimination ability of an individual for /d/ and /g/ stimulus was indexed by measuring the P300 potential in µV. A total of 120 target sweeps were presented with 350-400 non-target sweep with a probability of 20% and 80% for target and non-target sweep respectively. The auto adjusted sweep mode of the instrument minimized the impact of artifact on the study outcome by providing extra target sweeps. That is, every participant received same number of survived sweeps (120) after artifact rejection.

Sample characteristics

The normality test on the data obtained for the P300 and digit span task was performed for both singer and non-singer groups. The Shapiro-Wilk test was administered and it was observed that the amplitude values of P300 data were normally distributed. Level of significance was tested at 0.05 level.

Results

The amplitude of P300 was compared between Fz, Pz, and Cz sites within the group and the P300 response was compared for Fz, Pz, and Cz sites across the singers and non-singers groups. Analysis of variance test was performed to compare the amplitude of Fz, Pz, and Cz sites within the group. For singers, the mean P300 amplitude at Fz site (5.64±1.81), Cz site (5.90±2.18), and Pz site (4.94±1.89) was compared using Bonferroni multiple comparisons test, a significantly larger P300 amplitude was obtained for Cz site, as compared to Fz and Pz site in a order Cz>Fz>Pz. For non-singers, the mean P300 amplitude at Fz site (3.85±1.60), Cz site (3.46±1.40), and Pz site (3.57±1.50) was compared using Bonferroni multiple comparisons test, a significantly larger P300 amplitude was obtained for Fz site, as compared to Cz and Pz site in an order Fz>Pz>Cz (Fig. 1).
Independent sample t-test was performed to compare the amplitude of the Fz, Cz, and Pz electrodes between the two groups. For Fz, the mean P300 amplitude of 13 singers (5.64±1.81) was compared to the 14 participants of the non-singer group (3.85±1.60), a significantly larger P300 amplitude [t(25)=2.72, p<0.05] in singers was obtained. For Cz, the mean P300 amplitude of 13 singers (5.90±2.18) was compared to the 14 participants of the non-singer group (3.46±1.40), a significantly larger P300 amplitude [t(25)=3.48, p<0.05] was obtained in singers. For Pz, the mean P300 amplitude of 13 singers (4.94±1.89) was compared to the 14 participants of the nonsinger group (3.57±1.50), a significantly larger P300 amplitude [t(25)=2.08, p<0.05] in singers was obtained. Characteristics of P300 waveform obtained in singers and non-singers are displayed in Figs. 2 and 3.

Discussion

In the present study, the mean P300 amplitude across singers and non-singers was compared at various placement sites, and it was observed that P300 amplitude was significantly higher for singers than the non-singers. These findings suggests the hypothesis of this study that music training induces subtle change in the WM capacity and neural coding of discrimination abilities of the typically developing adult population [22,23]. The role of duration of music training on WM development and discrimination abilities has not been extensively explored. The present study also highlights the notion that even three years of music training is sufficient to induce significant change in the WM capacity and discrimination abilities.
The higher P300 amplitude of the singers group indicates that music training can enhance the ability to detect subtle change in the auditory signals. The enhanced amplitude of the P300 response suggests that the ability of the central executive system of the WM improves with exposure of music training [10]. Hippocampus lobe, sensory-specific cortex, centroparietal cortex, and frontal cortex are responsible for the generation of P300 [9]. The P300 response is likely to have multiple generators, mostly in and around the hippocampus [16]. The site of placement of Cz electrods is near to the hippocampus, thus, amplitude of Cz was found better in singers compared to other sites such as Fz and Pz. These findings support that musicians have better hippocampus lobe than non-musicians [24].
The enhanced P300 amplitude of the present study also suggests that the singers allocated more neural resources, reflecting greater sensitivity to the standard and deviant difference in auditory condition [1,25]. Music training enforces selective improvements in WM, especially in the central execution which reflects at both neural and behavioral levels [1]. Marked improvement was seen on neural differentiation of the syllables in musicians [26]. Anatomical and neurophysiological evidence of the present study indicates that the formally trained singers showed more efficient neural detection of auditory stimulus which demonstrated superior auditory sensory-memory [27].
Assessment of WM capacity in developing children or the adult neurogenic progressive disorders can be clinically resourceful. In the developing children, adequate growth of various cognitive processes is the prerequisite for speech and language development. Furthermore, assessment of the WM capacity and discrimination abilities can serve as a robust predictor of language and other higher cognitive-communicative skills. The present study justifies the need for development and establishment of a test protocol, specially a ERP:P300 tests for the assessemnt of WM capacity and discrimination abilities.
In conclusion, in the present study, electrophysiological test (P300) was performed on singers and non-singers at various electrode placement sites. Higher P300 amplitude was observed for the singers compared to non-singers for all electrode placement sites. Neural generators of Cz site are more enhanced by music training, as compared to the neural generators of other placement sites. Findings of this study suggest that singers have enhanced higher order processing, which includes their improvised cognitive abilities. The outcome of this study can serve in development of a clinical protocol for assessment of WM capacity in cognitive deficit, developing children and in cognitively declining geriatric population.

Acknowledgments

The support provided by Amity University Haryana and All India Institute of Speech and hearing Mysuru, Karnataka is acknowledged.

Notes

Conflicts of interest

The authors have no financial conflicts of interest.

Author Contributions

Conceptualization: Neelesh Benet and Rajalakshmi Krishna. Data curation: Neelesh Benet and Vijay Kumar. Formal analysis: Neelesh Benet and Vijay Kumar. Investigation: Neelesh Benet and Rajalakshmi Krishna. Methodology: all authors. Project administration: Rajalakshmi Krishna and Neelesh Benet. Resources: all authors. Software: Neelesh Benet and Vijay Kumar. Supervision: Rajalakshmi Krishna and Vijay Kumar. Validation: Rajalakshmi Krishna and Neelesh Benet. Visualization: Neelesh Benet and Rajalakshmi Krishna. Writing—original draft: Neelesh Benet and Vijay Kumar. Writing—review & editing: all authors. Approval of final manuscript: all authors.

Fig. 1.
Single plot dipection of P300 amplitude (µV) of singers and non-singers at Fz, Cz, and Pz sites.
jao-2021-00024f1.jpg
Fig. 2.
Characteristics of P300 waveform in singers and non-singers at Fz, Cz, and Pz sites.
jao-2021-00024f2.jpg
Fig. 3.
P300 amplitude (µV) in singers and non-singers at Fz, Cz, and Pz sites.
jao-2021-00024f3.jpg

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