In striking contrast to the difficulties with new learning and episodic memories in aging and especially in Alzheimer's disease (AD), musical long-term memories appear to be largely preserved. Evidence for spared musical memories in aging and AD is reviewed here. New data involve the development of a Musical Engagement Questionnaire especially designed for use with AD patients. The questionnaire assesses behavioral responses to music and is answered by the care partner. Current results show that, despite cognitive loss, persons with mild to moderate AD preserve musical engagement and music seeking. Familiar music evokes personal autobiographical memories for healthy younger and older adults as well and for those with mild to moderate AD. It is argued that music is a prime candidate for being a stimulus for cognitive stimulation because musical memories and associated emotions may be readily evoked; that is, they are strong and do not need to be repaired. Working with and through music as a resource may enhance social and communication functions.

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The MusEQ provides a meaningful and reliable option for measuring music engagement among participants who are unable to complete a self-report questionnaire.

This study examines musical memory in 12 patients with moderate or severe AD and 12 healthy, older adult controls. Participants were asked to distinguish familiar from novel tunes, to identify distortions in melodies, and to sing familiar tunes. Comparison of the AD and control groups showed significant impairment of the AD participants. However, a more complex picture emerged as we compared each individual case to the control group. Five of the AD group performed within the control group range on most tasks. An additional four participants showed partial sparing in that they performed below the range of control participants, but their scores were above the level of chance. The final three participants showed near complete loss of musical memory, as their performance was consistently at or near the level of chance. These results are discussed in terms of the literature on the heterogeneity of cognitive presentation in AD.

this research addressed the question: is musical memory preserved in dementia, specifically, dementia of the Alzheimer type (AD)? Six tests involving different aspects of melody and language processing were administered to each of five groups of participants: 50 younger adults, 100 older adults, and 50 AD older adults classified into three levels of AD severity—mild, moderate and severe. No test was immune to, but not all tests were equally sensitive to, the presence of dementia. Long-term familiarity for melody was preserved across levels of AD, even at the severe stage for a few individuals. Detecting pitch distortions in melodies was possible for mild and some of the moderate AD participants. The ability to sing a melody when prompted by its lyrics was retained at the mild stage and was retained by a few individuals through the severe stages of AD. Long-term familiarity with the lyrics of familiar melodies was also found across levels of AD. In contrast, detection of grammatical distortions in the lyrics of familiar melodies and the ability to complete familiar proverbs were affected even at the mild stage of AD. We conclude that musical semantic memory may be spared through the mild and moderate stages of AD and may be preserved even in some individuals at the severe stage.