Healing Music Proven by Medical Research
Medical,
Mathematical and Scientific Proof
Illustrates Efficacy of Sacred Healing Music
October
2015 | New York City, NY
At
the Memorial Sloan Kettering Cancer Center (MSKCC) in New
York City, mantra meditation has been delivered to pediatric
patients at the bedside since 2011. These patients suffer
from neuroblastoma, the most common extracranial solid
cancer in childhood and the most common cancer in infancy.
These tumors arise in developing tissues of the sympathetic
nervous system and too frequently, have spread
(metastasized) to other parts of the body before diagnosis.
Today, standard treatment consists of immunotherapy,
antibodies engineered to bind and destroy tumors. While this
approach has increased survival rates from near 100% fatal
to 80% remission, treatments are frequent and painful. These
antibodies recognize and attack a molecule that is
overexpressed in neuroblastoma, but also prevalent in normal
peripheral nerves. As a result, children receive high doses
of opioids in an attempt to curtail pain during treatment,
for which they return weekly, and indefinitely. The maximum
allowed dose of opioids does not spare them from intense
pain.
Mantra
Meditation as Medical Intervention
Since meditation has been shown in randomized
controlled trials in adults to reduce the feeling of pain, a
leading team of researchers was established to study the
effects of mantra meditation in this acute clinical setting
for young children. Leading the team are doctors Sonia
Sequeira, PhD, and Mahiuddin Ahmed, PhD, from Memorial
Sloan-Kettering Cancer Center. They hypothesized that this
form of meditation may be most effective because it is
musical, easy to learn, easy to monitor and beyond language
barriers. The meditation program consists of gentle
stretching (this was important because children remain in
bed for long periods of time), breathing exercises (pranayama),
mudra (vayu, middle pillar, walking tattva) and mantra
(typically Dr. Joseph Michael Levry’s RaMaDaSa Adagio,
Guru Ram Das, and I Am recordings, which the children really
enjoyed). Most sessions begin 20 min. before antibody
therapy, and continue for 30 min. or more as pain starts to
peak, lasting for about an hour. Parents and translators for
international families invariably join and enjoy the
practice. Children as young as 3 years of age were able to
complete an 11 min. session of chanting, irrespective of
language spoken. The conclusions of this pilot study were
that mantra meditation is a feasible clinical intervention
in children 3-13 years of age. Moreover, a single session of
mantra resulted in a 14% reduction of nurse-administered opioids. This is greatly significant over the course of
repeated treatments. These results were published in the
Journal of Pediatric Oncology and Hematology.
(http://www.ncbi.nlm.nih.gov/pubmed/24065045)
Looking at the future of mantra meditation as medical
intervention, and with the support of the department of
pediatrics at MSKCC, the investigators are planning a larger
study to research the efficacy of mantra in this population.
Specifically, we are interested in looking at duration of
disease remission and survival using biological measures.
Will training of vagal tone help achieve disease remission
in SNS tissues? Will sound meditation reduce biological
markers that predict poor outcomes and survival? To help
answer some of these questions, the investigators recently
initiated a pilot study in healthy volunteers to better
understand the mechanisms of sound meditation, and hopefully
translate the findings to the cancer and pediatric
population. We look forward to sharing the full findings at
the end of the study.
The New Medical Frontier
Can
the change in breath rate during sound or mantra meditation
result in significant improvements in brain performance and
innate immunity? To
answer this question doctors Sonia Sequeira, PhD, and
Mahiuddin Ahmed, PhD, from Memorial Sloan-Kettering Cancer
Center have launched a randomized, controlled study of the
effects of sound meditation on gene, brain, heart, immune
and autonomic activity. The research team is randomly assigning 30
subjects of varied meditation experiences to 3 different
mantra designs. To put the practice into perspective, a
normal person breathes at a rate of 10-14 breaths/minute;
the vagus nerve, which is responsible for replenishing our
energetic and immune resources after a stressful event, is
activated when breath is reduced to 7-5 breaths/minute and
these mantras (Dr. Levry’s Sat Nam Wahe Guru, Guru Ram Das
and Ra Ma compositions) reduce the breath to 3.5-2
breaths/min. We hypothesize that this significant change in
breath rate will not only induce the relaxation response
responsible for significant changes in heart, brain and gene
expression (Jacobs et al., 1996, Lazar et al, 2000, Benson
et al, 1975, Dusek et al, 2008) but cause profound, unique
changes to brain connectivity and performance through vagal
input with long lasting impact on endocrine and innate
immunity. This is to our knowledge, the first study to take
an in-depth look at the mechanistic effects of sound
meditation.
Thus far, 10 subjects have been enrolled into this study,
and had their baseline covariance evaluated (factors that
may affect outcomes such as age, meditation experience,
health, left-handedness). The investigators compared
subjective measures of mindfulness, physical and emotional
health, human connectedness, before and after a 40 day
intervention. They also measured the subject’s ability to
solve problems, and make decisions. At start of study,
subjects were connected to EEG and EKG systems for real-time
measure of brain, heart and autonomic activities for the
duration of 20 min, while meditating. Subjects were then
asked to practice at home and maintain a diary of their
completed assignments. After 40 days, they returned for a
final session, recorded by EEG and EKG. Saliva samples were
collected at baseline and follow-up, for RNA, DNA and immune
modulator analysis. The data is still being processed,
however, we are already able to observe interesting trends.
Those subjects that have a long-standing practice of
meditation, scored highest in mindfulness and
problem-solving measures compared to novices. They also had
the highest vagal tone at baseline suggesting that they
acquired resilience over the years with long-lasting
effects. This also suggests heart dominance over brain
processing. Brain activities in the different bands are
remarkably synchronized during mantra meditation, and we are
able to see very different signatures during pranayama,
mantra and prayer. Next, this data will be compared with
novice practitioners, and the differences in novices before
and after a single session of sound meditation will be
observed, as well as before and after 40 days of practice.
This will reveal how sound meditation builds physical and
emotional health after a 20 min/day, 40 day practice. Brain
and heart activity will be correlated to significant immune
molecules, specifically those molecules that are impaired in
chronic disease such as cancer and cardiovascular risk. The
research team will use these measures in their pediatric
project at MSKCC. This project has generated interest in the
Pediatric Pain and Palliative Care Unit and the adult
Integrative Medicine department, which have invited the team
to collaborate in other populations.
In the summer of 2015 the meditation research team was
invited to teach sound meditation to the pediatric nursing
staff at one of their wellness meetings. It was so well
received that a monthly morning meditation program was
immediately implemented. Based on this program, there will
be a study to investigate the effects of sound meditation on
nurse burnout and quality of life. Fundamental to the
overarching goal of providing the best platform for recovery
and healing to patients, there are now plans to study the
effects of this practice on pediatric surgeon burnout,
quality of life and patient trust in physician measures.
Establishing the Institute
for Meditation Sciences:
Creating a healthier future through medical research on
the effects of mantra meditation practices in clinical
settings
To
provide an entity and framework to these research programs,
the Institute for Meditation Sciences was formed as a 501c3
not for profit organization.
To fulfill an unmet need in the scientific community, the
Advances in Meditation Research Conference Series was
created in 2013, inclusive of different meditation
traditions. In September 2015, we received 20 speakers from
the US, Canada and India, 155 participants from 5 continents
at Memorial Sloan Kettering. The conference has become known
for its scientific rigor and open-minded approach to ancient
teachings. 20 papers are being written for publication in
the Annals of the New York Academy of Sciences that report
findings that impact our understanding of aging, pain,
social well-being and predictors of disease.
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References
Ahmed M, Modak S, Sequeira S, 'Acute pain relief after
Mantram meditation in children with neuroblastoma undergoing
anti-GD2 monoclonal antibody therapy,' J Pediatr Hematol
Oncol. 2014 Mar;36(2):152-5.
http://www.ncbi.nlm.nih.gov/pubmed/24065045
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