in the mind of people you are the middle beautiful you are the means to fight with noble minded it is a symbol of. how did he shoot. some money nelson mandela but we've been told their feet yes but. i leave maybe fractures because it will make it look like the other ones are i don't know i really need. part of it find us on facebook and on w dot com. welcome to in good shape coming up. party in iraq the feet what can help against this nerve disorder. removing earwax is their right way.

and music therapy when do patients profit from it. here's your host dr costin deck who taught hello and welcome to in good shape today i mean it's just outside of the limb here more than one hundred years ago a huge sanatorium was built today doctors are treating patients with parkinson's patients who suffered a stroke. with music because music is good for your health. listening to music stimulates the production of hormones that increase energy levels for athletes it's like legal doping research shows that music can increase a flatted performance by up to fifteen percent. music can affect blood pressure according to one study music by johann sebastian bach lowest blood pressure regardless of whether you like the music or not. music also strengthens the immune

system lowering cortisone levels and boosting immunoglobulin a an antibody that's one way to fend off a cold. and. this is music therapy that how can use it be part of therapy and is there any scientific proof that it works this is what i'm going to find out today here in being its highest and it's just different he said music therapist. music helps us get access to severely impaired patients in a playful way. the. music doesn't just sound nice it affects our feelings and triggers memories but researchers believe it can do even more. they're looking into how music can help

heal the body. position and. has spent years studying how music can help in cases of brain injury. this is actually possible because of neural plasticity which is the ability of the human brain to continually change and adapt throughout a person's life. and the brain is made up of neurons on the synapses that connect them but these connections on fixed new ones are created all the time that a music stimulates powerful emotions and builds new connections through an active process of listening movement and visualisation not to get to that. the fact that music helps the brain build new synopses give dr daniel shots the idea to use music to help stroke victims regain movement. one of his patients eric.

lost all feeling on the left side of his body after suffering a stroke. after a few hours i couldn't move anything that's all. i'm in my own mind i couldn't put any weight on my legs. and you begin by doing passive movements with the help of a physical therapist until slowly you learn to do them by yourself you don't really want to rid of my. one way music can help is through sonification therapy. this is a technique that translates a patient's physical movements into musical sounds. a sensor registers the arms position which a computer program then converts into preprogramed sounds so mr ritter is literally hearing the position of his arm. the more he learns to control the arm movement the more coordinated the sound becomes. it's even possible to play a tune. but the school dissolves more t.v.

and it's motivating because you get instant feedback on your progress. today i managed to go no tie i'll stretch a bit further the patients are learning something new how to play music just by moving their limbs. this type of music therapy helps the brain create new neural pathways. patients learn to move again because areas of the brain not involved in particular movements are rewired allowing them to take over functions previously performed by the damaged brain areas this process can apply to other illnesses too. you can also use neurologic music therapy to treat a phase where the ability to speak is restored through song. given the right side of the brain takes over a function that used to be performed by the left and the name. dr

fiona of course uses music therapy to help patients who suffer from chronic pain. hans you're going to find it because suffers from shock host syndrome bhasker disease which causes so much pain in his legs that he can't walk for more than a few steps at a time. but walking is actually part of his therapy. in dr off study her patients listen to their favorite music while using a treadmill. and the results are impressive as a donor should washington the difference was noticeable spending money want to listen to my favorite music it's much easier for me to ward off it this way you don't really notice that you've walked on it has been made. that was the case with all her test subjects the pain decreased when the patients were listening to music. and

all participants were able to walk further when they were hearing their favorite music. to music but as the type of music wasn't important there was everything from classical to jazz to pop the important thing is that the subjects liked it but i sure was and. it's a technique anyone can use in their daily life whether you want to feel better in body or in spirit just listen to more music. so you speech was actually really better after using that song so it's much better in such short time you had this really improved and he had this image that we just saw the report that music therapy can be helpful if you treat patients who are in pain but even to patients with parkinson's disease and with struck so

what's happening here. what we just saw here is voice and breath training with singing which we do a lot with patients and even with stroll and but we also do a lot with movement training when people come first after having had a stroke to a hospital and they are in the wheelchair the convent they sometimes can't even stand and we do very very slowly exercises for the better than standing with little children song maybe and then slowly coming into steps and practicing walking again and that really works better when you have the right music it's what other the main disabilities that can result from a stroke and that you can treat with music that are. very very often you get

these. problems where one side of the body is paralyzed and that that causes walking problems as well as fine motor skill problems and arm function problems with people who have never played an instrument in their life we practice pad and want to very low low level doing very simple exercises with single fingers and that helps effectively and we know that from clinical studies as well to retrain these fine motor skills and daily routine company competencies we just saw the amazing results which music therapy can have on the speech he hopes so but is there any scientific proof other than these studies that say that music therapy is effective yes we have scientific proof for stroke patients for training for on training also for aphasia which is

a kind of language disorder which occurs after stroke. and we know that this is also effective and clinically affective for pockets and for gait training. and also for voice and speech problems so does music therapy offer anything which other conventional therapies cantle for. yet the main thing is perhaps these much of a tional emotional effects but we also know more and more about physiologic effects on brain function we know actually now from imaging brain studies that music affects the whole brain and even if parts of it are disturbed after a stroke for instance very often music because it's all everywhere in the brain still works very well and so we can use music to address very very for caused by the need. functions you very often see immediate

improvements as we've seen here in singing and the voice and the speech movement but also in cognition when you when we talk about attention or memory and very often when music comes into play these things immediately change in quality and can be transferred to really beneficial therapeutic activities so it's like an awakening that yes you could almost say it can lead to severe brain damage and puts patients into a coma where they can communicate with others we doctors call this a vegetative state convention of therapy is quite helpless in dealing with those patients but using therapy could be a solution and we the followers who promotes this kind of. muscle boredom is undergoing music fer a pee in his bed which has a built in hop designed to stimulate him at today's session he's joined by

a violent a soprano who works with people who suffered brain trauma. at the social it's lovely to see how the therapist and marcel really work as a team you could see how much she enjoys it laughing and trying to sing along to an outside observer it might not seem like much is happening but for him it's a spectacular success since he could. muscle has been in a vegetative state since two thousand and three when he was run down during an illegal car race now that he's getting music therapy he's learned to pluck the strings himself. the treatment works on a number of levels. the patients are able to feel their body again the sounds boost their self-awareness that activates the paralyzed parts of the body but it also relaxes by regulating muscle tone and the. balance between too

much tension and no tension at all in kind of. the hope is that patients learn to experience music more deeply. and is well versed in the power of music. mentioned you can reach people in a vegetative state with music in ways you can't with words and stimulate their awareness. only music can do that. for patients like. music has become a bridge to the outside world. so music therapy is also important in helping patients with parkinson's disease and we

just saw patients with parkinson's disease and you treat them with a kind of an p three player in the ear. walk so what's special about that yeah we use music here too and hans and stimulate the gate pair and we adjust the tempo to the individual step frequencies that's very important to have very clear temple resonance there and then you can use music to instantly improve their walking and we also transfer that to a longer training procedure so if you treat parkinson's like that can you stop the progress of parkinson's you know you cannot really stop the disease progression but training is really important for those patients to help them to keep up their level of fitness their strength and insurance so we see a lot of patients when they train regularly and very often they are much better off

in terms of movement while the other patients who practice less they have they get more problems even safes or medications that perhaps like reduced tablets. well not really the medication is important to have sort of base is movement ability and we only do the training and also music movement training when they have their. kinematic. capacity so it's very important to have the drugs there and then on top of it you do the training it's very important to do. both. christians from india wants to know. if he could use music therapy in his dental clinic. oh yes that makes sense and. also. regularly already like you can use the music's there to reduce anxiety to reduce pain sensitivity and reduce stress and

that's all certainly very helpful for those who have problems at the dentist ok another question from india. tells us that she loves music but her husband doesn't love music at all so her husband candidate for music therapy if you like music. actually you know in the many years i've been doing the job here with hundreds and thousands of patients i've hardly had to use you have someone who does not like any kind of music at all i can almost not imagine that this is really true so you always find this kind of song yeah i would i would really you know the what what is music what does the music mean for you what did you experience in your childhood in your early life and usually when you do find something even if you have to look a little longer thanks so much for all of his insights and if you've got any

questions you'd like me to ask our experts. on an upcoming show we'll be looking at sugar too much leads to weight gain and studies show that sugar can damage the heart and blood vessels is it also linked to cancer and if you have a question about that write to us in good shape t w dot com don't forget to write sugar in the subject line we look forward to hearing from you. there are billions of nerve cells in your body and without nerves you couldn't move at all but nerves are not only response of. for your movements responsible for your feelings. if you feel something strange in your feed it could be up a thing which is a disease self in nerves with multiple causes. it almost always starts with your feet specially with the toes with tingling or pain that can grow so severe that walking becomes impossible. skips begins with

a slight numbing in your prick tone as soon as it hits the toe feels like it's hugely swollen also very minor there's also a kind of muscle tension was good for spending and it's not nice and it really hurt . these kinds of sensory disorders stem from damage to nerves that extend from the spinal cord to the extremities. the damage can affect the long axon of the nerve cell or the mylan sheath that surrounds it the feeling of numbness weakness or burning can spread the medical term for this condition is poly neuropathy. a number of things can cause polydor up a theory there are hundreds of different illnesses or primary causes behind it and sometimes you have to do very intensive tests to get to the bottom of it and it was a. good path has been suffering from odd sensations in the tips of his toes for the

past thirteen years last year it became increasingly severe he suspected that the problem might originate in his back. but an m.r.i. showed that his spinal disks were ok. finally he consulted a neurologist who tested how fast his nerves conduct signals. with mr parts presented with sensory disorders that are characteristic of poly neuropathy and distributed in a typical way we conducted tests that quickly confirm the diagnosis. move the most common causes of this condition our diabetes and excessive alcohol consumption. up with a can result is a side effect of chemotherapy it's also possible to have a genetic predisposition for us. this is now being examined with another diagnostic tool the neuro imaging magnetic resonance device will

provide an accurate picture of the state of his nerves. the scan shows that the problem with the nerves in his leg is not restricted to the nerve endings but extends up to his pelvis today a second specialist is giving his opinion via video link. so much. this gives you a clear picture of what's wrong we can now say what areas are affected. the patient might now know the extent of his nerve damage but the root cause is still unclear. the. video perfect polly and your uppity where you can't pinpoint the cause of the disorder accounts for twenty to twenty five percent of the cases and that's even after pretty thorough diagnostic testing including nerve biopsy at that point you just have to accept you have the illness without knowing why but it is often possible to relieve symptoms. in susan fly this case

because of the nerve problems in her feet it's pretty clear. i've had diabetes for twenty seven years i do know i've been pretty lucky my eyes are fine but about a year ago the toes on my left foot started acting up. first just one felt painful then another began hurting. i have to undergo. additional diabetic neuropathy is one of the classic complications of diabetes to tackle it your blood sugar levels need to be brought back in line that doesn't work you could suffer complete loss of feeling as one of the main reasons people develop diabetic foot syndrome which can lead to chronic wounds. we can even get so bad that amputation is required if you're going off this into. susan florida has spent five days in the clinic to normalize her blood sugar levels the doctor now tests the sensitivity of

her feet again. because great that's much better than at the beginning. it's unusual to see such quick results but it's a clear example of how nerves can benefit from good diabetes treatment. since pip doesn't know what's causing his nerve damage he can only treat the symptoms and that means regular trips to the physiotherapist. dirt dust. there's a lot to be falling here my daughter even once had an aunt inside. that's how to clean your properly this is what we tried to find out and the results surprise you. a special candle to clean your ear canal some people believe your candling helps remove excess ear wax maya our test subject is not so sure.

my first thought was no way am i putting this in my ear or anyone else's ear for that matter. to be on the safe side we asked engineers specialist to give his verdict on ear candling. one cats. frankly i'm no fan of here candles. there are studies that show the only effect it has is to liquefy the air wax but does nothing at all to remove it and it also involves fire and that's dangerous because the dripping candle wax will cause damage to the outer ear which is why you definitely shouldn't do it. this means all of them on this as a bit of can fall and said our next test the spoon once again dr niedermeyer is skeptical. of my guides here on this and is much too sharp in my opinion

it's not only unsuitable to be used by a lay person it's just plain dangerous to feel it be yourself this part is about three and a half to four and a half centimeters long if you inserted all the way in it could damage the air drum that's. the humble cotton bud is much softer by comparison but here too the expert warns against it for us so i don't believe in using cotton buds to clean the errors so they should never be used they can cause real damage to the air. and i can show you using this model here this is this is more or less life size and you can see that this is relatively large compared to the outer ear canal there isn't much room here. the cotton bud pushes the wax deeper into the ear instead of removing it that can cause a serious wax build up. but then how can you remove ear wax yourself and should you

even try. and. see if you know for sure wax contains a variety of substances so these helps to keep the skin and the ear canal smooth and moist so it doesn't dry out. and they also inhibit bacterial growth. on the from you. if you have too much earwax and can no longer hear properly get it professionally removed by a doctor for healthy years there's one rule of thumb. for the us he never tried to clear the air canal with a foreign object. instead after you shower and wash your face and so forth you can use your finger covered in a towel to remove wax from around the entrance of the ear canal. only remove what is easy to reach. never more than that. in other words that are too clean aren't necessarily healthy and don't use

implements to clean your ears they can cause serious damage. well i don't want anything to get into my ear so i play it safe. see you again next week and let's all try to stay. above. the be. the be.

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family members cling to a desperate hope mexico by the justice system in. the butcher. pollution says. isn't it time for a good. go at africa people and projects that are changing our environment for the better it's up to us to make a difference if people want to go. along w. . clash of cultures in india. a clash between those who believe in the arranged marriage those who want to marry for love. the clash that shaking families and society to the core. the love of school starts july

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millions can live. you're watching the news live from berlin rescuers in thailand say they're approaching the best possible conditions to evacuate the boys trapped in a flooded caves this officials say a rescue could come within days before monsoon rains make flooding worse this as the children send their families written messages telling them they're ok we'll get

the latest from our correspondent. and england fans are celebrating their teens victory over sweetener.