Can music, hobbies, or learning a new skill help?
What research shows about music, hobbies and new skills after a brain injury
Safety Behind the Wheel Foundationdrivewithcare.org
Last reviewed:
For survivors and families12 min read
Before the crash, maybe you played guitar on weekends, kept a garden, or met friends for trivia night. Once a concussion or TBI enters the picture, those things can slip away. Noise, fatigue and memory lapses can make old hobbies feel like work.
You may also have heard that music or learning a new skill can “rewire” the brain. It is natural to hope that a favorite activity could also bring your memory back.
This page looks at what research shows about music, hobbies and new learning after a brain injury. It separates two kinds of benefit: feeling better and living more fully, which has more support, and measurable memory gains, which are much less certain.
Why enjoyable activities matter after a brain injury
Depression is common after a brain injury. A fact sheet from the federally funded TBI Model Systems program reports that depression affects roughly half of people with TBI during their first year after the injury [1]. Signs include losing interest or pleasure in usual activities and pulling away from other people [1].
Concussion brings similar risks. The Living Concussion Guidelines, a Canadian guideline updated in 2025, note that many people deal with low mood or anxiety after a concussion [2]. The patient version describes apathy as having no interest in things you would usually enjoy [2].
Activity can be part of treatment
One talk therapy for depression, called behavioral activation, works by helping people become more active and enjoy pleasant activities again [1]. The TBI fact sheet explains that this increase in activity helps improve mood [1].
That gives hobbies a real role in recovery, even if they do nothing for memory scores. A guide for families of people with a recent TBI puts it simply: everyone needs something to look forward to [3]. It also urges families to keep the person’s social life as close to normal as they can, and to bring them into family activities and conversations [3].
If you have lost interest in things you used to love, that is worth mentioning to your care team. The Living Concussion Guidelines advise talking to your primary care provider if you feel depressed or anxious [2].
What music research shows
The best summary of the evidence on music after brain injury is a 2017 Cochrane review, a type of review that pools the results of controlled trials. It included 29 trials with 775 participants [4].
The review covered acquired brain injury from any cause, including TBI and stroke [4]. However, 25 of the 29 studies included only people who had a stroke, about 90 percent of all participants [4]. That means most of the findings come from stroke, not from crash injuries or concussion.
Where music showed promise
For stroke survivors, the review found that rhythmic auditory stimulation, a method that uses a steady beat to guide walking, may improve some measures of gait [4]. Music programs may also help communication in people with aphasia, a language problem, after a stroke [4]. There may be a gain in quality of life after stroke with rhythm based training, though the evidence was rated low quality [4].
Mood results were mixed. In one stroke trial, Särkämö and colleagues compared music listening, audiobooks and no listening in 60 people soon after a stroke [4]. The music group had lower depression scores [4]. The review authors also noted improvements in confusion after music listening in that trial [5]. Two of three trials that measured mood found improvements. But differences between the studies meant the results could not be combined [4].
What it found about memory
Only two randomized trials, with 42 people in total, measured memory. One was in stroke and one in people with brain injuries from mixed causes. Together they showed no strong evidence that music helped [4]. Attention showed the same lack of clear benefit [4].
One small trial is directly relevant to TBI. It included 22 people with a severe head injury who were still in posttraumatic amnesia. That is an early stage of recovery when people are confused and cannot hold on to what just happened. Listening to live music improved their orientation, meaning their awareness of where they were and what day it was [4].
Safety and quality
None of the trials reported harmful effects [4]. Most studies had a high risk of bias, so the overall quality of evidence was low [6]. The authors said more high quality trials are needed before firm recommendations can be made [6].
Comparison compiled by Safety Behind the Wheel Foundation
What the 2017 Cochrane review found about music after brain injury
| Outcome | What the review found | Who was studied |
|---|---|---|
| Walking | Rhythm based training may improve some gait measures | Stroke |
| Communication | May help people with aphasia | Stroke |
| Quality of life | Possible improvement, low quality evidence | Stroke |
| Mood | Some trials found improvements; results could not be pooled | Mostly stroke |
| Memory and attention | No strong evidence of an effect | Stroke and mixed brain injury (2 trials, 42 people) |
| Orientation during amnesia | Live music improved orientation in 1 trial | Severe head injury |
Source: Magee et al., Cochrane Database of Systematic Reviews 2017 [4]; RHN lecture summary [5].
Learning a new skill: what one large study found
A well known study from the University of Texas at Dallas tested whether learning something new could sharpen memory. Researchers randomly assigned 221 healthy adults aged 60 to 90 to different activities for three months [7].
Some groups learned digital photography, quilting or both [8]. These classes took about 15 hours a week [9]. Other groups joined a social club or did familiar activities at home, such as listening to classical music and doing word puzzles [7].
Only the groups learning demanding new skills improved their episodic memory, which is memory for events and experiences [8]. The groups doing social or familiar tasks showed no cognitive gains [9]. Some benefits lasted up to a year [9]. The lead researcher, Denise Park, said, “engagement alone is not enough” [7].
Why this study needs careful reading
These were healthy older adults, not people with a brain injury. Nobody knows whether the same results would appear after a concussion or TBI. The time commitment was also large, about 15 hours a week, which may be too much for someone dealing with fatigue or headaches.
The study does suggest one useful idea. Activities that stretch you, with new information to learn and problems to solve, may give your brain more of a workout than activities you already know well [8]. If you choose a new hobby, pick something that is challenging but manageable, and build up slowly.
A note on brain games
Computer brain training is a different thing from learning a real world skill. A 2021 U.S. Veterans Affairs and Defense Department guideline for mild brain injury advises against relying on self administered computer training programs [10]. The INCOG 2.0 memory guidelines add that any computer based practice should be guided by a therapist [11].
Hobbies, friends and quality of life
Brain injuries can shrink a person’s social world. A collection of TBI fact sheets notes that some people lose relationships after a TBI or have trouble meeting new people [12]. It suggests joining a club or other social group. It also notes that many communities have support groups for survivors and their partners [12]. Online groups are an option if local groups are hard to reach [12].
The same collection advises including meaningful activities in your daily schedule [12]. A fact sheet on concussion recovery says most people find support from friends and family helpful [13].
How family and friends can help
Partners, parents and friends often make the difference between staying home and getting out. A guide for families suggests including the person in family activities and keeping visits small, with only 1 or 2 visitors at a time, so the person is not overwhelmed [3]. The TBI fact sheet collection suggests something as simple as putting a walk together on the calendar [12].
Helpful invitations are specific and low pressure. “Want to listen to the new album with me on Saturday morning?” is easier to say yes to than a vague offer to get together sometime. Offer a ride if driving is not yet safe, and be ready to leave early if the person tires.
Small ways to start
- Listen to a favorite album during a planned rest break.
- Sing along to a few songs, alone or with family.
- Take a short walk with a friend and talk about something other than the injury.
- Return to one small part of an old hobby, such as potting a single plant.
- Try a beginner class with a friend, choosing a quiet time of day.
What large population studies suggest
Research in the general population, not specific to brain injury, points the same way. A 2024 report from the Lancet Commission on dementia found that people with less frequent social contact had a higher risk of dementia [14]. It also concluded that cognitively stimulating activities in midlife help protect thinking skills, and that staying mentally, physically and socially active matters in mid and late life [14].
These are associations from large groups of people. The commission itself noted that some links may be only partly causal [14]. They do not prove that a hobby will protect your memory. But they support the idea that an active, connected life is good for the brain.
Comparison compiled by Safety Behind the Wheel Foundation
Benefits to expect and benefits still unproven
| Activity | Likely benefits | Memory evidence |
|---|---|---|
| Music listening or music therapy | Mood, enjoyment, some walking and speech gains after stroke | No strong evidence of memory gains |
| Learning a demanding new skill | Challenge, purpose, new routines | Memory gains in healthy older adults only |
| Social hobbies, clubs, support groups | Connection, support, less isolation | Linked to brain health in large population studies |
| Enjoyable everyday activities | Better mood through activity | Unknown |
Sources: Magee et al. 2017 [4]; Park et al. 2014 [8]; Lancet Commission 2024 [14]; MSKTC depression fact sheet [1].
Easing back into hobbies after a concussion or TBI
A fact sheet on concussion says most people who have symptoms get better over a span ranging from hours to a few months [13]. During that time, complete rest is not recommended. Light exercise and mental activity may help recovery [13]. The same fact sheet advises pacing yourself and getting the rest you need [13].
Hobbies can fit into that plan. The trick is to start with short, low pressure sessions and watch how you feel afterward.
Imagine a 52 year old teacher who was hurt when her car was hit at an intersection. Before the crash, she sang in a community choir. Rehearsals are now too loud and too long. She starts by listening to the choir’s recordings at home for 15 minutes, then joins one section rehearsal a week and leaves at the break. After a month, she sits in for a full rehearsal with earplugs. A friend from the choir gives her a ride.
Ways to adapt a hobby
- Shorten sessions and stop before you are worn out.
- Choose quiet times and places if noise or light bother you.
- Break a project into small steps and write each one down.
- Ask a friend to join you, so the activity also brings company.
- Jot down what you tried and whether symptoms flared later.
Hobbies to hold off on
Some hobbies carry a risk of another blow to the head, such as contact sports, mountain biking, climbing, skiing or horseback riding. For athletes, the international concussion consensus says to put off anything with a chance of head impact until symptoms and thinking problems have fully cleared [15]. A guide for families notes that certain activities should be resumed only after talking with a health care professional [3].
Getting to a hobby can also involve driving. Memory and attention problems after a brain injury can affect driving. Before you drive yourself to a class or rehearsal, get the go ahead from your care team.
Is this hobby a good fit right now?
Checklist from Safety Behind the Wheel Foundation
- I enjoy it, or I am curious to learn it.
- I can do it in short sessions without my symptoms getting much worse.
- It does not carry a risk of falls, collisions or blows to the head.
- It gives me time with people I like, or a reason to leave the house.
- It offers some new learning or a challenge I can manage.
- I have a way to get there safely, or I can do it at home.
- I will check how I feel after a few weeks and adjust.
Setting realistic expectations
It helps to keep two questions apart. Does this activity make your life better? And does it improve your memory? The first answer is often yes. The second is usually unknown.
Enjoyment, confidence and connection are worth having for their own sake, even when memory test scores stay the same.
When memory slips start to disrupt your job, studies or household, treatment matters more than any hobby. The 2021 VA/DoD guideline covers adults still struggling with memory, focus or organization after a mild brain injury. It suggests a short trial of cognitive rehab led by a qualified clinician [10]. Memory guidelines also stress teaching strategies that fit each person’s daily needs [11].
Questions to ask your care team
Question checklist from Safety Behind the Wheel Foundation
- Are there hobbies or activities I should avoid right now?
- How can I tell whether an activity is too much for me?
- Would music therapy or recreation therapy be available as part of my rehabilitation?
- I have lost interest in things I used to enjoy. Could this be depression?
- Are there brain injury support groups or social programs near me?
- Is my memory problem something cognitive rehabilitation could help with?
- When will it be safe for me to drive to activities on my own?
- When can I return to sports or hobbies with a risk of falls or head injury?
Frequently asked questions
Does music therapy improve memory after a brain injury?
The best evidence says probably not, at least not in a way studies can measure. A 2017 Cochrane review found no strong evidence that music programs improve memory or attention. Most of its trials were in stroke survivors [4]. Music may still help with mood and quality of life [4].
Will learning a new skill help my memory?
It might, but it has not been tested after a brain injury. In healthy adults aged 60 to 90, learning demanding new skills for three months improved memory scores [7, 8]. Choose something you enjoy and can manage, and treat any memory gain as a bonus.
The bottom line
Recommendation from Safety Behind the Wheel Foundation
Music, hobbies and learning something new can make life after a brain injury fuller and less lonely. Enjoyable activity is part of how some treatments lift mood. The evidence that these activities improve memory itself is weak or untested after brain injury.
Pick activities you enjoy, start small, and adapt them to your energy and symptoms. If memory problems persist, ask your care team about cognitive rehabilitation as well.
Sources and further reading
- 1Fann J, Hart T. Depression after Traumatic Brain Injury. Model Systems Knowledge Translation Center. msktc.org/…/depression-after-traumatic-…
- 2Living Concussion Guidelines (Patient Version). Mental Health Symptoms. Ottawa Hospital Research Institute. Updated July 2025. concussionsontario.org/…/mental_health_symptoms
- 3Novack T, Bushnik T. Understanding Traumatic Brain Injury, Part 4: The impact of a recent TBI on family members and what they can do to help with recovery. Model Systems Knowledge Translation Center. March 2019. tbi.washington.edu/…/MSKTC-TBI-Understand-TBI-Pa…
- 4Magee WL, Clark I, Tamplin J, Bradt J. Music interventions for acquired brain injury. Cochrane Database of Systematic Reviews. 2017;(1):CD006787. doi.org/10.1002/14651858.CD006787.pub3
- 5Magee WL, Clark I, Tamplin J, Bradt J. Music Interventions for Acquired Brain Injury: Findings from an Updated Cochrane Review. Lecture, Royal Hospital for Neuro-disability. March 2018. rhn.org.uk/…/Webcochrane-music-in-ABI-RH…
- 6McMaster Optimal Aging Portal. Evidence summary: Music interventions for acquired brain injury. mcmasteroptimalaging.org/…/187736bb18d817f875a2ae59bfb…
- 7Association for Psychological Science. Learning new skills keeps an aging mind sharp. News release. October 21, 2013. eurekalert.org/news-releases/874095
- 8Park DC, Lodi-Smith J, Drew L, et al. The Impact of Sustained Engagement on Cognitive Function in Older Adults: The Synapse Project. Psychological Science. 2014;25(1). doi.org/10.1177/0956797613499592
- 9Center for Vital Longevity, University of Texas at Dallas. The Synapse Project. agingmind.utdallas.edu
- 10American Speech-Language-Hearing Association. Evidence Map summary: VA/DoD Clinical Practice Guideline for the Management and Rehabilitation of Post-acute Mild Traumatic Brain Injury, version 3.0 (2021). apps.asha.org/…/f28e156a-8117-ee11-8145-005…
- 11Velikonja D, Ponsford J, Janzen S, et al. INCOG 2.0 Guidelines for Cognitive Rehabilitation Following Traumatic Brain Injury, Part V: Memory. Journal of Head Trauma Rehabilitation. 2023;38(1):83-102. doi.org/10.1097/HTR.0000000000000837
- 12Model Systems Knowledge Translation Center. TBI factsheet booklet, edition 13. June 2025. tbi.washington.edu/…/25-22005-TBI-Booklet-EN-061…
- 13Hanks R, Bell K, Dreer L. Concussion Recovery. Model Systems Knowledge Translation Center. msktc.org/tbi/factsheets/concussion-recovery
- 14Livingston G, Huntley J, et al. Dementia prevention, intervention, and care: 2024 report of the Lancet standing Commission. The Lancet. 2024. doi.org/10.1016/S0140-6736(2401296-0)
- 15Patricios JS, Schneider KJ, Dvorak J, et al. Consensus statement on concussion in sport: the 6th International Conference on Concussion in Sport, Amsterdam, October 2022. British Journal of Sports Medicine. 2023;57(11):695-711. doi.org/10.1136/bjsports-2023-106898
This article reflects the safety priorities of brain injury recovery and community wellbeing education. It is general information and not medical advice. Activities that suit one person may not suit another, so check official sources and talk with your own care team before returning to hobbies that carry physical risk. Reviewed October 2026.
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