Patients with severe aphasia are rarely treated using speech therapy. We used music therapy to continue to treat a 79-year-old patient with chronic severe aphasia. Interventions 1, 2, and 3 were to practice singing a song that the patient knew, to practice singing a song with a therapist, and to practice saying a greeting using a song with lyrics, respectively. In addition, practice of uttering names of body parts was initiated using touch and rhythm. After intervention 1, the patient could sing spontaneously and repeat lyrics. After intervention 2, she could sing with the therapist, and sing spontaneously and repeat lyrics. After intervention 3, she could memorize words with meaning, say the words in context, and use them. The patient could utter the names of two body parts after therapy with touch and rhythm. These suggest that rehabilitation therapy can still be used in patients with severe cognitive impairment.
MIDI based pacing music was made. This auditory stimulation gave cue and pace to locomotion. MIDI based pacing music which drum-bass part was strengthened beat, was compared with MIDI music without drum-bass part and clicking sound of metronome. And clicking sound of metronome was clearest. Pacing music which drum-bass part was strengthened beat was effective, when the information of pace is reflected in gait. And it can sustain concentration of the subject longer than monotonous clicking sound of metronome.
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