A Case Study Using a Multimodal Approach to Melodic Intonation Therapy

Slavin, Dianne; Fabus, Renee

doi:10.1044/2018_ajslp-17-0030

Cited by 6 publications

(4 citation statements)

References 29 publications

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“…The prognostic score will display more positive results. In the case report by Slavin and Fabus (2018), the therapist trained in NMT who performed MIT treatment also showed positive results. Although the samples in the above studies are generally small, the results are similar to the RCT study of more than 15 people, and the intervention process tends to be more musical.…”

Section: Case Studies and Small Sample Studies Have The Characteristics Of Complete Specific Treatment Interventionsmentioning

confidence: 92%

“…Seven scores were improved in Amsterdam Nijmegen Everyday Language Test (ANELT); 22.5 scores were improved in Sabadel Story Retell Task. Slavin and Fabus (2018) conducted a before-after MIT intervention in a 63year-old man with chronic aphasia for 10 years. Unlike other studies, Slavin teamed up with a professional music therapist to intervene.…”

Section: Case Studiesmentioning

confidence: 99%

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Melodic Intonation Therapy on Non-fluent Aphasia After Stroke: A Systematic Review and Analysis on Clinical Trials

Zhang

2022

Front. Neurosci.

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Melodic intonation therapy (MIT) is a melodic musical training method that could be combined with language rehabilitation. However, some of the existing literature focuses on theoretical mechanism research, while others only focus on clinical behavioral evidence. Few clinical experimental studies can combine the two for behavioral and mechanism analysis. This review aimed at systematizing recent results from studies that have delved explicitly into the MIT effect on non-fluent aphasia by their study design properties, summarizing the findings, and identifying knowledge gaps for future work. MIT clinical trials and case studies were retrieved and teased out the results to explore the validity and relevance of these results. These studies focused on MIT intervention for patients with non-fluent aphasia in stroke recovery period. After retrieving 128 MIT-related articles, 39 valid RCT studies and case reports were provided for analysis. Our summary shows that behavioral measurements at MIT are excessive and provide insufficient evidence of MRI imaging structure. This proves that MIT still needs many MRI studies to determine its clinical evidence and intervention targets. The strengthening of large-scale clinical evidence of imaging observations will result in the clear neural circuit prompts and prediction models proposed for the MIT treatment and its prognosis.

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Section: Case Studies and Small Sample Studies Have The Characteristics Of Complete Specific Treatment Interventionsmentioning

confidence: 92%

Section: Case Studiesmentioning

confidence: 99%

Melodic Intonation Therapy on Non-fluent Aphasia After Stroke: A Systematic Review and Analysis on Clinical Trials

Zhang

2022

Front. Neurosci.

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“…Initially, this patient was offered SLT and a modified MIT procedure. Registering that a 9-month MIT combined with musical components and coupled with group treatment may result in augmented speech and motor language abilities [82]. Further, there is assuring testimony that adjustments to home-based applications, such as aphasia-favorable written guidance and music, promote proper home training [83].…”

Section: Music-based Therapymentioning

confidence: 99%

The management of subacute and chronic vascular aphasia: an updated review

Msigwa

Xia

2020

Egypt J Neurol Psychiatry Neurosurg

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Background Post-stroke aphasia (PSA) is an impairment of the generation or comprehension of language due to acute cerebrovascular lesions. Subacute phase span the 7th day to 24 weeks post-onset while > 6 months is termed chronic phase. Language recovery does not arise immediately in chronic PSA, unlike the acute phase. The majority of the treatment modalities in these two PSA phases are still in the infancy stage, facing dilemmas and considered experimental requiring constant updates. Hence, we aimed to upgrade the existing literature regarding available PSA management options, advances, and drawbacks pertaining to subacute and chronic phases. Main text In this review, we analyzed the management options for subacute and chronic vascular aphasia. MEDLINE, through PubMed, ScienceDirect, and Google Scholar were explored for English studies by utilizing the terms “stroke aphasia” Plus “vascular aphasia”; 160,753 articles were retrieved. The latest studies, published from 2016 to July 2020, were selected. Article headings and abstracts were analyzed for relevance and filtered; eventually, 92 articles were included in this review. Various management options were extracted as follows: noninvasive brain stimulation (NIBS), technology-based therapies, speech-language therapy (SLT), pharmacotherapy, music-based therapies, and psychosocial interventions. Conclusion The PSA therapy evolves towards more intense SLT therapy, yet the optimal dosage of the emerging high-intensity therapies is controversial. As spinal and cerebellar NIBS, Telespeech, and E-mental health mark PSA's future, distinct pharmacological options remain a dilemma. Across the continuum of care, PSA–depression comorbidity and inadequate PSA post-discharge education to patient’s families are the significant therapeutic challenges. Future therapeutic mechanisms, optimal dose/timing, and tolerability/safety exploration are obliged.

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“…MIT has been regarded as one of the most promising therapies for patients with non-fluent aphasia in that it could promote motor speech control. For many years, a number of studies in MIT have been carried out and reported improvements in the patients' connected speech [9][10][11]. The role of "melodic" elements, in particular, has been studied in depth [12][13][14], with the widely held belief that the rhythmic component of intoned-speech production is essential for the facilitation of patients' speech output, whereas the contribution of pitch settings to MIT's overall efficacy has been a source of contention [14].…”

Section: Introductionmentioning

confidence: 99%

Adaptation of Melodic Intonation Therapy to a Tone Language: A Pilot Study of Tone-Rhythmic Therapy in Mandarin Chinese

Qian

Shuangshuang

Wang

2022

Folia Phoniatr Logop

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Introduction: Although melodic intonation therapy (MIT) has proven effective in individuals with non-fluent aphasia in a variety of western languages, its application in Mandarin-speaking aphasic patients has not been thoroughly studied. The adaptation is complicated because Mandarin Chinese is a tone language with specific prosodic elements that differ from Indo-European languages. This study developed a Chinese-specific variant of melodic intonation therapy, i.e., Tone-rhythmic therapy (TRT), and tested its efficacy in individuals with non-fluent aphasia. Methods: Six non-fluent aphasic patients were recruited; all of them were admitted to the study over six months after stroke and had received a standard program of language therapy. In the current research, tone and rhythmic training were incorporated into the training procedures, and the adaptation was then examined in patients. The TRT treatment lasted six weeks, with five fifty-minute sessions per week. The Boston Diagnostic Aphasia Examination (BDAE) and the Functional Assessment of Communication Skills for Adults (FACS) tests were used to measure the change in the speech and language skills of patients. Results: The results showed that the patients had increased BDAE and FACS scores after intervention and the treatment effect lasted for six months. Discussion: The modified MIT proved effective for Mandarin-speaking patients with non-fluent aphasia with lasting effect. Further studies evaluating its efficacy are needed for other types of aphasia and other tone languages.

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A Case Study Using a Multimodal Approach to Melodic Intonation Therapy

Abstract: Integration of melodic intonation therapy through the addition of musical elements may result in improved speech and expressive language skills when administered over a 9-month period in conjunction with a group socialization program.

Cited by 6 publications

References 29 publications

Melodic Intonation Therapy on Non-fluent Aphasia After Stroke: A Systematic Review and Analysis on Clinical Trials

Melodic Intonation Therapy on Non-fluent Aphasia After Stroke: A Systematic Review and Analysis on Clinical Trials

The management of subacute and chronic vascular aphasia: an updated review

Adaptation of Melodic Intonation Therapy to a Tone Language: A Pilot Study of Tone-Rhythmic Therapy in Mandarin Chinese

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