Long-Term Recovery From Chronic Global Aphasia: A Case Report

Jungblut, Monika; Suchanek, M.; Gerhard, H.

doi:10.1177/1943862109338603

Cited by 9 publications

(8 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…All but one intervention (recreational choir practice, Zumbansen et al, 2017) were individual interventions. The interventions included active music therapy protocols using a variety of singing-related exercises (Jungblut, Huber, Mais, & Schnitker, 2014;Jungblut, Suchanek, & Gerhard, 2009;Kim & Tomaino, 2008), sometimes associated with MIT (Lim et al, 2013) or more traditional speechlanguage therapy (Raglio et al, 2016). In one study, a combination of music and speech therapy was reported, which utilised speech drills that were supported by adapted music accompaniment, i.e., STMA (Hurkmans et al, 2015).…”

Section: Study Characteristicsmentioning

confidence: 99%

Music-based interventions for aphasia could act through a motor-speech mechanism: a systematic review and case–control analysis of published individual participant data

Zumbansen

Tremblay

2018

Aphasiology

View full text Add to dashboard Cite

Background: Melodic Intonation Therapy, a music-based intervention for the recovery of oral language production in aphasia, has been shown to be particularly effective in patients with Broca's aphasia compared to other aphasia subtypes. It has been suggested that this therapy might improve language output by acting on motor-speech deficits often associated with Broca's aphasia. In this article, we examine the relevance of a motor-speech mechanism for music-based interventions designed to improve verbal expression in patients with any type of aphasia. Aim: To test the association between the presence of motor-speech disorders (MSD) and improvement with music-based protocols targeting verbal expression in participants with aphasia. Methods: We conducted a systematic review of publications reporting language production outcomes following a music-based intervention in participants with aphasia and performed a case-control analysis on extracted individual participant data (IPD). The databases PubMed, MEDLINE (1800 to 2018/03/09) and PsycINFO (1806 to March 2018) were screened, followed with cross-referencing. We recorded data at the level of study and, when possible, at the IPD level. When not explicitly reported, we applied a series of heuristics to infer the presence/absence of an MSD in participants. Binomial logistic regressions were performed to ascertain the effects of the presence of an MSD, aphasia severity, treatment duration (in weeks) and treatment intensity (hours/week), on the likelihood that participants would show a speech or a language improvement following intervention. 3 Results: Forty original articles were included in this review. Twenty-two reported sufficient details to be included in our IPD analysis, for a total sample of 105 participants. Most interventions included some sort of singing as their primary music-based facilitation technique for language production. For speech improvement, statistically significant predictor variables were the presence of an MSD and treatment intensity. For language improvement, statistically significant predictor variables were the presence of an MSD, treatment intensity and duration. Severity of aphasia was not associated with the likelihood of speech or language improvement. Conclusion: Music-based interventions for language production in aphasia may act via a motor-speech mechanism. We suggest that music and singing-based therapies might be further investigated as treatment options for patients with MSDs, whether associated with aphasia or not.

show abstract

Section: Study Characteristicsmentioning

confidence: 99%

Music-based interventions for aphasia could act through a motor-speech mechanism: a systematic review and case–control analysis of published individual participant data

Zumbansen

Tremblay

2018

Aphasiology

View full text Add to dashboard Cite

show abstract

“…Jungblut, Suchanek, and Gerhard (2009), for example, reported on a person with aphasia (PWA) who had music therapy following his aphasia for a number of years, with continued improvement. Berthier and Pulvermuller (2011) described language improvement in a chronic PWA following intensive massed-practice therapy.…”

mentioning

confidence: 99%

Long-term recovery in stroke accompanied by aphasia: a reconsideration

et al. 2016

View full text Add to dashboard Cite

Background This work focuses on the twenty-six individuals who provided data to AphasiaBank on at least two occasions, with initial testing between 6 months and 5.8 years post-onset of aphasia. The data are archival in nature and were collected from the extensive database of aphasic discourse in AphasiaBank. Aims The aim is to furnish data on the nature of long-term changes in both the impairment of aphasia as measured by the Western Aphasia Battery-Revised (WAB-R) and its expression in spoken discourse. Methods and Procedures AphasiaBank’s demographic database was searched to discover all individuals who were tested twice at an interval of at least a year with either: 1) the AphasiaBank protocol; or 2) the AphasiaBank protocol at first testing, and the Famous People Protocol (FPP) at second testing. The Famous People Protocol is a measure developed to assess the communication strategies of individuals whose spoken language limitations preclude full participation in the AphasiaBank protocol. The 26 people with aphasia (PWA) who were identified had completed formal speech therapy before being seen for AphasiaBank. However, all were participants in aphasia centers where at least three hours of planned activities were available, in most cases, twice weekly. WAB-R Aphasia Quotient scores (AQ) were examined, and in those cases where AQ scores improved, changes were assessed on a number of measures from the AphasiaBank discourse protocol. Outcomes and Results Sixteen individuals demonstrated improved WAB-R AQ scores, defined as positive AQ change scores greater than the WAB-R AQ standard error of the mean (WAB-SEM); seven maintained their original WAB quotients, defined as AQ change scores that were not greater than the WAB-SEM; and the final three showed negative WAB-R change scores, defined as a negative WAB-R AQ change score greater than the WAB-SEM. Concurrent changes on several AphasiaBank tasks were also found, suggesting that the WAB-R improvements were noted in more natural discourse as well. Conclusions These data are surprising, since conventional wisdom suggests that spontaneous improvement in language is unlikely to occur beyond one year. Long-term improvement or maintenance of early test scores, such as that shown here, has seldom been demonstrated in the absence of formal treatment. Speculations about why these PWA improved, maintained or declined in their scores are considered.

show abstract

“…Another approach used over a long term on a man with aphasia is the SIPARI approach, in which SIPARI stands for singing, intonation, prosody, atmung (German for breathing), rhythm, and improvisation, which led to significant improvements in the man's linguistic performance, expressive speech performance, and spontaneous speech. 18 Tomaino 19 worked with a person with aphasia who was a musicologist before he suffered a stroke. Through use of the patient's own folk song repertoire, music therapy helped the patient regain speech.…”

Section: Music In Language Rehabilitationmentioning

confidence: 99%

The Role of Music and Music Therapy in Aphasia Rehabilitation

Hartley¹,

Turry²,

Raghavan³

2010

Music and Medicine

View full text Add to dashboard Cite

A stroke results in brain damage, often causing loss or reduction in speech and language capacity. Music and music therapy can contribute to the recovery of speech and provide emotional support to individuals with aphasia. There is a diverse body of research on the links between music and language. Musical structure is related to language syntax. Singing songs from one's culture, the emotional act of singing, the theatrics of singing, and musical improvisation can all influence speech output. The purpose of this article is to review current research on the links between language and music in brain function in order to further explore, through case study and analysis of music therapy application, how music might be employed as part of a comprehensive, multimodal approach to speech and language rehabilitation.Keywords music therapy, clinical improvisation, music and language, stroke, Nordoff-Robbins, music and the brain Music and music therapy can contribute to the recovery of speech and facilitate emotional expression related to communication difficulties in individuals with aphasia. Music neurology research, including speech therapy, and work with patients with aphasia show how the many qualities of music can be strategically employed through music therapy methods. The purpose of this article is to review current research on the links between language and music in brain function in order to further explore, through case study and analysis of music therapy application, how music might be employed as part of a comprehensive, multimodal approach to speech rehabilitation.

show abstract

Long-Term Recovery From Chronic Global Aphasia: A Case Report

Cited by 9 publications

References 0 publications

Music-based interventions for aphasia could act through a motor-speech mechanism: a systematic review and case–control analysis of published individual participant data

Music-based interventions for aphasia could act through a motor-speech mechanism: a systematic review and case–control analysis of published individual participant data

Long-term recovery in stroke accompanied by aphasia: a reconsideration

The Role of Music and Music Therapy in Aphasia Rehabilitation

Contact Info

Product

Resources

About