Perspectives from case studies in obtaining evidence for music interventions in aphasia

Merrett, Dawn L.; Tailby, Chris; Jackson, Graeme D.; Wilson, Sarah J.

doi:10.1080/02687038.2018.1428729

Cited by 4 publications

(10 citation statements)

References 34 publications

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“…Singing has been linked to improvement in word‐finding difficulties in aphasia (Merrett et al . 2019); however, improved word finding often does not transfer to gains in communicative effectiveness or engagement (Brady et al . 2016).…”

Section: Discussionmentioning

confidence: 99%

The effects of choral singing on communication impairments in acquired brain injury: A systematic review

Monroe

Halaki

Kumfor

et al. 2020

Intl J Lang & Comm Disor

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Background: Acquired brain injury (ABI), such as Parkinson's disease, dementia or stroke, can result in communication difficulties that lead to an impoverished ability to connect meaningfully with others. Choral singing is a complex task that uses multiple brain regions which are also responsible for language and communication skills. The potential therapeutic effects of group singing on communication-related outcomes across ABI aetiologies have not been systematically reviewed. Aims: To examine whether participation in group singing over multiple sessions improves speech, voice, language and/or communication skills in individuals with ABI-related communication disorders. Methods & Procedures: A database search was undertaken according to the PRISMA guidelines. Search terms included: stroke OR Parkinson * OR dementia OR 'acquired brain injury' AND choir OR choral OR singing OR sing OR 'choral sing * ' OR group adj3 singing OR community adj3 singing AND speech OR language OR communication.Main Contribution: A total of 11 studies were included. Nine were quantitative, including one randomized and one non-randomized control trial, and two were mixed method. Nine studies were scored as level IV (uncontrolled) on the American Academy of Neurology (AAN) Classification of Evidence Matrix and two as level III (e.g., lack of blinded assessors). Eight examined speech and voice skills in Parkinson's disease, two functional communication skills in post-stroke aphasia and one communication between individuals with dementia and a significant other. One level III control trials provided evidence for a therapeutic effect of group singing on communication in individuals with Parkinson's disease. Conclusions & Implications: Currently, there is only one study providing support for using group singing to improve speech and voice skills in people with Parkinson's disease, and no studies of adequate quality indicating positive effects on language and functional communication abilities in ABI. Further research using more rigorous experimental designs is required to determine whether group singing can influence communication skills in ABI. What this paper addsWhat is already known on the subject r Music activates widespread, bilateral cortical and subcortical brain regions. Group singing is increasingly understood to have positive benefits on quality of life and health-related well-being in both healthy and clinical populations. Given the crossover in neural networks between singing, speech and language, singing activities are also thought to have positive effect of communication impairments secondary to ABI. 304Penelope Monroe et al.However, to date, the research evidence supporting the application of group singing for communication impairments in ABI has not been summarized.What this paper adds to existing knowledge r A total of 11 studies have looked at communication outcomes after group singing in ABI. For most of these, the quality of evidence was low (AAN level IV). It also highlights that there is a bias in the literature towards...

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Section: Discussionmentioning

confidence: 99%

The effects of choral singing on communication impairments in acquired brain injury: A systematic review

Monroe

Halaki

Kumfor

et al. 2020

Intl J Lang & Comm Disor

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“…FMRI was used in six studies [ 18 , 21 , 27 , 29 , 31 , 34 ]. Three articles included magnetic resonance imaging (MRI) with diffusion tensor imaging (DTI) [ 26 , 32 , 33 ].…”

Section: Resultsmentioning

confidence: 99%

“…Finally, several articles reported an involvement of both hemispheres [ 19 , 21 , 25 , 28 , 34 ]. In the cases that used SPECT to measure regional cerebral blood flow, an increase in perfusion was observed, mainly in the fronto-temporal regions in the left and also right hemisphere [ 19 , 25 , 28 ].…”

Section: Resultsmentioning

confidence: 99%

“…In the cases that used SPECT to measure regional cerebral blood flow, an increase in perfusion was observed, mainly in the fronto-temporal regions in the left and also right hemisphere [ 19 , 25 , 28 ]. Merrett et al [ 34 ] evidenced a deactivation of the peri-lesional areas in the left hemisphere concerning an activation of right frontal and bilateral auditory regions. Van de Sandt-Koenderman et al [ 21 ] evaluated language lateralization in subacute and chronic aphasic patients, with the following results: a higher right lateralization was observed in the subacute cases and a greater left lateralization in the chronic cases.…”

Section: Resultsmentioning

confidence: 99%

“…A greater improvement with this therapy was demonstrated even in the studies which compared MIT with conventional speech therapy [ 31 , 32 ] or with an untreated patient group [ 27 , 33 ]. However, in a few studies, the patients included did not benefit from MIT therapy [ 23 , 25 , 27 , 34 ].…”

Section: Resultsmentioning

confidence: 99%

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Melodic Intonation Therapy in Post-Stroke Non-Fluent Aphasia and Its Effects on Brain Plasticity

García‐Casares

Barros-Cano

García-Arnés

2022

JCM

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Melodic Intonation Therapy (MIT) is one of the most well-known therapies for the rehabilitation of speech in patients with non-fluent aphasia and which is thought to promote right-hemisphere involvement in language processing. This review focuses on the study of language lateralization and/or neuroplastic reorganization with neuroimaging and/or neurophysiological techniques in non-fluent aphasic patients post-stroke during or after MIT. A systematic search was carried out according to the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) in databases (PubMed, Scopus, EMBASE, Dialnet, Web of Science, Cochrane) with the keywords melodic intonation therapy, neuroimaging, functional magnetic resonance, and positron emission tomography and the boolean operators AND and OR. Articles including patients of all ages and either sex with any type of aphasia post-stroke and in any language, which studied language lateralization and/or neuroplastic reorganization after or during MIT were included. Articles which did not achieve the objectives, revisions and conferences were excluded. Different results were obtained from the 16 studies included in the review: predominantly greater activation of the right hemisphere but also of the left hemisphere or both. MIT is an effective therapy to rehabilitate non-fluent aphasic patients post-stroke. It involves different neurobiological mechanisms and depends on multiple individual factors. Studies with larger samples are necessary.

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Current methods in treatment of aphasia (Métodos actuales en el tratamiento de la afasia)

Vuković

Milovanović

Jerkić

2022

Studies in Psychology

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Aphasia frequently leads to long-term consequences in language and communication. This paper presents an overview of current methods of aphasia treatment, as well as empirical data on their effectiveness and limitations. We surveyed literature by accessing electronic databases of Serbian libraries and by using specialized search engines on the internet. A review of the papers confirmed the existence of numerous methods in the treatment of aphasia today, which we conveniently grouped. The central place in the treatment is occupied by methods aimed at treating specific language disorders and methods specific to the type of aphasia. Methods that are complementary to language-oriented forms of therapy also need to be examined. There is a growing necessity to better define criteria for the implementation of some therapy methods. We feel that more precise definitions and a more unified methodology are needed to evaluate the efficacy of therapy methods and their verification.

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Perspectives from case studies in obtaining evidence for music interventions in aphasia

Cited by 4 publications

References 34 publications

The effects of choral singing on communication impairments in acquired brain injury: A systematic review

The effects of choral singing on communication impairments in acquired brain injury: A systematic review

Melodic Intonation Therapy in Post-Stroke Non-Fluent Aphasia and Its Effects on Brain Plasticity

Current methods in treatment of aphasia (Métodos actuales en el tratamiento de la afasia)

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