SIPARI(R): A Music Therapy Intervention for Patients Suffering With Chronic, Nonfluent Aphasia

Jungblut, Monika

doi:10.1177/1943862109345130

Cited by 16 publications

(16 citation statements)

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“…Our findings are in line with our previous therapy studies [25, 26, 46, 47]. We suggest that specifically focusing on improving cognitive function (e.g., auditory short-term and working memory performance), which is one of the main objectives of the applied treatment, is an essential reason for these improvements (see Section 3.4.1 and [17]).…”

Section: Discussionsupporting

confidence: 91%

“…Our own experiences are in accordance with these findings and prompted us to develop rhythmic-melodic voice training SIPARI [17, 25], which was applied in this study (see Sections 1 and 3.4.1). …”

Section: Discussionsupporting

confidence: 72%

“…Taking the temporal organization of speech into account, we developed rhythmic-melodic voice training (SIPARI), a music therapy technique that is based on specific use of the voice [ 17 , 25 ].…”

Section: Introductionmentioning

confidence: 99%

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Paving the Way for Speech: Voice-Training-Induced Plasticity in Chronic Aphasia and Apraxia of Speech—Three Single Cases

Jungblut¹,

Huber

Mais³

et al. 2014

Neural Plasticity

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Difficulties with temporal coordination or sequencing of speech movements are frequently reported in aphasia patients with concomitant apraxia of speech (AOS). Our major objective was to investigate the effects of specific rhythmic-melodic voice training on brain activation of those patients. Three patients with severe chronic nonfluent aphasia and AOS were included in this study. Before and after therapy, patients underwent the same fMRI procedure as 30 healthy control subjects in our prestudy, which investigated the neural substrates of sung vowel changes in untrained rhythm sequences. A main finding was that post-minus pretreatment imaging data yielded significant perilesional activations in all patients for example, in the left superior temporal gyrus, whereas the reverse subtraction revealed either no significant activation or right hemisphere activation. Likewise, pre- and posttreatment assessments of patients' vocal rhythm production, language, and speech motor performance yielded significant improvements for all patients. Our results suggest that changes in brain activation due to the applied training might indicate specific processes of reorganization, for example, improved temporal sequencing of sublexical speech components. In this context, a training that focuses on rhythmic singing with differently demanding complexity levels as concerns motor and cognitive capabilities seems to support paving the way for speech.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 72%

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Paving the Way for Speech: Voice-Training-Induced Plasticity in Chronic Aphasia and Apraxia of Speech—Three Single Cases

Jungblut¹,

Huber

Mais³

et al. 2014

Neural Plasticity

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“…Attention has been mainly focused on two research questions: from a cross-sectional view, one may ask whether it is singing itself that enables aphasic patients to produce text; from a longitudinal view, one may ask whether one could use singing to aid speech recovery. These questions have inspired a growing scientific debate and a number of singing therapies (Keith and Aronson, 1975; Van Eeckhout et al, 1997; Jungblut, 2009), among them a rehabilitation program known as melodic intonation therapy (Albert et al, 1973; Sparks et al, 1974; Helm-Estabrooks et al, 1989). This therapy is based on three main components: singing, rhythmic speech, and common phrases.…”

Section: Introductionmentioning

confidence: 99%

How to engage the right brain hemisphere in aphasics without even singing: evidence for two paths of speech recovery

Stahl¹,

Henseler²,

Turner³

et al. 2013

Front. Hum. Neurosci.

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There is an ongoing debate as to whether singing helps left-hemispheric stroke patients recover from non-fluent aphasia through stimulation of the right hemisphere. According to recent work, it may not be singing itself that aids speech production in non-fluent aphasic patients, but rhythm and lyric type. However, the long-term effects of melody and rhythm on speech recovery are largely unknown. In the current experiment, we tested 15 patients with chronic non-fluent aphasia who underwent either singing therapy, rhythmic therapy, or standard speech therapy. The experiment controlled for phonatory quality, vocal frequency variability, pitch accuracy, syllable duration, phonetic complexity and other influences, such as the acoustic setting and learning effects induced by the testing itself. The results provide the first evidence that singing and rhythmic speech may be similarly effective in the treatment of non-fluent aphasia. This finding may challenge the view that singing causes a transfer of language function from the left to the right hemisphere. Instead, both singing and rhythmic therapy patients made good progress in the production of common, formulaic phrases—known to be supported by right corticostriatal brain areas. This progress occurred at an early stage of both therapies and was stable over time. Conversely, patients receiving standard therapy made less progress in the production of formulaic phrases. They did, however, improve their production of non-formulaic speech, in contrast to singing and rhythmic therapy patients, who did not. In light of these results, it may be worth considering the combined use of standard therapy and the training of formulaic phrases, whether sung or rhythmically spoken. Standard therapy may engage, in particular, left perilesional brain regions, while training of formulaic phrases may open new ways of tapping into right-hemisphere language resources—even without singing.

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“…Music-based interventions have leveraged these abilities for improving speech and language in aphasic patients. These protocols are usually administered by speech-language therapists, as in Melodic Intonation Therapy (MIT, Albert, Sparks, & Helm, 1973;Sparks, Helm, & Albert, 1974), by music therapists, as in the SIPARI protocol (Jungblut, 2009), or by both, as in Speech Music Therapy for Aphasia (SMTA, de Bruijn, Zielman, & Hurkmans, 2005). Some group interventions, such as participating in a choir, have also been proposed (e.g., Tamplin, Baker, Jones, Way, & Lee, 2013).…”

mentioning

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

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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.

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SIPARI(R): A Music Therapy Intervention for Patients Suffering With Chronic, Nonfluent Aphasia

Cited by 16 publications

References 0 publications

Paving the Way for Speech: Voice-Training-Induced Plasticity in Chronic Aphasia and Apraxia of Speech—Three Single Cases

Paving the Way for Speech: Voice-Training-Induced Plasticity in Chronic Aphasia and Apraxia of Speech—Three Single Cases

How to engage the right brain hemisphere in aphasics without even singing: evidence for two paths of speech recovery

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

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