Modified Melodic Intonation Therapy for Acquired Non-Fluent Aphasia

Dwyer B Conklyn, Taylor A Rung Meehan

Abstract


For decades Melodic Intonation Therapy (MIT) has shown good potential within the aphasia population, yet has seldom been used as a frontline treatment, rather placed within a myriad of treatment techniques utilized during aphasia therapy.  Debate continues regarding the mechanisms of change from MIT, both therapeutically and neurologically.  Modified Melodic Intonation Therapy (MMIT) has developed through the work of Music Therapists and, as the main focus of treatment for non-fluent aphasia, can be an effective means of language re-acquisition for improved speech production.  Clinical results from 7 clients with chronic non-fluent aphasia who received MMIT are discussed.


Full Text:

 Subscribers Only

References


U.S. Department of Health and Human Services. Retrieved from www.nidcd.nih.gov/health/aphasia. n.d.

American Speech Language Hearing Association. Retrieved from www.asha.org/Practice-Portal/Clinical-Topics/Aphasia/. n.d.

Burns MS & Fahy J. Broca’s Area: Rethinking classical concepts from a neuroscience perspective. Top Stroke Rehabil. 2010 17(6): 401-410.

Yamadori A, Osumi Y, Masuhara S & Okubo M. Preservation of Singing in Broca’s aphasia. J Neurol Neurosurg Psychiatry. 1977 40: 221-224.

Jeffries KJ, Fritz JB & Braun AR. Words in Melody: an H215O PET Study of Brain Activation During Singing and Speaking. NeuroReport. 2003 14(5): 749-754.

Zatorre RJ & Belin P. Spectral and Temporal Processing in Human Auditory Cortex. Cereb Cortex. 2001 11 (10): 946-953.

Albert ML, Sparks RW & Helm NA. Melodic Intonation Therapy for Aphasia. Arch Neurol. 1973 29: 130–131

Baker FA. Modifying the Melodic Intonation Therapy program for adults with severe non-fluent aphaisa. Music Ther Perspect. 2000 18: 110-114

Helm-Estabrooks N & Albert ML. Manual of Aphasia Therapy. 2000 Austin: Pro-Ed.

Zumbansen A, Peretz I & Hebert S. Melodic Intonation Therapy: Back to basics for future research. Front Neurol. 2014 5: 1-11. DOI: 10.3389/fneur.2014.00007.

Schlaug G, Marchina S & Norton A. Evidence for plasticity in white matter tracts of patients with chronic Broca’s aphasia undergoing intense intonation-based speech therapy. Ann N Y Acad Sci. 2009 1169:385-394

Schlaug G, Marchina S & Wan, CY. The Use of Non-Invasive Brain Stimulation Techniques to Facilitate Recovery from Post-Stroke Aphasia. Neuropsychol Rev. 2011 21 (3): 288-301.

Wan CY, Zheng X, Marchina S, Norton A & Schlaug G. Intensive therapy induces contralateral white matter changesin chronic stroke patients with Broca’s aphasia. Brain Lang. 2014 136: 1-7. DOI: 10.1016/j.bandl.2014.03.011.

Stahl B, Kotz SA, Henseler I, Turner R & Geyer S. Rhythm in disguise: why singing may not hold the key to recovery from aphasia. Brain. 2011 134:3083-3093.

Thaut MH. Neurologic Music Therapy in Speech and Language Rehabilitation in Rhythm. In: Music and the Brain: Scientific Foundations and Clinical Applications. New York: Routledge; 2005

Glasser MF & Rilling JK. DTI Tractography of the Human Brain’s Language Pathways. Cereb Cort. 2008 18:2471-2482.

Lazar RM, Minzer B, Antoniello D, Festa JR, Krakauer JW & Marshall RS. Improvement in Aphasia Scores After Stroke Is Well Predicted by Initial Severity Stroke. 2010 July: 1485-1488

Norton A, Zipse L, Marchina S & Schlaug G. Melodic Intonation Therapy: Shared Insights on How it is Done and Why it Might Help. Ann N Y Acad Sci. 2009 1169: 431-436.

Conklyn D, Novak E, Boissy A, Bethoux FB, Chemali K. The Effects of Modified Melodic Intonation Therapy on non-Fluent Aphasia: A pilot study. J Speech Lang Hear Res. 2012 55: 1473-1481.


Refbacks

  • There are currently no refbacks.


by The International Association for Music & Medicine