The impact of singing on the language abilities of people with moderate to severe-stage Alzheimer's disease

Autores/as

  • Ayelet Dassa Bar-Ilan University
  • Dorit Amir Bar-Ilan University

DOI:

https://doi.org/10.47513/mmd.v13i3.817

Resumen

While singing in music therapy with people with Alzheimer's disease (AD) is vastly documented, scarce research deals with the impact of singing on their language abilities. This study addressed the issue of language decline in AD and explored the impact of group singing on the language abilities of people with moderate to severe-stage AD. Participants were randomized to experimental (n=16) or wait-list control (n=14) groups. The experimental group received eight music therapy group sessions, which focused on singing, while both groups received the standard treatment. The data analysis included pre-post picture description tests and examination of speech parameters throughout the group sessions. A significant difference was demonstrated between the groups in the proportion of non-coherent speech in relation to total speech used by participants. The experimental group did not exhibit a deterioration in coherent speech, while the control group exhibited an increase in non-coherent speech in proportion to the total speech used by participants. The findings also indicated that participants in the experimental group showed an improvement in speech parameters as well as in their ability to sing. Singing in music therapy with people with AD can play a significant role in preserving speech and encouraging conversation abilities.

 

Keywords: Alzheimer's disease, music therapy, group singing, language abilities, speech

 

 

Biografía del autor/a

Ayelet Dassa, Bar-Ilan University

Music Therapy Program Director, Bar-Ilan University

Dorit Amir, Bar-Ilan University

Dorit Amir, DA, ACMT

Citas

References

Alzheimer's Association. 2020 Alzheimer's disease facts and figures. Alzheimers Dement. 2020:16:32-44.

May AA, Dada S, Murray J. Review of AAC interventions in persons with dementia. Int J Lang Commun Disord. 2019;54(6):857-874. doi:10.1111/1460-6984.12491

Lee MS, Kim BS. Effects of working memory intervention on language production by individuals with dementia [published online ahead of print, 2020 Jul 17]. Neuropsychol Rehabil. 2020;1-25. doi:10.1080/09602011.2020.1789479

Braun M, Mura K, Peter-Wight M, Hornung R, Scholz U. Toward a better understanding of psychological well-being in dementia caregivers: the link between marital communication and depression. Fam Process. 2010;49(2):185-203. doi:10.1111/j.1545-5300.2010.01317.x

Downs M, Collins L. Person-centred communication in dementia care. Nurs Stand. 2015;30(11):37-41. doi:10.7748/ns.30.11.37.s45

Kavé G, Goral M. Word retrieval in picture descriptions produced by individuals with Alzheimer's disease. J Clin Exp Neuropsychol. 2016;38(9):958-966. doi:10.1080/13803395.2016.1179266

Davis, BH, Guendouzi, J. Pragmatics in Dementia Discourse. Cambridge Scholars Publishing; 2013.

Kavé G, Levy Y. Morphology in picture descriptions provided by persons with Alzheimer's disease. J Speech Lang Hear Res. 2003;46(2):341-352.

Baird A, Thompson WF. When music compensates language: a case study of severe aphasia in dementia and the use of music by a spousal caregiver. Aphasiology. 2019;33(4):449-465. Doi:10.1080/02687038.2018.1471657

Jacobsen JH, Stelzer J, Fritz TH, Chételat G, La Joie R, Turner R. Why musical memory can be preserved in advanced Alzheimer's disease. Brain. 2015;138(Pt 8):2438-2450. doi:10.1093/brain/awv135

Shi ER, Zhang Q. A domain-general perspective on the role of the basal ganglia in language and music: Benefits of music therapy for the treatment of aphasia. Brain Lang. 2020;206:104811. doi:10.1016/j.bandl.2020.104811

Tillmann B. Music and language perception: expectations, structural integration, and cognitive sequencing. Top Cogn Sci. 2012;4(4):568-584. doi:10.1111/j.1756-8765.2012.01209.x

Peretz I, Vuvan D, Lagrois MÉ, Armony JL. Neural overlap in processing music and speech. Philos Trans R Soc Lond B Biol Sci. 2015;370(1664):20140090. doi:10.1098/rstb.2014.0090

Särkämö T. Cognitive, emotional, and neural benefits of musical leisure activities in aging and neurological rehabilitation: A critical review. Ann Phys Rehabil Med. 2018;61(6):414-418. doi:10.1016/j.rehab.2017.03.006

Schlaug G, Marchina S, Norton A. From Singing to Speaking: Why Singing May Lead to Recovery of Expressive Language Function in Patients with Broca's Aphasia. Music Percept. 2008;25(4):315-323. doi:10.1525/MP.2008.25.4.315

Tomaino CM. Effective music therapy techniques in the treatment of nonfluent aphasia. Ann N Y Acad Sci. 2012;1252:312-317. doi:10.1111/j.1749-6632.2012.06451.x

Wan CY, Rüber T, Hohmann A, Schlaug G. The Therapeutic Effects of Singing in Neurological Disorders. Music Percept. 2010;27(4):287-295. doi:10.1525/mp.2010.27.4.287

Zumbansen A, Tremblay P. Music-based interventions for aphasia could act through a motor-speech mechanism: a systematic review and case–control analysis of published individual participant data. Aphasiology. 2019:33(4):466-497. doi: 10.1080/02687038.2018.1506089

Simmons-Stern NR, Budson AE, Ally BA. Music as a memory enhancer in patients with Alzheimer's disease. Neuropsychologia. 2010;48(10):3164-3167. doi:10.1016/j.neuropsychologia.2010.04.033

Chatterton W, Baker F, Morgan K. The singer or the singing: who sings individually to persons with dementia and what are the effects?. Am J Alzheimers Dis Other Demen. 2010;25(8):641-649. doi:10.1177/1533317510385807

Clark IN, Tamplin JD, Baker FA. Community-Dwelling People Living With Dementia and Their Family Caregivers Experience Enhanced Relationships and Feelings of Well-Being Following Therapeutic Group Singing: A Qualitative Thematic Analysis. Front Psychol. 2018;9:1332. Published 2018 Jul 30. doi:10.3389/fpsyg.2018.01332

Lee S, O'Neill D, Moss H. Promoting well-being among people with early-stage dementia and their family carers through community-based group singing: a phenomenological study [published online ahead of print, 2020 Oct 29]. Arts Health. 2020;1-17. doi:10.1080/17533015.2020.1839776

Brotons M, Koger SM. The impact of music therapy on language functioning in dementia. J Music Ther. 2000;37(3):183-195. doi:10.1093/jmt/37.3.183

[Authors, 2014]

Folstein MF, Folstein SE, McHugh PR. "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975;12(3):189-198. doi:10.1016/0022-3956(75)90026-6

Goodglass, H, Kaplan E. The assessment of aphasia and related disorders. Philadelphia, PA: Lea & Febiger; 1983.

Music therapy in dementia care Aldridge David (Ed) Music therapy in dementia care 256pp Jessica Kingsley 9781853027765 1853027766. Nurs Stand. 2001;15(41):29. doi:10.7748/ns2001.06.15.41.29.b1

Cuddy LL, Duffin JM, Gill SS, Brown CL, Sikka R, Vanstone AD. Memory for melodies and lyrics in Alzheimer's disease. Music Perception 2012; 29(5): 479–491. doi: https://doi.org/10.1525/mp.2012.29.5.479

Brancatisano O, Baird A, Thompson WF. Why is music therapeutic for neurological disorders? The Therapeutic Music Capacities Model. Neurosci Biobehav Rev. 2020;112:600-615. doi:10.1016/j.neubiorev.2020.02.008

Pedersen SKA, Andersen PN, Lugo RG, Andreassen M, Sütterlin S. Effects of Music on Agitation in Dementia: A Meta-Analysis. Front Psychol. 2017;8:742. Published 2017 May 16. doi:10.3389/fpsyg.2017.00742

Clements-Cortés A. Clinical effects of choral singing for older adults. Music & Medicine 2015;7(4):7-12.

Koelsch S. Music-evoked emotions: principles, brain correlates, and implications for therapy. Ann N Y Acad Sci. 2015;1337:193-201. doi:10.1111/nyas.12684

Fusar-Poli L, Bieleninik Ł, Brondino N, Chen XJ, Gold C. The effect of music therapy on cognitive functions in patients with dementia: a systematic review and meta-analysis. Aging Ment Health. 2018;22(9):1097-1106. doi:10.1080/13607863.2017.1348474

Publicado

2021-07-23

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