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Yeom D, Haslam N, Tan YT, McPherson GE, Wilson SJ. Twin Data Support a Sensitive Period for Singing Ability. Twin Res Hum Genet 2024:1-11. [PMID: 39355955 DOI: 10.1017/thg.2024.30] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/03/2024]
Abstract
As with many other musical traits, the social environment is a key influence on the development of singing ability. While the familial singing environment is likely to be formative, its role relative to other environmental influences such as training is unclear. We used structural equation modeling to test relationships among demographic characteristics, familial environmental variables (early and current singing with family), vocal training, and singing ability in a large, previously documented sample of Australian twins (N = 1163). Notably, early singing with family, and to a lesser extent vocal training, predicted singing ability, whereas current singing with family did not. Early familial singing also mediated the relationship between sex and singing ability, with men who sang less with family during childhood showing poorer ability. Bivariate twin models between early familial singing and singing ability showed the phenotypic correlation was largely explained by shared environmental influences. This raises the possibility of a sensitive period for singing ability, with sociocultural expectations around singing potentially differentiating the developmental trajectories of this skill for men and women.
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Affiliation(s)
- Daniel Yeom
- Melbourne School of Psychological Sciences, University of Melbourne, Melbourne, Victoria, Australia
| | - Nick Haslam
- Melbourne School of Psychological Sciences, University of Melbourne, Melbourne, Victoria, Australia
| | - Yi Ting Tan
- Melbourne Conservatorium of Music, University of Melbourne, Melbourne, Victoria, Australia
| | - Gary E McPherson
- Melbourne Conservatorium of Music, University of Melbourne, Melbourne, Victoria, Australia
| | - Sarah J Wilson
- Melbourne School of Psychological Sciences, University of Melbourne, Melbourne, Victoria, Australia
- Department of Medicine, University of Melbourne, Austin Health, Melbourne, Victoria, Australia
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Jaschke AC, Howlin C, Pool J, Greenberg YD, Atkinson R, Kovalova A, Merriam E, Pallás-Ferrer I, Williams S, Moore C, Hayden K, Allison C, Odell-Miller H, Baron-Cohen S. Study protocol of a randomized control trial on the effectiveness of improvisational music therapy for autistic children. BMC Psychiatry 2024; 24:637. [PMID: 39334042 PMCID: PMC11437930 DOI: 10.1186/s12888-024-06086-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/07/2024] [Accepted: 09/14/2024] [Indexed: 09/30/2024] Open
Abstract
BACKGROUND Music therapy is the clinical use of musical interventions to improve mental and physical health across multiple domains, including social communication. Autistic children, who have difficulties in social communication and often increased anxiety, tend to show a strong preference for music, because it can be structured and systematic, and therefore more predictable than social interaction. This makes music therapy a promising medium for therapeutic support and intervention. Previous clinical trials of music therapy compared to traditional therapy for autistic children have shown encouraging but nevertheless mixed results. KEY AIMS The primary aim is to conduct a randomised controlled trial (RCT) of improvisational music therapy for autistic children and test its effectiveness in at improving social communication and wellbeing, and to reduce anxiety. RESEARCH PLAN The RCT will be conducted with 200 autistic children in the UK aged 7 to 11 years old. Participants will be randomly assigned to either improvisational music therapy or support as usual. The trial will be an assessor-blind, pragmatic two-arm cluster RCT comparing the impact of 12-weeks of improvisational music therapy in addition to support as usual, vs. support as usual for autistic children. METHODS Researchers who are blind to which arm the children are in will conduct assessments and obtain data via caregiver reports. The primary outcome will be the absolute change in the total score of the Brief Observation of Social Communication Change (BOSCC) assessed at baseline, T1 (13 weeks) and T2 (39 weeks) follow-ups. The BOSCC consists of specific items that were developed to identify changes in social-communication behaviours. Secondary outcome measures include: (1) Parent reported anxiety scale for youth with ASD (Note that we do not use the term 'ASD' or Autism Spectrum Disorder, because many autistic people feel it is stigmatising. Instead, we use the term 'autism') (PRAS-ASD) (2) Young Child Outcome Rating Scale, for wellbeing (YCORS), (3) Strengths and Difficulties Questionnaire (SDQ); and (4) Vineland Adaptive Behaviour Scale (VABS). (5) The Children's Communication Checklist-2 (CCC-2) will be completed to evaluate pragmatic speech with fluent speakers only; (6) The Music Engagement Scale (MES); and (7) Assessment of the Quality of Relationship (AQR) will be used to evaluate the child-therapist relationships using video-analysis of music therapy sessions. Additional data will be collected by administering the Wechsler Abbreviated Scale of Intelligence (WASI-II), Music at Home Questionnaire (M@H), and children's versions of the Empathy Quotient (EQ) and Systemizing Quotient (SQ). Audio and video data from the therapy sessions will be collected and analysed (using both human and computer-based feature-coding, e.g., machine learning and AI-driven methods) to identify how music and non-musical interactions foster change throughout the therapy. DISCUSSION This study aims to observe if the interactions, engagement, and therapeutic modalities fostered during music therapy sessions can translate to non-musical contexts and improve autistic children's social communication skills, identifying possible mediating factors contributing to the effectiveness of music therapy, potentially informing policy making and governance. TRIAL REGISTRATION This randomised control trial is registered with the NIH U.S. National Library of Medicine: https://clinicaltrials.gov/search?term=NCT06016621 , clinicalTrials.gov Identifier: NCT0601662, Registration Date 19th August 2023.
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Affiliation(s)
- A C Jaschke
- Department of Psychiatry, Autism Research Centre, University of Cambridge, 18B Trumpington Road, Cambridge, CB2 8AH, UK.
- Department of Music Therapy, ArtEZ University of the Arts, Enschede, The Netherlands.
- Department of Neonatology, University Medical Center Groningen, Beatrix Childrens Hospital, Groningen, The Netherlands.
| | - C Howlin
- Department of Psychology, Trinity College Dublin, Dublin, Ireland
| | - J Pool
- Anglia Ruskin University, Cambridge Institute for Music Therapy Research, Cambridge, UK
| | - Y D Greenberg
- Department of Psychiatry, Autism Research Centre, University of Cambridge, 18B Trumpington Road, Cambridge, CB2 8AH, UK
| | - R Atkinson
- Anglia Ruskin University, Cambridge Institute for Music Therapy Research, Cambridge, UK
| | - A Kovalova
- Department of Psychiatry, Autism Research Centre, University of Cambridge, 18B Trumpington Road, Cambridge, CB2 8AH, UK
| | - E Merriam
- Department of Psychiatry, Autism Research Centre, University of Cambridge, 18B Trumpington Road, Cambridge, CB2 8AH, UK
| | - I Pallás-Ferrer
- Department of Psychiatry, Autism Research Centre, University of Cambridge, 18B Trumpington Road, Cambridge, CB2 8AH, UK
| | - S Williams
- Department of Psychiatry, Autism Research Centre, University of Cambridge, 18B Trumpington Road, Cambridge, CB2 8AH, UK
| | - C Moore
- Clinical Trials Unit, Anglia Ruskin University, Chelmsford, UK
| | - K Hayden
- Clinical Trials Unit, Anglia Ruskin University, Chelmsford, UK
| | - C Allison
- Department of Psychiatry, Autism Research Centre, University of Cambridge, 18B Trumpington Road, Cambridge, CB2 8AH, UK
| | - H Odell-Miller
- Anglia Ruskin University, Cambridge Institute for Music Therapy Research, Cambridge, UK
| | - S Baron-Cohen
- Department of Psychiatry, Autism Research Centre, University of Cambridge, 18B Trumpington Road, Cambridge, CB2 8AH, UK
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Yeo MS, Hwang J, Lee HK, Kim SJ, Cho SR. Therapeutic singing-induced swallowing exercise for dysphagia in advanced-stage Parkinson's disease. Front Neurol 2024; 15:1323703. [PMID: 38628693 PMCID: PMC11018993 DOI: 10.3389/fneur.2024.1323703] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2023] [Accepted: 03/18/2024] [Indexed: 04/19/2024] Open
Abstract
Background With longer life spans and medical advancements, the rising number of patients with advanced-stage Parkinson's disease (PD) warrants attention. Current literature predominantly addresses dementia and fall management in these patients. However, exploring the impact of swallowing function on patients with advanced PD is crucial. Previous research has demonstrated notable enhancements in the quality of life related to voice for participants following a group singing-intervention program. To further elucidate the effect of individual singing-induced swallowing exercises, our study aimed to investigate the quantitative and qualitative effects of therapeutic singing on swallowing function in patients with advanced PD in comparison to a matched usual care control group. The hypothesis of this study is that therapeutic singing-induced swallowing exercises can assist to maintain swallowing function in patients with advanced PD. Methods This prospective matched control study compared the effects of a 6-week therapeutic singing-based swallowing intervention on swallowing function and quality of life in patients with advanced PD. The intervention group received individual sessions with a music therapist and conventional individual physical therapy. The control group received the same standard physical therapy for 6 weeks without music intervention. The primary outcome measure was Video Fluoroscopic Dysphagia Scale (VDS). Results The study revealed that the intervention group maintained swallowing function, whereas the control group experienced deterioration, indicating significant time-dependent changes in Penetration-Aspiration Scale (PAS), National Institutes of Health-Swallowing Safety Scale (NIH-SSS), and VDS. Analysis of PAS and NIH-SSS liquid food scores in both groups showed significant time effects. However, the intervention group exhibited no significant differences between the pre- and post-tests, indicating preservation of the swallowing function. VDS of liquid food indicated an interaction effect between time and group in the pharyngeal phase and total scores. The Swallowing-Quality of Life showed significant time-effect improvement in the intervention group. Conclusion Therapeutic singing exercises may help maintain swallowing function in advanced PD patients, potentially enhancing quality of life related to swallowing in those with advanced-stage diseases. Clinical trial registration https://cris.nih.go.kr/cris/search/listDetail.do, identifier KCT0008644.
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Affiliation(s)
- Myung Sun Yeo
- Music Therapy Education, Graduate School of Education, Ewha Womans University, Seoul, Republic of Korea
| | - Jihye Hwang
- Department and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea
- Graduate Program of Biomedical Engineering, Yonsei University College of Medicine, Seoul, Republic of Korea
| | - Hye Kyoung Lee
- Department and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea
- Graduate Program of Biomedical Engineering, Yonsei University College of Medicine, Seoul, Republic of Korea
| | - Soo Ji Kim
- Music Therapy Education, Graduate School of Education, Ewha Womans University, Seoul, Republic of Korea
| | - Sung-Rae Cho
- Department and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea
- Graduate Program of Biomedical Engineering, Yonsei University College of Medicine, Seoul, Republic of Korea
- Brain Korea 21 Plus Project for Medical Science, Yonsei University College of Medicine, Seoul, Republic of Korea
- Rehabilitation Institute of Neuromuscular Disease, Yonsei University College of Medicine, Seoul, Republic of Korea
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Ueda M, Hayashi K, Suzuki A, Nakaya Y, Takaku N, Miura T, Sato M, Hayashi K, Kobayashi Y. Treatment of Subcortical Aphasia Due to Putaminal Hemorrhage With the Japanese Version of Melodic Intonation Therapy (MIT-J). Cureus 2024; 16:e55590. [PMID: 38576684 PMCID: PMC10994653 DOI: 10.7759/cureus.55590] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/05/2024] [Indexed: 04/06/2024] Open
Abstract
Melodic intonation therapy (MIT) is one of the rehabilitation methods for patients with non-fluent or dysfluent aphasia, mainly caused by stroke or brain injury. Although MIT is conducted in various languages, reports on the Japanese version of MIT (MIT-J) are limited. In this report, we describe a case about the efficacy of MIT-J in the subacute phase after stroke on subcortical aphasia. Our case was a 60-year-old right-handed woman who suffered from left putaminal hemorrhage. She was treated with acute therapy, including medications and rehabilitation, but non-fluent aphasia was preserved. Regardless of general speech therapies, her aphasia was not improved. In the subacute phase, we started MIT-J (protocol: 20 minutes per day, five days per week for two weeks). The effect of MIT-J was remarkable and in particular, speech intelligibility was improved. It is required to accumulate more cases to reveal the effect of MIT-J.
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Affiliation(s)
- Midori Ueda
- Department of Rehabilitation Medicine, Fukui General Hospital, Fukui, JPN
| | - Koji Hayashi
- Department of Rehabilitation Medicine, Fukui General Hospital, Fukui, JPN
| | - Asuka Suzuki
- Department of Rehabilitation Medicine, Fukui General Hospital, Fukui, JPN
| | - Yuka Nakaya
- Department of Rehabilitation Medicine, Fukui General Hospital, Fukui, JPN
| | - Naoko Takaku
- Department of Rehabilitation Medicine, Fukui General Hospital, Fukui, JPN
| | - Toyoaki Miura
- Department of Rehabilitation Medicine, Fukui General Hospital, Fukui, JPN
| | - Mamiko Sato
- Department of Rehabilitation Medicine, Fukui General Hospital, Fukui, JPN
| | - Kouji Hayashi
- Graduate School of Health Science, Fukui Health Science University, Fukui, JPN
| | - Yasutaka Kobayashi
- Graduate School of Health Science, Fukui Health Science University, Fukui, JPN
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Tamplin J, Haines SJ, Baker FA, Sousa TV, Thompson Z, Crouch H, Dunn S, Tull V, Vogel AP, Morris ME. ParkinSong Online: Feasibility of Telehealth Delivery and Remote Data Collection for a Therapeutic Group Singing Study in Parkinson's. Neurorehabil Neural Repair 2024; 38:122-133. [PMID: 38156662 PMCID: PMC10874111 DOI: 10.1177/15459683231219269] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2024]
Abstract
BACKGROUND Parkinson's disease can negatively affect vocal functioning and social wellbeing, particularly in the latter stages of disease progression. Face-to-face group singing interventions can improve communication and wellbeing outcomes, yet not all people can access in-person sessions. To help overcome barriers to participation, exploration of the feasibility and utility of online therapeutic singing programs is needed. OBJECTIVES To evaluate the feasibility, acceptability, and preliminary efficacy of a 12-week ParkinSong Online intervention on speech and wellbeing for people with Parkinson's disease. METHODS A total of 28 participants with idiopathic Parkinson's disease were recruited to a single-arm feasibility study. Weekly 90-minute online sessions were co-facilitated by a music therapist and speech pathologist. Speech and wellbeing assessments were conducted pre and post intervention. Participant and facilitator surveys were administered after each session, with focus group interviews at the end of the program. RESULTS The recruitment rate was high (90%) with no attrition, adverse events, or safety issues. There was good intervention fidelity, attendance (average 89%), and positive participant experience. Feasibility was good, with technology reported as the main challenge (connecting and navigating Zoom). No improvements were seen in voice measures or wellbeing outcomes in this small trial. The online format used in this study did not provide the same benefits as in-person ParkinSong sessions. CONCLUSIONS ParkinSong Online is feasible for recreational purposes and social engagement provided that people have adequate technological knowledge or support. The optimal online delivery format to achieve communication improvements in Parkinson's awaits confirmation.
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Affiliation(s)
- Jeanette Tamplin
- Faculty of Fine Arts and Music, The University of Melbourne, Southbank, VIC, Australia
- Royal Talbot Rehabilitation Centre, Austin Health, Melbourne, VIC, Australia
| | - Simon J. Haines
- Faculty of Fine Arts and Music, The University of Melbourne, Southbank, VIC, Australia
- School of Allied Health, Human Sciences and Sport, La Trobe University, Bundoora, VIC, Australia
| | - Felicity A. Baker
- Faculty of Fine Arts and Music, The University of Melbourne, Southbank, VIC, Australia
- Centre for Music and Health, Norwegian Academy of Music, Oslo, Norway
| | - Tanara Vieira Sousa
- Faculty of Fine Arts and Music, The University of Melbourne, Southbank, VIC, Australia
| | - Zara Thompson
- Faculty of Fine Arts and Music, The University of Melbourne, Southbank, VIC, Australia
| | - Helen Crouch
- School of Allied Health, Human Sciences and Sport, La Trobe University, Bundoora, VIC, Australia
- Monash Health, Melbourne, Clayton, VIC, Australia
| | - Stephen Dunn
- Consumer Representative, Melbourne, VIC, Australia
| | | | - Adam P. Vogel
- Centre for Neuroscience of Speech, The University of Melbourne, Parkville, VIC, Australia
- Department of Neurodegeneration, Hertie Institute for Clinical Brain Research, University of Tübingen, Germany & Center for Neurology, University Hospital Tübingen, Postfach, Germany
- Redenlab, Melbourne, VIC, Australia
| | - Meg E. Morris
- Academic & Research Collaborative in Health (ARCH), and Care Economy Research Institute (CERI), La Trobe University, Bundoora, VIC, Australia
- Victorian Rehabilitation Centre, Healthscope, Glen Waverley, VIC, Australia
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6
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Kim SJ, Yeo MS, Kim SY, Kang SY. A scoping review of music-based interventions for swallowing difficulties: implications for treating older adults with presbyphagia. Front Med (Lausanne) 2023; 10:1285835. [PMID: 38034547 PMCID: PMC10687455 DOI: 10.3389/fmed.2023.1285835] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2023] [Accepted: 10/16/2023] [Indexed: 12/02/2023] Open
Abstract
Objectives Presbyphagia refers to age-related changes in the swallowing mechanism (e.g., reduced skeletal muscle strength that decreases bolus control). If left untreated, these changes can lead to dysphagia, which refers to impaired swallowing (e.g., coughing or choking when eating). Given that swallowing difficulties are common among older adults that they make up the fastest growing age group globally, the need for interventions to address presbyphagia is gaining urgency. To begin to address this need, we conducted a scoping review to analyze music therapy research aimed at enhancing swallowing function. The objective was to identify key intervention characteristics and propose clinical implications for treating presbyphagia using music therapy. Methods This review followed the methodological frameworks outlined by Arksey and O'Malley and Levac et al. and used the Preferred Reporting Items for Systematic Reviews and Meta-Analysis for Scoping Reviews for analysis and reporting. Four electronic databases (i.e., ProQuest, PubMed, RISS, Web of Science) were searched for quantitative and qualitative studies in English or Korean that used music-based interventions to address swallowing function in older adults. Content analysis was conducted to identify and compare the main features of music interventions for swallowing difficulties among older adults. Results Ten articles were identified and analyzed. It was found that three core components-respiration, vocalization, and singing-were employed to enhance swallowing function in populations with neurological impairments, dementia, or head and neck cancer. Notably, actions closely linked to swallowing function, such as laryngeal elevation and oral movements, were utilized therapeutically to speak or sing. Based on these characteristics, clinical implications are proposed to address presbyphagia. Conclusion Singing entails a systematic and focused incorporation of stepwise activities that can be used to address swallowing disorders. In this context, critical clinical implications that music therapists should consider when treating individuals with presbyphagia include warmup breathing, vocalizing targeting laryngeal control, and singing targeting oral motor control. This review can contribute to the expansion of music therapy with older adults and the advancement of music therapy techniques.
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Affiliation(s)
- Soo Ji Kim
- Music Therapy Education, Graduate School of Education, Ewha Womans University, Seoul, Republic of Korea
| | - Myung Sun Yeo
- Music Therapy Education, Graduate School of Education, Ewha Womans University, Seoul, Republic of Korea
| | - So Yeon Kim
- Department of Music Therapy, Graduate School, Ewha Womans University, Seoul, Republic of Korea
| | - Seo Yeon Kang
- Department of Music Therapy, Graduate School, Ewha Womans University, Seoul, Republic of Korea
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Tremblay P, Gagnon L, Roy JP, Arseneault A. Speech Production in Healthy Older Adults With or Without Amateur Singing Experience. JOURNAL OF SPEECH, LANGUAGE, AND HEARING RESEARCH : JSLHR 2023; 66:4332-4352. [PMID: 37870784 DOI: 10.1044/2023_jslhr-23-00126] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/24/2023]
Abstract
PURPOSE Amateur singing is a universal, accessible, and enjoyable musical activity that may have positive impacts on human communication. However, evidence of an impact of singing on speech articulation is still scarce, yet understanding the effects of vocal training on speech production could provide a model for treating people with speech deficits. The aim of this study was to examine speech production in younger and older adults with or without amateur singing experience. METHOD Thirty-eight amateur singers (aged 20-87 years, 23 women and 15 men) and 40 nonmusician active controls (aged 23-88 years, 19 women and 21 men) were recruited. A set of tasks were used to evaluate the oral motor sphere: two voice production tasks, a passage reading task, and a modified diadochokinetic (DDK) rates task performed at a natural rhythm and as quickly as possible. RESULTS Our results show that older age was associated with lower reading rate, lower articulation rate, and articulation rate variability in the DDK task, as well as reduced accuracy for the phonologically complex stimuli. Most importantly, our results show an advantage for singers over cognitively active nonsingers in terms of articulatory accuracy in the most challenging situations. CONCLUSION This result suggests extended maximal performance capacities in amateur singers perhaps resulting from the articulatory efforts required during singing. SUPPLEMENTAL MATERIAL https://doi.org/10.23641/asha.24274813.
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Affiliation(s)
- Pascale Tremblay
- Département de réadaptation, Faculté de médecine, Université Laval, Québec City, Québec, Canada
- CERVO Brain Research Center, Québec City, Québec, Canada
| | - Lydia Gagnon
- Département de réadaptation, Faculté de médecine, Université Laval, Québec City, Québec, Canada
- CERVO Brain Research Center, Québec City, Québec, Canada
| | - Johanna-Pascale Roy
- Département de langues, linguistique et traduction, Faculté des lettres et des sciences humaines, Université Laval, Québec City, Québec, Canada
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Harris I, Niven EC, Griffin A, Scott SK. Is song processing distinct and special in the auditory cortex? Nat Rev Neurosci 2023; 24:711-722. [PMID: 37783820 DOI: 10.1038/s41583-023-00743-4] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/30/2023] [Indexed: 10/04/2023]
Abstract
Is the singing voice processed distinctively in the human brain? In this Perspective, we discuss what might distinguish song processing from speech processing in light of recent work suggesting that some cortical neuronal populations respond selectively to song and we outline the implications for our understanding of auditory processing. We review the literature regarding the neural and physiological mechanisms of song production and perception and show that this provides evidence for key differences between song and speech processing. We conclude by discussing the significance of the notion that song processing is special in terms of how this might contribute to theories of the neurobiological origins of vocal communication and to our understanding of the neural circuitry underlying sound processing in the human cortex.
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Affiliation(s)
- Ilana Harris
- Institute of Cognitive Neuroscience, University College London, London, UK
| | - Efe C Niven
- Institute of Cognitive Neuroscience, University College London, London, UK
| | - Alex Griffin
- Department of Psychology, University of Cambridge, Cambridge, UK
| | - Sophie K Scott
- Institute of Cognitive Neuroscience, University College London, London, UK.
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Manes JL, Kurani AS, Herschel E, Roberts AC, Tjaden K, Parrish T, Corcos DM. Premotor cortex is hypoactive during sustained vowel production in individuals with Parkinson's disease and hypophonia. Front Hum Neurosci 2023; 17:1250114. [PMID: 37941570 PMCID: PMC10629592 DOI: 10.3389/fnhum.2023.1250114] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2023] [Accepted: 10/09/2023] [Indexed: 11/10/2023] Open
Abstract
Introduction Hypophonia is a common feature of Parkinson's disease (PD); however, the contribution of motor cortical activity to reduced phonatory scaling in PD is still not clear. Methods In this study, we employed a sustained vowel production task during functional magnetic resonance imaging to compare brain activity between individuals with PD and hypophonia and an older healthy control (OHC) group. Results When comparing vowel production versus rest, the PD group showed fewer regions with significant BOLD activity compared to OHCs. Within the motor cortices, both OHC and PD groups showed bilateral activation of the laryngeal/phonatory area (LPA) of the primary motor cortex as well as activation of the supplementary motor area. The OHC group also recruited additional activity in the bilateral trunk motor area and right dorsal premotor cortex (PMd). A voxel-wise comparison of PD and HC groups showed that activity in right PMd was significantly lower in the PD group compared to OHC (p < 0.001, uncorrected). Right PMd activity was positively correlated with maximum phonation time in the PD group and negatively correlated with perceptual severity ratings of loudness and pitch. Discussion Our findings suggest that hypoactivation of PMd may be associated with abnormal phonatory control in PD.
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Affiliation(s)
- Jordan L. Manes
- Department of Speech, Language, and Hearing Sciences, Boston University, Boston, MA, United States
| | - Ajay S. Kurani
- Ken and Ruth Davee Department of Neurology, Northwestern University, Chicago, IL, United States
- Department of Radiology, Northwestern University, Chicago, IL, United States
| | - Ellen Herschel
- Brain and Creativity Institute, University of Southern California, Los Angeles, CA, United States
| | - Angela C. Roberts
- School of Communication Sciences and Disorders, Western University, London, ON, Canada
- Canadian Centre for Activity and Aging, Western University, London, ON, Canada
- Department of Computer Science, Western University, London, ON, Canada
- Department of Communication Sciences and Disorders, Northwestern University, Evanston, IL, United States
| | - Kris Tjaden
- Department of Communicative Disorders and Sciences, University at Buffalo, Buffalo, NY, United States
| | - Todd Parrish
- Department of Radiology, Northwestern University, Chicago, IL, United States
| | - Daniel M. Corcos
- Department of Physical Therapy and Human Movement Sciences, Northwestern University, Chicago, IL, United States
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Moisseinen N, Särkämö T, Kauramäki J, Kleber B, Sihvonen AJ, Martínez-Molina N. Differential effects of ageing on the neural processing of speech and singing production. Front Aging Neurosci 2023; 15:1236971. [PMID: 37731954 PMCID: PMC10507273 DOI: 10.3389/fnagi.2023.1236971] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2023] [Accepted: 08/21/2023] [Indexed: 09/22/2023] Open
Abstract
Background Understanding healthy brain ageing has become vital as populations are ageing rapidly and age-related brain diseases are becoming more common. In normal brain ageing, speech processing undergoes functional reorganisation involving reductions of hemispheric asymmetry and overactivation in the prefrontal regions. However, little is known about how these changes generalise to other vocal production, such as singing, and how they are affected by associated cognitive demands. Methods The present cross-sectional fMRI study systematically maps the neural correlates of vocal production across adulthood (N=100, age 21-88 years) using a balanced 2x3 design where tasks varied in modality (speech: proverbs / singing: song phrases) and cognitive demand (repetition / completion from memory / improvisation). Results In speech production, ageing was associated with decreased left pre- and postcentral activation across tasks and increased bilateral angular and right inferior temporal and fusiform activation in the improvisation task. In singing production, ageing was associated with increased activation in medial and bilateral prefrontal and parietal regions in the completion task, whereas other tasks showed no ageing effects. Direct comparisons between the modalities showed larger age-related activation changes in speech than singing across tasks, including a larger left-to-right shift in lateral prefrontal regions in the improvisation task. Conclusion The present results suggest that the brains' singing network undergoes differential functional reorganisation in normal ageing compared to the speech network, particularly during a task with high executive demand. These findings are relevant for understanding the effects of ageing on vocal production as well as how singing can support communication in healthy ageing and neurological rehabilitation.
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Affiliation(s)
- Nella Moisseinen
- Cognitive Brain Research Unit, Department of Psychology and Logopedics, Faculty of Medicine, Centre of Excellence in Music, Mind, Body and the Brain, University of Helsinki, Helsinki, Finland
| | - Teppo Särkämö
- Cognitive Brain Research Unit, Department of Psychology and Logopedics, Faculty of Medicine, Centre of Excellence in Music, Mind, Body and the Brain, University of Helsinki, Helsinki, Finland
| | - Jaakko Kauramäki
- Cognitive Brain Research Unit, Department of Psychology and Logopedics, Faculty of Medicine, Centre of Excellence in Music, Mind, Body and the Brain, University of Helsinki, Helsinki, Finland
| | - Boris Kleber
- Centre for Music in the Brain, Department of Clinical Medicine, Faculty of Health, Aarhus University, Aarhus, Denmark
| | - Aleksi J. Sihvonen
- Cognitive Brain Research Unit, Department of Psychology and Logopedics, Faculty of Medicine, Centre of Excellence in Music, Mind, Body and the Brain, University of Helsinki, Helsinki, Finland
- School of Health and Rehabilitation Sciences, Centre for Clinical Research, University of Queensland, Brisbane, QLD, Australia
- Department of Neurology, Helsinki University Hospital, Helsinki, Finland
| | - Noelia Martínez-Molina
- Cognitive Brain Research Unit, Department of Psychology and Logopedics, Faculty of Medicine, Centre of Excellence in Music, Mind, Body and the Brain, University of Helsinki, Helsinki, Finland
- Department of Information and Communication Technologies, Centre for Brain and Cognition, University Pompeu Fabra, Barcelona, Spain
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11
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Sarmukadam K, Behroozmand R. Neural oscillations reveal disrupted functional connectivity associated with impaired speech auditory feedback control in post-stroke aphasia. Cortex 2023; 166:258-274. [PMID: 37437320 PMCID: PMC10527672 DOI: 10.1016/j.cortex.2023.05.015] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2023] [Revised: 05/11/2023] [Accepted: 05/24/2023] [Indexed: 07/14/2023]
Abstract
The oscillatory brain activities reflect neuro-computational processes that are critical for speech production and sensorimotor control. In the present study, we used neural oscillations in left-hemisphere stroke survivors with aphasia as a model to investigate network-level functional connectivity deficits associated with disrupted speech auditory feedback control. Electroencephalography signals were recorded from 40 post-stroke aphasia and 39 neurologically intact control participants while they performed speech vowel production and listening tasks under pitch-shifted altered auditory feedback (AAF) conditions. Using weighted phase-lag index, we calculated broadband (1-70 Hz) functional neural connectivity between electrode pairs covering the frontal, pre- and post-central, and parietal regions. Results revealed reduced fronto-central delta and theta band and centro-parietal low-beta band connectivity in left-hemisphere electrodes associated with diminished speech AAF compensation responses in post-stroke aphasia compared with controls. Lesion-mapping analysis demonstrated that stroke-induced damage to multi-modal brain networks within the inferior frontal gyrus, Rolandic operculum, inferior parietal lobule, angular gyrus, and supramarginal gyrus predicted the reduced functional neural connectivity within the delta and low-beta bands during both tasks in aphasia. These results provide evidence that disrupted neural connectivity due to left-hemisphere brain damage can result in network-wide dysfunctions associated with impaired sensorimotor integration mechanisms for speech auditory feedback control.
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Affiliation(s)
- Kimaya Sarmukadam
- Speech Neuroscience Lab, Department of Communication Sciences and Disorders, Arnold School of Public Health, University of South Carolina, Columbia, SC, United States.
| | - Roozbeh Behroozmand
- Speech Neuroscience Lab, Department of Communication Sciences and Disorders, Arnold School of Public Health, University of South Carolina, Columbia, SC, United States.
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12
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Pitkäniemi A, Särkämö T, Siponkoski ST, Brownsett SLE, Copland DA, Sairanen V, Sihvonen AJ. Hodological organization of spoken language production and singing in the human brain. Commun Biol 2023; 6:779. [PMID: 37495670 PMCID: PMC10371982 DOI: 10.1038/s42003-023-05152-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2022] [Accepted: 07/18/2023] [Indexed: 07/28/2023] Open
Abstract
Theories expounding the neural relationship between speech and singing range from sharing neural circuitry, to relying on opposite hemispheres. Yet, hodological studies exploring their shared and distinct neural networks remain scarce. In this study, we combine a white matter connectometry approach together with comprehensive and naturalistic appraisal of verbal expression during spoken language production and singing in a sample of individuals with post-stroke aphasia. Our results reveal that both spoken language production and singing are mainly supported by the left hemisphere language network and projection pathways. However, while spoken language production mostly engaged dorsal and ventral streams of speech processing, singing was associated primarily with the left ventral stream. These findings provide evidence that speech and singing share core neuronal circuitry within the left hemisphere, while distinct ventral stream contributions explain frequently observed dissociations in aphasia. Moreover, the results suggest prerequisite biomarkers for successful singing-based therapeutic interventions.
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Affiliation(s)
- Anni Pitkäniemi
- Cognitive Brain Research Unit, Department of Psychology and Logopedics, Faculty of Medicine, University of Helsinki, Helsinki, Finland.
- Centre of Excellence in Music, Mind, Body and Brain, University of Helsinki, Helsinki, Finland.
| | - Teppo Särkämö
- Cognitive Brain Research Unit, Department of Psychology and Logopedics, Faculty of Medicine, University of Helsinki, Helsinki, Finland
- Centre of Excellence in Music, Mind, Body and Brain, University of Helsinki, Helsinki, Finland
| | - Sini-Tuuli Siponkoski
- Cognitive Brain Research Unit, Department of Psychology and Logopedics, Faculty of Medicine, University of Helsinki, Helsinki, Finland
- Centre of Excellence in Music, Mind, Body and Brain, University of Helsinki, Helsinki, Finland
| | - Sonia L E Brownsett
- Queensland Aphasia Research Centre, Brisbane, QLD, Australia
- School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, QLD, Australia
- Centre of Research Excellence in Aphasia Recovery and Rehabilitation, La Trobe University, Melbourne, VIC, Australia
| | - David A Copland
- Queensland Aphasia Research Centre, Brisbane, QLD, Australia
- School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, QLD, Australia
- Centre of Research Excellence in Aphasia Recovery and Rehabilitation, La Trobe University, Melbourne, VIC, Australia
| | - Viljami Sairanen
- BABA Center, Pediatric Research Center, Department of Clinical Neurophysiology, Children's Hospital, Helsinki University Hospital and University of Helsinki, Helsinki, Finland
| | - Aleksi J Sihvonen
- Cognitive Brain Research Unit, Department of Psychology and Logopedics, Faculty of Medicine, University of Helsinki, Helsinki, Finland
- Centre of Excellence in Music, Mind, Body and Brain, University of Helsinki, Helsinki, Finland
- Queensland Aphasia Research Centre, Brisbane, QLD, Australia
- School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, QLD, Australia
- Centre of Research Excellence in Aphasia Recovery and Rehabilitation, La Trobe University, Melbourne, VIC, Australia
- Department of Neurology, Helsinki University Hospital and Department of Neurosciences, University of Helsinki, Helsinki, Finland
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13
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Pentikäinen E, Kimppa L, Pitkäniemi A, Lahti O, Särkämö T. Longitudinal effects of choir singing on aging cognition and wellbeing: a two-year follow-up study. Front Hum Neurosci 2023; 17:1174574. [PMID: 37545597 PMCID: PMC10398963 DOI: 10.3389/fnhum.2023.1174574] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2023] [Accepted: 06/26/2023] [Indexed: 08/08/2023] Open
Abstract
Introduction While increasing evidence points toward the benefits of musical activities in promoting cognitive and emotional well-being in older adults, more longitudinal studies are needed to establish their long-term effects and uncover the mechanisms through which musical activities affect well-being. Most previous research has focused on instrumental musical activities, but little is currently known about the long-term effects of singing, even though neuroimaging evidence suggests that it is a versatile activity for the brain, involving a multitude of neural processes that are potentially beneficial for well-being. Methods We conducted a 2-year follow-up study to assess aging-related changes in cognitive functioning and emotional and social well-being with self-report questionnaires and standardized tests in 107 older adult choir singers and 62 demographically matched non-singers. Data were collected at baseline (T1), and at 1-year (T2) and 2-year (T3) follow-ups using questionnaires on subjective cognitive functioning, depression, social engagement, and quality of life (QOL) in all participants and neuropsychological tests in a subgroup of participants (45 choir singers and 41 non-singers). Results The results of linear mixed model analysis showed that in verbal flexibility (phonemic fluency task), the choir singers had higher scores already at T1 and showed no change over time, whereas the non-singers showed enhancement from T1 to T3. Furthermore, active retrieval of word knowledge (WAIS-IV Vocabulary task) showed significantly different changes from T1 to T2 between the groups (enhancement in choir singers and decline in non-singers), however lacking significant change within groups. Similar opposite trajectories of QOL related to social inclusion and safety of the environment (WHOQOL-Bref Environmental subscale) were significant from T1 to T3, but these changes were not significant within groups or at each timepoint. Within the choir singers, shorter experience in choir singing was associated with greater improvement in the vocabulary task over the follow-up period, suggesting that initiation of choir singing at older age induces some verbal benefits. There were no group differences in any other questionnaire or neuropsychological measure over time. Discussion In conclusion, our results suggest that choir singing at older age is associated with a sustained enhancement of phonemic fluency, while the effects on other verbal skills and quality of life are less clear.
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Affiliation(s)
- Emmi Pentikäinen
- Cognitive Brain Research Unit, Department of Psychology and Logopedics, Faculty of Medicine, University of Helsinki, Helsinki, Finland
- Centre of Excellence in Music, Mind, Body, and Brain, University of Helsinki, Helsinki, Finland
| | - Lilli Kimppa
- Cognitive Brain Research Unit, Department of Psychology and Logopedics, Faculty of Medicine, University of Helsinki, Helsinki, Finland
| | - Anni Pitkäniemi
- Cognitive Brain Research Unit, Department of Psychology and Logopedics, Faculty of Medicine, University of Helsinki, Helsinki, Finland
- Centre of Excellence in Music, Mind, Body, and Brain, University of Helsinki, Helsinki, Finland
| | - Outi Lahti
- Cognitive Brain Research Unit, Department of Psychology and Logopedics, Faculty of Medicine, University of Helsinki, Helsinki, Finland
- Seinäjoki Central Hospital, Geriatric Outpatient Clinic, Rehabilitation Analysis Clinic, Seinäjoki, Finland
| | - Teppo Särkämö
- Cognitive Brain Research Unit, Department of Psychology and Logopedics, Faculty of Medicine, University of Helsinki, Helsinki, Finland
- Centre of Excellence in Music, Mind, Body, and Brain, University of Helsinki, Helsinki, Finland
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14
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Hickok G, Venezia J, Teghipco A. Beyond Broca: neural architecture and evolution of a dual motor speech coordination system. Brain 2023; 146:1775-1790. [PMID: 36746488 PMCID: PMC10411947 DOI: 10.1093/brain/awac454] [Citation(s) in RCA: 18] [Impact Index Per Article: 18.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2022] [Revised: 11/04/2022] [Accepted: 11/19/2022] [Indexed: 02/08/2023] Open
Abstract
Classical neural architecture models of speech production propose a single system centred on Broca's area coordinating all the vocal articulators from lips to larynx. Modern evidence has challenged both the idea that Broca's area is involved in motor speech coordination and that there is only one coordination network. Drawing on a wide range of evidence, here we propose a dual speech coordination model in which laryngeal control of pitch-related aspects of prosody and song are coordinated by a hierarchically organized dorsolateral system while supralaryngeal articulation at the phonetic/syllabic level is coordinated by a more ventral system posterior to Broca's area. We argue further that these two speech production subsystems have distinguishable evolutionary histories and discuss the implications for models of language evolution.
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Affiliation(s)
- Gregory Hickok
- Department of Cognitive Sciences, University of California, Irvine, CA 92697, USA
- Department of Language Science, University of California, Irvine, CA 92697, USA
| | - Jonathan Venezia
- Auditory Research Laboratory, VA Loma Linda Healthcare System, Loma Linda, CA 92357, USA
- Department of Otolaryngology—Head and Neck Surgery, Loma Linda University School of Medicine, Loma Linda, CA 92350, USA
| | - Alex Teghipco
- Department of Psychology, University of South Carolina, Columbia, SC 29208, USA
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15
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Kawauchi D, Matsuoka A, Ohno M, Miyakita Y, Takahashi M, Yanagisawa S, Tamura Y, Kikuchi M, Naka T, Sato T, Narita Y. Awake Surgery for a Patient With Glioblastoma and Severe Aphasia: Case Report. NEUROSURGERY OPEN 2023. [DOI: 10.1227/neuprac.0000000000000029] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/12/2023] Open
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16
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Delius JAM, Müller V. Interpersonal synchrony when singing in a choir. Front Psychol 2023; 13:1087517. [PMID: 36710769 PMCID: PMC9875726 DOI: 10.3389/fpsyg.2022.1087517] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2022] [Accepted: 12/21/2022] [Indexed: 01/13/2023] Open
Abstract
Singing in a choir has long been known to enhance well-being and protect mental health. Clearly, the experience of a uniquely harmonious social activity is very satisfying for the singers. How might this come about? One of the important factors positively associated with well-being is interpersonal action coordination allowing the choir to function as a whole. This review focuses on temporal coordination dynamics of physiological systems and/or subsystems forming part or the core of the functional substrate of choir singing. These coordination dynamics will be evaluated with respect to the concept of a superordinate system, or superorganism, based on the principles of self-organization and circular causality. We conclude that choral singing is a dynamic process requiring tight interpersonal action coordination that is characterized by coupled physiological systems and specific network topology dynamics, representing a potent biomarker for social interaction.
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17
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Alekseev IM, Zuev AA. [Mapping the musician brain during awake craniotomy]. ZHURNAL VOPROSY NEIROKHIRURGII IMENI N. N. BURDENKO 2023; 87:92-97. [PMID: 37011334 DOI: 10.17116/neiro20238702192] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 04/05/2023]
Abstract
Direct cortical stimulation during awake craniotomy with speech testing became the «gold standard» in brain mapping and preserving speech zones during neurosurgical procedures. However, there are many other cerebral functions, and their loss can be very critical for certain patients. For example, such a function is production and perception of music for musicians. This review presents the latest data on functional anatomy of musician brain, as well as aspects of neurosurgical treatment with awake craniotomy and music testing under brain mapping.
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Affiliation(s)
- I M Alekseev
- Pirogov National Medical Surgical Center, Moscow, Russia
| | - A A Zuev
- Pirogov National Medical Surgical Center, Moscow, Russia
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18
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Marchina S, Norton A, Schlaug G. Effects of melodic intonation therapy in patients with chronic nonfluent aphasia. Ann N Y Acad Sci 2023; 1519:173-185. [PMID: 36349876 PMCID: PMC10262915 DOI: 10.1111/nyas.14927] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Patients with large left-hemisphere lesions and post-stroke aphasia often remain nonfluent. Melodic intonation therapy (MIT) may be an effective alternative to traditional speech therapy for facilitating recovery of fluency in those patients. In an open-label, proof-of-concept study, 14 subjects with nonfluent aphasia with large left-hemisphere lesions (171 ± 76 cc) underwent two speech/language assessments before, one at the midpoint, and two after the end of 75 sessions (1.5 h/session) of MIT. Functional MR imaging was done before and after therapy asking subjects to vocalize the same set of 10 bi-syllabic words. We found significant improvements in speech output after a period of intensive MIT (75 sessions for a total of 112.5 h) compared to two pre-therapy assessments. Therapy-induced gains were maintained 4 weeks post-treatment. Imaging changes were seen in a right-hemisphere network that included the posterior superior temporal and inferior frontal gyri, inferior pre- and postcentral gyri, pre-supplementary motor area, and supramarginal gyrus. Functional changes in the posterior right inferior frontal gyri significantly correlated with changes in a measure of fluency. Intense training of intonation-supported auditory-motor coupling and engaging feedforward/feedback control regions in the unaffected hemisphere improves speech-motor functions in subjects with nonfluent aphasia and large left-hemisphere lesions.
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Affiliation(s)
- Sarah Marchina
- Department of Neurology, Beth Israel Deaconess Medical Center/Harvard Medical School, Boston, Massachusetts, USA
| | - Andrea Norton
- Department of Neurology, Beth Israel Deaconess Medical Center/Harvard Medical School, Boston, Massachusetts, USA
| | - Gottfried Schlaug
- Department of Neurology, Beth Israel Deaconess Medical Center/Harvard Medical School, Boston, Massachusetts, USA
- Department of Neurology, Music, Neuroimaging and Stroke Recovery Laboratories, University of Massachusetts Chan Medical School – Baystate Campus, Springfield, Massachusetts, USA
- Department of Biomedical Engineering and Institute of Applied Life Sciences, University of Massachusetts, Amherst, Amherst, Massachusetts, USA
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19
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Siponkoski ST, Pitkäniemi A, Laitinen S, Särkämö ER, Pentikäinen E, Eloranta H, Tuomiranta L, Melkas S, Schlaug G, Sihvonen AJ, Särkämö T. Efficacy of a multicomponent singing intervention on communication and psychosocial functioning in chronic aphasia: a randomized controlled crossover trial. Brain Commun 2022; 5:fcac337. [PMID: 36687394 PMCID: PMC9847537 DOI: 10.1093/braincomms/fcac337] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2022] [Revised: 10/10/2022] [Accepted: 12/21/2022] [Indexed: 12/28/2022] Open
Abstract
The ability to produce words through singing can be preserved in severe aphasia, but the benefits of group-based singing rehabilitation in aphasia are largely unknown. Our aim was to determine the efficacy of a multicomponent singing intervention on communication and speech production, emotional-social functioning and caregiver well-being in aphasia. Fifty-four patients with acquired brain injury and chronic aphasia and their family caregivers (n = 43) were recruited. Using a crossover randomized controlled trial design, participants were randomized to two groups who received a 4-month singing intervention either during the first or second half of the study in addition to standard care. The intervention comprised weekly group-based training (including choir singing and group-level melodic intonation therapy) and tablet-assisted singing training at home. At baseline, 5- and 9-month stages, patients were assessed with tests and questionnaires on communication and speech production, mood, social functioning, and quality of life and family caregivers with questionnaires on caregiver burden. All participants who participated in the baseline measurement (n = 50) were included in linear mixed model analyses. Compared with standard care, the singing intervention improved everyday communication and responsive speech production from baseline to 5-month stage, and these changes were sustained also longitudinally (baseline to 9-month stage). Additionally, the intervention enhanced patients' social participation and reduced caregiver burden. This study provides novel evidence that group-based multicomponent singing training can enhance communication and spoken language production in chronic aphasia as well as improve psychosocial wellbeing in patients and caregivers. https://www.clinicaltrials.gov, Unique identifier: NCT03501797.
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Affiliation(s)
| | - Anni Pitkäniemi
- Correspondence to: Anni Pitkäniemi Cognitive Brain Research Unit Department of Psychology and Logopedics University of Helsinki, Helsinki, Finland E-mail:
| | - Sari Laitinen
- Centre of Excellence in Music, Mind, Body and Brain, University of Helsinki, 00014 Helsingin yliopisto, Helsinki, Finland,Espoo Hospital, 00029 HUS, Espoo, Finland
| | | | - Emmi Pentikäinen
- Cognitive Brain Research Unit, Department of Psychology and Logopedics, University of Helsinki, 00014 Helsingin yliopisto, Helsinki, Finland,Centre of Excellence in Music, Mind, Body and Brain, University of Helsinki, 00014 Helsingin yliopisto, Helsinki, Finland
| | - Heidi Eloranta
- Helsinki-Uusimaa Stroke Association, 00610 Helsinki, Finland
| | - Leena Tuomiranta
- Department of Psychology and Logopedics, University of Helsinki, 00014 Helsingin yliopisto, Helsinki, Finland
| | - Susanna Melkas
- Department of Neurology, University of Helsinki and Helsinki University Central Hospital, 00029 HUS, Helsinki, Finland
| | - Gottfried Schlaug
- Department of Neurology, UMass Medical School, Springfield & Department of Biomedical Engineering and Institute of Applied Life Sciences, UMass Amherst, Amherst, MA 01003, USA
| | - Aleksi J Sihvonen
- Cognitive Brain Research Unit, Department of Psychology and Logopedics, University of Helsinki, 00014 Helsingin yliopisto, Helsinki, Finland,Centre of Excellence in Music, Mind, Body and Brain, University of Helsinki, 00014 Helsingin yliopisto, Helsinki, Finland,Department of Neurology, University of Helsinki and Helsinki University Central Hospital, 00029 HUS, Helsinki, Finland,School of Health and Rehabilitation Sciences, Queensland Aphasia Research Centre and UQ Centre for Clinical Research, The University of Queensland, QLD 4029, Brisbane, Australia
| | - Teppo Särkämö
- Cognitive Brain Research Unit, Department of Psychology and Logopedics, University of Helsinki, 00014 Helsingin yliopisto, Helsinki, Finland,Centre of Excellence in Music, Mind, Body and Brain, University of Helsinki, 00014 Helsingin yliopisto, Helsinki, Finland
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20
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Chenausky KV, Norton AC, Tager-Flusberg H, Schlaug G. Auditory-motor mapping training: Testing an intonation-based spoken language treatment for minimally verbal children with autism spectrum disorder. Ann N Y Acad Sci 2022; 1515:266-275. [PMID: 35754007 PMCID: PMC10264969 DOI: 10.1111/nyas.14817] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
We tested an intonation-based speech treatment for minimally verbal children with autism (auditory-motor mapping training, AMMT) against a nonintonation-based control treatment (speech repetition therapy, SRT). AMMT involves singing, rather than speaking, two-syllable words or phrases. In time with each sung syllable, therapist and child tap together on electronic drums tuned to the same pitches, thus coactivating shared auditory and motor neural representations of manual and vocal actions, and mimicking the "babbling and banging" stage of typical development. Fourteen children (three females), aged 5.0-10.8, with a mean Autism Diagnostic Observation Schedule-2 score of 22.9 (SD = 2.5) and a mean Kaufman Speech Praxis Test raw score of 12.9 (SD = 13.0) participated in this trial. The main outcome measure was percent syllables approximately correct. Four weeks post-treatment, AMMT resulted in a mean improvement of +12.1 (SE = 3.8) percentage points, compared to +2.8 (SE = 5.7) percentage points for SRT. This between-group difference was associated with a large effect size (Cohen's d = 0.82). Results suggest that simultaneous intonation and bimanual movements presented in a socially engaging milieu are effective factors in AMMT and can create an individualized, interactive music-making environment for spoken-language learning in minimally verbal children with autism.
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Affiliation(s)
- Karen V. Chenausky
- Communication Sciences and Disorders, MGH Institute of Health Professions, Charlestown, Massachusetts, USA
- Department of Neurology, Harvard Medical School, Boston, Massachusetts, USA
| | - Andrea C. Norton
- Department of Neurology, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA
| | - Helen Tager-Flusberg
- Department of Psychological and Brain Sciences, Boston University, Boston, Massachusetts, USA
| | - Gottfried Schlaug
- Department of Neurology, Harvard Medical School, Boston, Massachusetts, USA
- Department of Neurology, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA
- Music, Neuroimaging, and Stroke Recovery Laboratory, University of Massachusetts Medical School – Baystate in Springfield, Massachusetts USA; Institute of Applied Life Sciences at UMass Amherst, Amherst, Massachusetts, USA
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21
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Zhang X, Li J, Du Y. Melodic Intonation Therapy on Non-fluent Aphasia After Stroke: A Systematic Review and Analysis on Clinical Trials. Front Neurosci 2022; 15:753356. [PMID: 35153655 PMCID: PMC8829877 DOI: 10.3389/fnins.2021.753356] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2021] [Accepted: 12/07/2021] [Indexed: 01/05/2023] Open
Abstract
Melodic intonation therapy (MIT) is a melodic musical training method that could be combined with language rehabilitation. However, some of the existing literature focuses on theoretical mechanism research, while others only focus on clinical behavioral evidence. Few clinical experimental studies can combine the two for behavioral and mechanism analysis. This review aimed at systematizing recent results from studies that have delved explicitly into the MIT effect on non-fluent aphasia by their study design properties, summarizing the findings, and identifying knowledge gaps for future work. MIT clinical trials and case studies were retrieved and teased out the results to explore the validity and relevance of these results. These studies focused on MIT intervention for patients with non-fluent aphasia in stroke recovery period. After retrieving 128 MIT-related articles, 39 valid RCT studies and case reports were provided for analysis. Our summary shows that behavioral measurements at MIT are excessive and provide insufficient evidence of MRI imaging structure. This proves that MIT still needs many MRI studies to determine its clinical evidence and intervention targets. The strengthening of large-scale clinical evidence of imaging observations will result in the clear neural circuit prompts and prediction models proposed for the MIT treatment and its prognosis.
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Affiliation(s)
- Xiaoying Zhang
- School of Rehabilitation Medicine, Capital Medical University, Beijing, China
- Beijing Key Laboratory of Neural Injury and Rehabilitation, China Rehabilitation Research Center, Beijing, China
- Center of Neural Injury and Repair, Beijing Institute for Brain Disorders, Beijing, China
- Department of Psychology, Music Therapy Center, China Rehabilitation Research Center, Beijing, China
| | - Jianjun Li
- School of Rehabilitation Medicine, Capital Medical University, Beijing, China
- Beijing Key Laboratory of Neural Injury and Rehabilitation, China Rehabilitation Research Center, Beijing, China
- Center of Neural Injury and Repair, Beijing Institute for Brain Disorders, Beijing, China
- Department of Psychology, Music Therapy Center, China Rehabilitation Research Center, Beijing, China
- Chinese Institute of Rehabilitation Science, Beijing, China
| | - Yi Du
- Key Laboratory of Behavioral Science, Institute of Psychology, Chinese Academy of Sciences (CAS), Beijing, China
- Departments of Psychology, University of Chinese Academy of Sciences, Beijing, China
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22
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Martínez-Molina N, Siponkoski ST, Pitkäniemi A, Moisseinen N, Kuusela L, Pekkola J, Laitinen S, Särkämö ER, Melkas S, Kleber B, Schlaug G, Sihvonen A, Särkämö T. Neuroanatomical correlates of speech and singing production in chronic post-stroke aphasia. Brain Commun 2022; 4:fcac001. [PMID: 35174327 PMCID: PMC8842683 DOI: 10.1093/braincomms/fcac001] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2021] [Revised: 10/26/2021] [Accepted: 01/07/2022] [Indexed: 11/14/2022] Open
Abstract
Abstract
A classical observation in neurology is that aphasic stroke patients with impairments in speech production can nonetheless sing the same utterances. This preserved ability suggests a distinctive neural architecture for singing that could contribute to speech recovery. However, to date, these structural correlates remain unknown. Here, we combined a multivariate lesion-symptom mapping and voxel-based morphometry approach to analyse the relationship between lesion patterns and grey matter volume and production rate in speech and singing tasks. Lesion patterns for spontaneous speech and cued repetition extended into frontal, temporal and parietal areas typically reported within the speech production network. Impairment in spontaneous singing was associated with damage to left anterior-posterior superior and middle temporal gyri. Preservation of grey matter volume in the same regions where damage led to poor speech and singing production supported better performance in these tasks. When dividing the patients into fluent and dysfluent singers based on singing performance from demographically matched controls, we found that preservation of left middle temporal gyrus was related to better spontaneous singing. These findings provide insights into the structural correlates of singing in chronic aphasia and may serve as biomarkers to predict treatment response in clinical trials using singing-based interventions for speech rehabilitation.
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Affiliation(s)
- Noelia Martínez-Molina
- Music, Ageing and Rehabilitation Team, Cognitive Brain Research Unit, Department of Psychology and Logopedics, University of Helsinki, Helsinki, Finland
- Correspondence to: Noelia Martínez Molina Music, Ageing and Rehabilitation Team Cognitive Brain Research Unit Department of Psychology and Logopedics University of Helsinki, Helsinki, Finland E-mail:
| | - Sini-Tuuli Siponkoski
- Music, Ageing and Rehabilitation Team, Cognitive Brain Research Unit, Department of Psychology and Logopedics, University of Helsinki, Helsinki, Finland
| | - Anni Pitkäniemi
- Music, Ageing and Rehabilitation Team, Cognitive Brain Research Unit, Department of Psychology and Logopedics, University of Helsinki, Helsinki, Finland
| | - Nella Moisseinen
- Music, Ageing and Rehabilitation Team, Cognitive Brain Research Unit, Department of Psychology and Logopedics, University of Helsinki, Helsinki, Finland
| | - Linda Kuusela
- Department of Physics, University of Helsinki, Helsinki, Finland
- HUS Medical Imaging Center, Department of Radiology, Helsinki Central University Hospital and University of Helsinki, Helsinki, Finland
| | - Johanna Pekkola
- HUS Medical Imaging Center, Department of Radiology, Helsinki Central University Hospital and University of Helsinki, Helsinki, Finland
| | - Sari Laitinen
- Music, Ageing and Rehabilitation Team, Cognitive Brain Research Unit, Department of Psychology and Logopedics, University of Helsinki, Helsinki, Finland
- Espoo Hospital, Espoo, Finland
| | - Essi-Reetta Särkämö
- Music, Ageing and Rehabilitation Team, Cognitive Brain Research Unit, Department of Psychology and Logopedics, University of Helsinki, Helsinki, Finland
- Private Choir Conductor, Vantaa, Finland
| | - Susanna Melkas
- Department of Neurology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland
| | - Boris Kleber
- Center for Music in the Brain, Department of Clinical Medicine, Aarhus University and The Royal Academy of Music, Aarhus/Aalborg, Denmark
| | - Gottfried Schlaug
- Department of Neurology, UMass Medical School—Baystate and Institute of Applied Life Sciences, UMass Amherst, Amherst, MA, USA
| | - Aleksi Sihvonen
- Music, Ageing and Rehabilitation Team, Cognitive Brain Research Unit, Department of Psychology and Logopedics, University of Helsinki, Helsinki, Finland
- Centre for Clinical Research, The University of Queensland, Brisbane, Australia
| | - Teppo Särkämö
- Music, Ageing and Rehabilitation Team, Cognitive Brain Research Unit, Department of Psychology and Logopedics, University of Helsinki, Helsinki, Finland
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Leongómez JD, Havlíček J, Roberts SC. Musicality in human vocal communication: an evolutionary perspective. Philos Trans R Soc Lond B Biol Sci 2022; 377:20200391. [PMID: 34775823 PMCID: PMC8591388 DOI: 10.1098/rstb.2020.0391] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2021] [Accepted: 07/08/2021] [Indexed: 12/02/2022] Open
Abstract
Studies show that specific vocal modulations, akin to those of infant-directed speech (IDS) and perhaps music, play a role in communicating intentions and mental states during human social interaction. Based on this, we propose a model for the evolution of musicality-the capacity to process musical information-in relation to human vocal communication. We suggest that a complex social environment, with strong social bonds, promoted the appearance of musicality-related abilities. These social bonds were not limited to those between offspring and mothers or other carers, although these may have been especially influential in view of altriciality of human infants. The model can be further tested in other species by comparing levels of sociality and complexity of vocal communication. By integrating several theories, our model presents a radically different view of musicality, not limited to specifically musical scenarios, but one in which this capacity originally evolved to aid parent-infant communication and bonding, and even today plays a role not only in music but also in IDS, as well as in some adult-directed speech contexts. This article is part of the theme issue 'Voice modulation: from origin and mechanism to social impact (Part II)'.
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Affiliation(s)
- Juan David Leongómez
- Human Behaviour Lab, Faculty of Psychology, Universidad El Bosque, Bogota, Colombia
| | - Jan Havlíček
- Department of Zoology, Charles University, Prague, Czech Republic
| | - S. Craig Roberts
- Faculty of Natural Sciences, University of Stirling, Stirling, UK
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Scott SK. The neural control of volitional vocal production-from speech to identity, from social meaning to song. Philos Trans R Soc Lond B Biol Sci 2022; 377:20200395. [PMID: 34775825 PMCID: PMC8591378 DOI: 10.1098/rstb.2020.0395] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023] Open
Abstract
The networks of cortical and subcortical fields that contribute to speech production have benefitted from many years of detailed study, and have been used as a framework for human volitional vocal production more generally. In this article, I will argue that we need to consider speech production as an expression of the human voice in a more general sense. I will also argue that the neural control of the voice can and should be considered to be a flexible system, into which more right hemispheric networks are differentially recruited, based on the factors that are modulating vocal production. I will explore how this flexible network is recruited to express aspects of non-verbal information in the voice, such as identity and social traits. Finally, I will argue that we need to widen out the kinds of vocal behaviours that we explore, if we want to understand the neural underpinnings of the true range of sound-making capabilities of the human voice. This article is part of the theme issue 'Voice modulation: from origin and mechanism to social impact (Part II)'.
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Affiliation(s)
- Sophie K. Scott
- Institute of Cognitive Neuroscience, University College London, 17 Queen Square, London, UK
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25
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Sihvonen AJ, Särkämö T. Music processing and amusia. HANDBOOK OF CLINICAL NEUROLOGY 2022; 187:55-67. [PMID: 35964992 DOI: 10.1016/b978-0-12-823493-8.00014-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
Music is a universal and important human trait, which is orchestrated by complex brain network centered in the temporal lobe but connecting broadly to multiple cortical and subcortical regions. In the human brain, music engages a widespread bilateral network of regions that govern auditory perception, syntactic and semantic processing, attention and memory, emotion and reward, and motor skills. The ability to perceive or produce music can be severely impaired either due to abnormal brain development or brain damage, leading to a condition called amusia. Modern neuroimaging studies of amusia have provided valuable knowledge about the structure and function of specific brain regions and white matter pathways that are crucial for music perception, highlighting the role of the right frontotemporal network in this process. In this chapter, we provide an overview on the neural basis of music processing in a healthy brain and review evidence obtained from the studies of congenital and acquired amusia.
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Affiliation(s)
- Aleksi J Sihvonen
- School of Health and Rehabilitation Sciences, Queensland Aphasia Research Centre, The University of Queensland, Herston, QLD, Australia; Department of Psychology and Logopedics, University of Helsinki, Helsinki, Finland
| | - Teppo Särkämö
- Department of Psychology and Logopedics, University of Helsinki, Helsinki, Finland.
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Zettin M, Bondesan C, Nada G, Varini M, Dimitri D. Transcranial Direct-Current Stimulation and Behavioral Training, a Promising Tool for a Tailor-Made Post-stroke Aphasia Rehabilitation: A Review. Front Hum Neurosci 2021; 15:742136. [PMID: 34987366 PMCID: PMC8722401 DOI: 10.3389/fnhum.2021.742136] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2021] [Accepted: 11/22/2021] [Indexed: 12/14/2022] Open
Abstract
Aphasia is an acquired language disorder resulting from damage to portions of the brain which are responsible for language comprehension and formulation. This disorder can involve different levels of language processing with impairments in both oral and written comprehension and production. Over the last years, different rehabilitation and therapeutic interventions have been developed, especially non-invasive brain stimulation (NIBS) techniques. One of the most used NIBS techniques in aphasia rehabilitation is the Transcranial Direct-Current Stimulation (tDCS). It has been proven to be effective in promoting a successful recovery both in the short and the long term after a brain injury. The main strength of tDCS is its feasibility associated with relatively minor side effects, if safely and properly administered. TDCS requires two electrodes, an anode and a cathode, which are generally placed on the scalp. The electrode montage can be either unipolar or bipolar. The main aim of this review is to give an overview of the state of the art of tDCS for the treatment of aphasia. The studies described included patients with different types of language impairments, especially with non-fluent aphasia and in several cases anomia. The effects of tDCS are variable and depend on several factors, such as electrode size and montage, duration of the stimulation, current density and characteristics of the brain tissue underneath the electrodes. Generally, tDCS has led to promising results in rehabilitating patients with acquired aphasia, especially if combined with different language and communication therapies. The selection of the appropriate approach depends on the patients treated and their impaired language function. When used in combination with treatments such as Speech and Language Therapy, Constraint Induced Aphasia Therapy or Intensive Action Treatment, tDCS has generally promoted a better recovery of the impaired functions. In addition to these rehabilitation protocols, Action Observation Therapy, such as IMITAF, appeared to contribute to the reduction of post-stroke anomia. The potential of combining such techniques with tDCS would would therefore be a possibility for further improvement, also providing the clinician with a new action and intervention tool. The association of a tDCS protocol with a dedicated rehabilitation training would favor a generalized long-term improvement of the different components of language.
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Affiliation(s)
- Marina Zettin
- Centro Puzzle, Turin, Italy
- Department of Psychology, University of Turin, Turin, Italy
| | | | - Giulia Nada
- Department of Psychology, University of Turin, Turin, Italy
| | - Matteo Varini
- Department of Psychology, University of Turin, Turin, Italy
| | - Danilo Dimitri
- Centro Puzzle, Turin, Italy
- Department of Psychology, University of Turin, Turin, Italy
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27
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Tamplin J, Morris ME, Baker FA, Sousa TV, Haines S, Dunn S, Tull V, Vogel AP. ParkinSong Online: protocol for a telehealth feasibility study of therapeutic group singing for people with Parkinson's disease. BMJ Open 2021; 11:e058953. [PMID: 34930750 PMCID: PMC8689189 DOI: 10.1136/bmjopen-2021-058953] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
INTRODUCTION Parkinson's disease can be associated with speech deterioration and low communication confidence which in turn compromises social interaction. Therapeutic singing is an engaging method for combatting speech decline; however, face-to-face delivery can limit access to group singing. The aim of this study is to test the feasibility and acceptability of an online mode of delivery for a Parkinson's singing intervention (ParkinSong) as well as remote data collection procedures. METHODS AND ANALYSIS This ParkinSong Online feasibility trial is a single-arm, pre-post study of online singing delivery and remote data collection for 30 people living with Parkinson's. The primary outcome measure is feasibility: recruitment, retention, attendance, safety, intervention fidelity, acceptability and associated costs. Secondary outcomes are speech (loudness, intelligibility, quality, communication-related quality of life) and wellbeing (apathy, depression, anxiety, stress, health-related quality of life). This mode of delivery aims to increase the accessibility of singing interventions. ETHICS AND DISSEMINATION Ethics approval was obtained from The University of Melbourne Human Research Ethics Committee (2021-14465-16053-3) and the trial has been prospectively registered. Results will be presented at national and international conferences, published in a peer-reviewed journal, and disseminated to the Parkinson's community, researchers and policymakers. TRIAL REGISTRATION NUMBER ACTRN12621000940875.
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Affiliation(s)
- Jeanette Tamplin
- Faculty of Fine Arts and Music, The University of Melbourne, Melbourne, Victoria, Australia
- Music Therapy, Austin Health, Heidelberg, Victoria, Australia
| | - Meg E Morris
- Academic and Research Collaborative in Health, La Trobe University, Bundoora, Victoria, Australia
- The Victorian Rehabilitation Centre, Healthscope Limited, Glen Waverly, Victoria, Australia
| | - Felicity A Baker
- Faculty of Fine Arts and Music, The University of Melbourne, Melbourne, Victoria, Australia
- Centre for Music and Health, Norwegian Academy of Music, Oslo, Norway
| | - Tanara Vieira Sousa
- Faculty of Fine Arts and Music, The University of Melbourne, Melbourne, Victoria, Australia
- Centre for Health Policy, The University of Melbourne School of Population and Global Health, Carlton, Victoria, Australia
| | - Simon Haines
- Faculty of Fine Arts and Music, The University of Melbourne, Melbourne, Victoria, Australia
- Academic and Research Collaborative in Health, La Trobe University, Bundoora, Victoria, Australia
| | - Stephen Dunn
- Consumer Representative, Melbourne, Victoria, Australia
| | - Victoria Tull
- Fight Parkinson's (Formerly Parkinson's Victoria), Surrey Hills, Victoria, Australia
| | - Adam P Vogel
- Centre for Neuroscience of Speech, The University of Melbourne, Melbourne, Victoria, Australia
- Department of Neurodegeneration, Hertie Institute for Clinical Brain Research, University of Tubingen, Tubingen, Germany
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28
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Different theta connectivity patterns underlie pleasantness evoked by familiar and unfamiliar music. Sci Rep 2021; 11:18523. [PMID: 34535731 PMCID: PMC8448873 DOI: 10.1038/s41598-021-98033-5] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2021] [Accepted: 08/30/2021] [Indexed: 12/05/2022] Open
Abstract
Music-evoked pleasantness has been extensively reported to be modulated by familiarity. Nevertheless, while the brain temporal dynamics underlying the process of giving value to music are beginning to be understood, little is known about how familiarity might modulate the oscillatory activity associated with music-evoked pleasantness. The goal of the present experiment was to study the influence of familiarity in the relation between theta phase synchronization and music-evoked pleasantness. EEG was recorded from 22 healthy participants while they were listening to both familiar and unfamiliar music and rating the experienced degree of evoked pleasantness. By exploring interactions, we found that right fronto-temporal theta synchronization was positively associated with music-evoked pleasantness when listening to unfamiliar music. On the contrary, inter-hemispheric temporo-parietal theta synchronization was positively associated with music-evoked pleasantness when listening to familiar music. These results shed some light on the possible oscillatory mechanisms underlying fronto-temporal and temporo-parietal connectivity and their relationship with music-evoked pleasantness and familiarity.
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Unterberger I, Trinka E, Ransmayr G, Scherfler C, Bauer G. Epileptic aphasia - A critical appraisal. Epilepsy Behav 2021; 121:108064. [PMID: 34052636 DOI: 10.1016/j.yebeh.2021.108064] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/22/2021] [Revised: 04/30/2021] [Accepted: 05/10/2021] [Indexed: 11/18/2022]
Abstract
INTRODUCTION Aphasic and other language disturbances occur in patients with epilepsy during and after epileptic seizures. Moreover, the interictal language profile in these patients is heterogeneous, varying from normal language profile to impairment in different language functions. The aim of this paper was to critically review the terms and concepts of ictal language alterations. MATERIAL AND METHOD For this review we performed an extensive literature search on the term "epileptic aphasia" and analyzed the semiology and terminology indicating language-associated seizure symptoms. In addition, we give an overview on EEG, etiology, and brain imaging findings and ictal language disorders. RESULTS In the literature, a plethora of terms indicates language-associated seizure symptoms. Simultaneous Video-EEG monitoring represents the gold standard to correctly classify ictal versus postictal language disturbances and to differentiate aphasic symptoms from speech automatisms. Different rhythmic and periodic EEG patterns associated with ictal language disturbances are recognized. Cerebral magnetic resonance imaging (cMRI) is essential in the diagnosis of seizures and epilepsy. Brain tumors and acute or remote cerebrovascular lesions are the most frequently reported structural etiologies underlying ictal language alterations. However, it has to be recognized that brain imaging may show alterations being the consequence of seizures itself rather than its cause. Functional brain imaging might be informative in patients with inconclusive EEG and MRI findings. Overall, seizure-associated aphasia is reported to have good lateralizing significance. CONCLUSION Various language disturbances are caused by different types of seizures, epilepsies and underlying etiologies. In the clinical context, simultaneous Video-EEG monitoring facilitates precise classification of ictal versus postictal language alterations and differentiation of aphasic symptoms from speech automatisms.
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Affiliation(s)
- Iris Unterberger
- Department of Neurology, Innsbruck Medical University, Innsbruck, Austria.
| | - Eugen Trinka
- Department of Neurology, Christian-Doppler-Klinik, Paracelsus Medical University of Salzburg, Salzburg, Austria
| | - Gerhard Ransmayr
- Department of Neurology 2, Kepler University Hospital, Linz, Austria
| | | | - Gerhard Bauer
- Department of Neurology, Innsbruck Medical University, Innsbruck, Austria
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30
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Martzoukou M, Nousia A, Nasios G, Tsiouris S. Adaptation of Melodic Intonation Therapy to Greek: A Clinical Study in Broca's Aphasia With Brain Perfusion SPECT Validation. Front Aging Neurosci 2021; 13:664581. [PMID: 34335225 PMCID: PMC8322692 DOI: 10.3389/fnagi.2021.664581] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2021] [Accepted: 06/24/2021] [Indexed: 11/21/2022] Open
Abstract
Melodic intonation therapy (MIT) is one of the most well-known treatment methods which is based on pitch and rhythm and was developed to increase verbal output in adults with non-fluent aphasia. Although MIT has been adapted to several languages, in Greece it is almost unknown. The aim of the proposed study is twofold: (1) to translate and adapt the MIT to the Greek language, and (2) to conduct an experimental study in order to examine the effect of MIT on Greek patients with Broca’s aphasia. To this aim, a 64-year-old, right-handed male who had a 6-year primary school education level, no musical abilities and poor performance on the recognition of prosody attended the MIT intervention program almost two and a half years after the event of suffering an ischemic stroke. The MIT intervention was administered three times per week for a 12-week period, in which each session lasted from 30 to 40 min. The patient underwent three assessments all using both the Boston Diagnostic Aphasia Examination–Short Form (BDAE-SF) and brain perfusion single-photon emission computed tomography (SPECT); (1) before the MIT, (2) immediately after, and (3) 3 months after the completion of MIT. The results from the BDAE-SF revealed an impressive improvement on both trained and prepositional speech production, immediately after the completion of the MIT, and a stable improved performance 3 months after MIT. The SPECT scan revealed reactivation of the perilesional areas of the left hemisphere, and considerably improved perfusion of the frontal lobe, the anterior temporal lobe, and the upper part of the parietal lobe of the right hemisphere. The improvement persisted and even expanded 3 months after MIT. Therefore, MIT is a promising intervention program and its positive effects last for at least 3 months after the completion of the intervention.
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Affiliation(s)
- Maria Martzoukou
- Department of Speech and Language Therapy, School of Health Sciences, University of Ioannina, Ioannina, Greece
| | - Anastasia Nousia
- Department of Speech and Language Therapy, School of Health Sciences, University of Ioannina, Ioannina, Greece
| | - Grigorios Nasios
- Department of Speech and Language Therapy, School of Health Sciences, University of Ioannina, Ioannina, Greece
| | - Spyridon Tsiouris
- Department of Nuclear Medicine, University Hospital of Ioannina, Ioannina, Greece
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31
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Lin RZ, Marsh EB. Abnormal singing can identify patients with right hemisphere cortical strokes at risk for impaired prosody. Medicine (Baltimore) 2021; 100:e26280. [PMID: 34115027 PMCID: PMC8202571 DOI: 10.1097/md.0000000000026280] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/04/2021] [Accepted: 05/21/2021] [Indexed: 01/04/2023] Open
Abstract
Despite lacking aphasia seen with left hemisphere (LH) infarcts involving the middle cerebral artery territory, right hemisphere (RH) strokes can result in significant difficulties in affective prosody. These impairments may be more difficult to identify but lead to significant communication problems.We determine if evaluation of singing can accurately identify stroke patients with cortical RH infarcts at risk for prosodic impairment who may benefit from rehabilitation.A prospective cohort of 36 patients evaluated with acute ischemic stroke was recruited. Participants underwent an experimental battery evaluating their singing, prosody comprehension, and prosody production. Singing samples were rated by 2 independent reviewers as subjectively "normal" or "abnormal," and analyzed for properties of the fundamental frequency. Relationships between infarct location, singing, and prosody performance were evaluated using t tests and chi-squared analysis.Eighty percent of participants with LH cortical strokes were unable to successfully complete any of the tasks due to severe aphasia. For the remainder, singing ratings corresponded to stroke location for 68% of patients. RH cortical strokes demonstrated a lower mean fundamental frequency while singing than those with subcortical infarcts (176.8 vs 130.4, P = 0.02). They also made more errors on tasks of prosody comprehension (28.6 vs 16.0, P < 0.001) and production (40.4 vs 18.4, P < 0.001).Patients with RH cortical infarcts are more likely to exhibit impaired prosody comprehension and production and demonstrate the poor variation of tone when singing compared to patients with subcortical infarcts. A simple singing screen is able to successfully identify patients with cortical lesions and potential prosodic deficits.
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Affiliation(s)
- Rebecca Z. Lin
- Department of Cognitive Science, Johns Hopkins University
| | - Elisabeth B. Marsh
- Department of Neurology, Johns Hopkins School of Medicine, Baltimore, MD, USA
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32
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Perron M, Theaud G, Descoteaux M, Tremblay P. The frontotemporal organization of the arcuate fasciculus and its relationship with speech perception in young and older amateur singers and non-singers. Hum Brain Mapp 2021; 42:3058-3076. [PMID: 33835629 PMCID: PMC8193549 DOI: 10.1002/hbm.25416] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2020] [Revised: 02/26/2021] [Accepted: 03/08/2021] [Indexed: 12/11/2022] Open
Abstract
The ability to perceive speech in noise (SPiN) declines with age. Although the etiology of SPiN decline is not well understood, accumulating evidence suggests a role for the dorsal speech stream. While age‐related decline within the dorsal speech stream would negatively affect SPiN performance, experience‐induced neuroplastic changes within the dorsal speech stream could positively affect SPiN performance. Here, we investigated the relationship between SPiN performance and the structure of the arcuate fasciculus (AF), which forms the white matter scaffolding of the dorsal speech stream, in aging singers and non‐singers. Forty‐three non‐singers and 41 singers aged 20 to 87 years old completed a hearing evaluation and a magnetic resonance imaging session that included High Angular Resolution Diffusion Imaging. The groups were matched for sex, age, education, handedness, cognitive level, and musical instrument experience. A subgroup of participants completed syllable discrimination in the noise task. The AF was divided into 10 segments to explore potential local specializations for SPiN. The results show that, in carefully matched groups of singers and non‐singers (a) myelin and/or axonal membrane deterioration within the bilateral frontotemporal AF segments are associated with SPiN difficulties in aging singers and non‐singers; (b) the structure of the AF is different in singers and non‐singers; (c) these differences are not associated with a benefit on SPiN performance for singers. This study clarifies the etiology of SPiN difficulties by supporting the hypothesis for the role of aging of the dorsal speech stream.
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Affiliation(s)
- Maxime Perron
- CERVO Brain Research Center, Quebec City, Quebec, Canada.,Département de Réadaptation, Université Laval, Faculté de Médecine, Quebec City, Quebec, Canada
| | - Guillaume Theaud
- Sherbrooke Connectivity Imaging Lab (SCIL), Computer Science Department, Université de Sherbrooke, Sherbrooke, Quebec, Canada
| | - Maxime Descoteaux
- Sherbrooke Connectivity Imaging Lab (SCIL), Computer Science Department, Université de Sherbrooke, Sherbrooke, Quebec, Canada
| | - Pascale Tremblay
- CERVO Brain Research Center, Quebec City, Quebec, Canada.,Département de Réadaptation, Université Laval, Faculté de Médecine, Quebec City, Quebec, Canada
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Alemi R, Lehmann A, Deroche MLD. Changes in Spoken and Sung Productions Following Adaptation to Pitch-shifted Auditory Feedback. J Voice 2021; 37:466.e1-466.e15. [PMID: 33745802 DOI: 10.1016/j.jvoice.2021.02.016] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2020] [Revised: 02/09/2021] [Accepted: 02/11/2021] [Indexed: 10/21/2022]
Abstract
OBJECTIVE Using voice to speak or to sing is made possible by remarkably complex sensorimotor processes. Like any other sensorimotor system, the speech motor controller guides its actions with maximum performance at minimum cost, using available sources of information, among which, auditory feedback plays a major role. Manipulation of this feedback forces the speech monitoring system to refine its expectations for further actions. The present study hypothesizes that the duration of this refinement and the weight applied on different feedbacks loops would depend on the intended sounds to be produced, namely reading aloud versus singing. MATERIAL AND METHODS We asked participants to sing "Happy Birthday" and read a paragraph of Harry Potter before and after experiencing pitch-shifted feedback. A detailed fundamental frequency (F0) analysis was conducted for each note in the song and each segment in the paragraph (at the level of a sentence, a word, or a vowel) to determine whether some aspects of F0 production changed in response to the pitch perturbations experienced during the adaptation paradigm. RESULTS Our results showed that changes in the degree of F0-drift across the song or the paragraph was the metric that was the most consistent with a carry-over effect of adaptation, and in this regard, reading new material was more influenced by recent remapping than singing. CONCLUSION The motor commands used by (normally-hearing) speakers are malleable via altered-feedback paradigms, perhaps more so when reading aloud than when singing. But these effects are not revealed through simple indicators such as an overall change in mean F0 or F0 range, but rather through subtle metrics, such as a drift of the voice pitch across the recordings.
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Affiliation(s)
- Razieh Alemi
- Department of Otolaryngology, Faculty of Medicine, McGill University, Montreal, Quebec, Canada; Centre for Research on Brain, Language & Music (CRBLM), Montreal, Quebec, Canada; International Laboratory for Brain, Music & Sound Research (BRAMS), Montreal, Quebec, Canada; Laboratory for Hearing and Cognition, Department of Psychology, Concordia University, Montreal, Quebec, Canada.
| | - Alexandre Lehmann
- Department of Otolaryngology, Faculty of Medicine, McGill University, Montreal, Quebec, Canada; Centre for Research on Brain, Language & Music (CRBLM), Montreal, Quebec, Canada; International Laboratory for Brain, Music & Sound Research (BRAMS), Montreal, Quebec, Canada
| | - Mickael L D Deroche
- Department of Otolaryngology, Faculty of Medicine, McGill University, Montreal, Quebec, Canada; Centre for Research on Brain, Language & Music (CRBLM), Montreal, Quebec, Canada; International Laboratory for Brain, Music & Sound Research (BRAMS), Montreal, Quebec, Canada; Laboratory for Hearing and Cognition, Department of Psychology, Concordia University, Montreal, Quebec, Canada
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34
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Neef NE, Primaßin A, von Gudenberg AW, Dechent P, Riedel C, Paulus W, Sommer M. Two cortical representations of voice control are differentially involved in speech fluency. Brain Commun 2021; 3:fcaa232. [PMID: 33959707 PMCID: PMC8088816 DOI: 10.1093/braincomms/fcaa232] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2020] [Revised: 11/29/2020] [Accepted: 12/01/2020] [Indexed: 01/01/2023] Open
Abstract
Recent studies have identified two distinct cortical representations of voice control in humans, the ventral and the dorsal laryngeal motor cortex. Strikingly, while persistent developmental stuttering has been linked to a white-matter deficit in the ventral laryngeal motor cortex, intensive fluency-shaping intervention modulated the functional connectivity of the dorsal laryngeal motor cortical network. Currently, it is unknown whether the underlying structural network organization of these two laryngeal representations is distinct or differently shaped by stuttering intervention. Using probabilistic diffusion tractography in 22 individuals who stutter and participated in a fluency shaping intervention, in 18 individuals who stutter and did not participate in the intervention and in 28 control participants, we here compare structural networks of the dorsal laryngeal motor cortex and the ventral laryngeal motor cortex and test intervention-related white-matter changes. We show (i) that all participants have weaker ventral laryngeal motor cortex connections compared to the dorsal laryngeal motor cortex network, regardless of speech fluency, (ii) connections of the ventral laryngeal motor cortex were stronger in fluent speakers, (iii) the connectivity profile of the ventral laryngeal motor cortex predicted stuttering severity (iv) but the ventral laryngeal motor cortex network is resistant to a fluency shaping intervention. Our findings substantiate a weaker structural organization of the ventral laryngeal motor cortical network in developmental stuttering and imply that assisted recovery supports neural compensation rather than normalization. Moreover, the resulting dissociation provides evidence for functionally segregated roles of the ventral laryngeal motor cortical and dorsal laryngeal motor cortical networks.
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Affiliation(s)
- Nicole E Neef
- Department of Clinical Neurophysiology, Georg August University, Göttingen 37075, Germany
- Department of Diagnostic and Interventional Neuroradiology, Georg August University, Göttingen 37075, Germany
| | - Annika Primaßin
- Department of Clinical Neurophysiology, Georg August University, Göttingen 37075, Germany
| | | | - Peter Dechent
- Department of Cognitive Neurology, MR Research in Neurosciences, Georg August University, Göttingen 37075, Germany
| | - Christian Riedel
- Department of Diagnostic and Interventional Neuroradiology, Georg August University, Göttingen 37075, Germany
| | - Walter Paulus
- Department of Clinical Neurophysiology, Georg August University, Göttingen 37075, Germany
| | - Martin Sommer
- Department of Clinical Neurophysiology, Georg August University, Göttingen 37075, Germany
- Department of Neurology, Georg August University, Göttingen 37075, Germany
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35
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Li Y, Luo H, Tian X. Mental operations in rhythm: Motor-to-sensory transformation mediates imagined singing. PLoS Biol 2020; 18:e3000504. [PMID: 33017389 PMCID: PMC7561264 DOI: 10.1371/journal.pbio.3000504] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2019] [Revised: 10/15/2020] [Accepted: 09/01/2020] [Indexed: 11/21/2022] Open
Abstract
What enables the mental activities of thinking verbally or humming in our mind? We hypothesized that the interaction between motor and sensory systems induces speech and melodic mental representations, and this motor-to-sensory transformation forms the neural basis that enables our verbal thinking and covert singing. Analogous with the neural entrainment to auditory stimuli, participants imagined singing lyrics of well-known songs rhythmically while their neural electromagnetic signals were recorded using magnetoencephalography (MEG). We found that when participants imagined singing the same song in similar durations across trials, the delta frequency band (1–3 Hz, similar to the rhythm of the songs) showed more consistent phase coherence across trials. This neural phase tracking of imagined singing was observed in a frontal-parietal-temporal network: the proposed motor-to-sensory transformation pathway, including the inferior frontal gyrus (IFG), insula (INS), premotor area, intra-parietal sulcus (IPS), temporal-parietal junction (TPJ), primary auditory cortex (Heschl’s gyrus [HG]), and superior temporal gyrus (STG) and sulcus (STS). These results suggest that neural responses can entrain the rhythm of mental activity. Moreover, the theta-band (4–8 Hz) phase coherence was localized in the auditory cortices. The mu (9–12 Hz) and beta (17–20 Hz) bands were observed in the right-lateralized sensorimotor systems that were consistent with the singing context. The gamma band was broadly manifested in the observed network. The coherent and frequency-specific activations in the motor-to-sensory transformation network mediate the internal construction of perceptual representations and form the foundation of neural computations for mental operations. What enables our mental activities for thinking verbally or humming in our mind? Using an imagined singing paradigm with magnetoencephalography recordings, this study shows that neural oscillations in the motor-to-sensory transformation network tracked inner speech and covert singing.
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Affiliation(s)
- Yanzhu Li
- New York University Shanghai, Shanghai, China
- NYU-ECNU Institute of Brain and Cognitive Science at NYU Shanghai, Shanghai, China
| | - Huan Luo
- Peking University, Beijing, China
| | - Xing Tian
- New York University Shanghai, Shanghai, China
- NYU-ECNU Institute of Brain and Cognitive Science at NYU Shanghai, Shanghai, China
- * E-mail:
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Aravantinou-Fatorou K, Fotakopoulos G. Efficacy of exercise rehabilitation program accompanied by experiential music for recovery of aphasia in single cerebrovascular accidents: a randomized controlled trial. Ir J Med Sci 2020; 190:771-778. [PMID: 32740716 DOI: 10.1007/s11845-020-02328-x] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2020] [Accepted: 07/23/2020] [Indexed: 12/14/2022]
Abstract
BACKGROUND The current study aims to evaluate the effects of daily traditional experiential music listening for clinical recovery of post-stroke aphasia. METHODS This was a prospective randomized trial with seventy-nine stroke survivors who suffered from post-stroke aphasia. All patients underwent a neuropsychological evaluation, at time = 0 during the admission at the rehabilitation structure (baseline), and 6 months post-stroke. All cases received standard treatment for stroke and post-stroke aphasia in terms of medical care and rehabilitation. Furthermore, patients were randomized to receive either standard care only or standard care with daily traditional experiential music listening. Computer tomography perfusion and neurological examination were assessed to all patients. Recovery was measured by the score at Aachener Aphasie Test. RESULTS The statistically significant differences between the control group (CG) and the rest of the patients were the clinical characteristics (hemiparesis) (p = 0.002), the cerebral blood flow in affected areas (p = 0.000), and the Mini-Mental Test (mMT) (p = 0.000). Only group and mMT were independent predictor factors for recovery, according to multivariate analysis odd ratio (ΟR) (95% confidence interval) 0.022 (0.009-0.435) and 0.658 (0.142-0.224) respectively. CONCLUSIONS The results of this study are promising and suggest that an enriched sound environment is beneficial for patients with post-stroke aphasia since the recovery rate is higher when standard care was combined with daily music listening.
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Affiliation(s)
| | - George Fotakopoulos
- Department of Neurosurgery, General Hospital of Pyrgos 'Andreas Papandreou', Sintriada, 27100, Pyrgos Ilias, Greece. .,, Pyrgos Ilias, Greece.
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Tamplin J, Morris ME, Marigliani C, Baker FA, Noffs G, Vogel AP. ParkinSong: Outcomes of a 12-Month Controlled Trial of Therapeutic Singing Groups in Parkinson’s Disease. JOURNAL OF PARKINSONS DISEASE 2020; 10:1217-1230. [DOI: 10.3233/jpd-191838] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- Jeanette Tamplin
- Faculty of Fine Arts and Music, The University of Melbourne, Southbank, Victoria, VIC, Australia
| | - Meg E. Morris
- School of Allied Health, Human Services & Sport, La Trobe University, Bundoora, Victoria, VIC, Australia
- Healthscope, Victorian Rehabilitation Centre, Glen Waverly, Australia
| | | | - Felicity A. Baker
- Faculty of Fine Arts and Music, The University of Melbourne, Southbank, Victoria, VIC, Australia
- Centre for Music and Health, Norwegian Academy of Music, Oslo, Norway
| | - Gustavo Noffs
- Centre for Neuroscience of Speech, The University of Melbourne, Carlton, Victoria, VIC, Australia
| | - Adam P. Vogel
- Centre for Neuroscience of Speech, The University of Melbourne, Carlton, Victoria, VIC, Australia
- Department of Neurodegeneration, Hertie Institute for Clinical Brain Research, University of Tübingen, Germany & Center for Neurology, University Hospital Tübingen, Germany
- Redenlab, Australia
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38
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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 AND LANGUAGE 2020; 206:104811. [PMID: 32442810 DOI: 10.1016/j.bandl.2020.104811] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/27/2019] [Revised: 03/19/2020] [Accepted: 05/04/2020] [Indexed: 06/11/2023]
Abstract
In addition to cortical lesions, mounting evidence on the links between language and the subcortical regions suggests that subcortical lesions may also lead to the emergence of aphasic symptoms. In this paper, by emphasizing the domain-general function of the basal ganglia in both language and music, we highlight that rhythm processing, the function of temporal prediction, motor programming and execution, is an important shared mechanism underlying the treatment of non-fluent aphasia with music therapy. In support of this, we conduct a literature review on the music therapy treating aphasia. The results show that rhythm processing plays a key role in Melodic Intonation Therapy in the rehabilitation of non-fluent aphasia patients with lesions on the basal ganglia. This paper strengthens the correlation between the basal ganglia lesions and language deficits, and provides support to the direction of taking advantage of rhythm as an important point in music therapy in clinical studies.
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Affiliation(s)
- Edward Ruoyang Shi
- Department of Catalan Philology and General Linguistics, University of Barcelona, Gran Via de Les Corts Catalanes, 585, 08007 Barcelona, Spain
| | - Qing Zhang
- Department of Psychology, Sun Yat-Sen Universtiy, Waihuan East Road, No. 132, Guangzhou 510006, China.
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Sörös P, Schäfer S, Witt K. Model-Based and Model-Free Analyses of the Neural Correlates of Tongue Movements. Front Neurosci 2020; 14:226. [PMID: 32265635 PMCID: PMC7105808 DOI: 10.3389/fnins.2020.00226] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2019] [Accepted: 03/02/2020] [Indexed: 12/11/2022] Open
Abstract
The tongue performs movements in all directions to subserve its diverse functions in chewing, swallowing, and speech production. Using task-based functional MRI in a group of 17 healthy young participants, we studied (1) potential differences in the cerebral control of frontal (protrusion), horizontal (side to side), and vertical (elevation) tongue movements and (2) inter-individual differences in tongue motor control. To investigate differences between different tongue movements, we performed voxel-wise multiple linear regressions. To investigate inter-individual differences, we applied a novel approach, spatio-temporal filtering of independent components. For this approach, individual functional data were decomposed into spatially independent components and corresponding time courses using independent component analysis. A temporal filter (correlation with the expected brain response) was used to identify independent components time-locked to the tongue motor tasks. A spatial filter (cross-correlation with established neurofunctional systems) was used to identify brain activity not time-locked to the tasks. Our results confirm the importance of an extended bilateral cortical and subcortical network for the control of tongue movements. Frontal (protrusion) tongue movements, highly overlearned movements related to speech production, showed less activity in the frontal and parietal lobes compared to horizontal (side to side) and vertical (elevation) movements and greater activity in the left frontal and temporal lobes compared to vertical movements (cluster-forming threshold of Z > 3.1, cluster significance threshold of p < 0.01, corrected for multiple comparisons). The investigation of inter-individual differences revealed a component representing the tongue primary sensorimotor cortex time-locked to the task in all participants. Using the spatial filter, we found the default mode network in 16 of 17 participants, the left fronto-parietal network in 16, the right fronto-parietal network in 8, and the executive control network in four participants (Pearson's r > 0.4 between neurofunctional systems and individual components). These results demonstrate that spatio-temporal filtering of independent components allows to identify individual brain activity related to a specific task and also structured spatiotemporal processes representing known neurofunctional systems on an individual basis. This novel approach may be useful for the assessment of individual patients and results may be related to individual clinical, behavioral, and genetic information.
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Affiliation(s)
- Peter Sörös
- Neurology, School of Medicine and Health Sciences, University of Oldenburg, Oldenburg, Germany.,Research Center Neurosensory Science, University of Oldenburg, Oldenburg, Germany
| | - Sarah Schäfer
- Neurology, School of Medicine and Health Sciences, University of Oldenburg, Oldenburg, Germany
| | - Karsten Witt
- Neurology, School of Medicine and Health Sciences, University of Oldenburg, Oldenburg, Germany.,Research Center Neurosensory Science, University of Oldenburg, Oldenburg, Germany
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40
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Fronto-temporal theta phase-synchronization underlies music-evoked pleasantness. Neuroimage 2020; 212:116665. [PMID: 32087373 DOI: 10.1016/j.neuroimage.2020.116665] [Citation(s) in RCA: 20] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2019] [Revised: 02/12/2020] [Accepted: 02/17/2020] [Indexed: 01/08/2023] Open
Abstract
Listening to pleasant music engages a complex distributed network including pivotal areas for auditory, reward, emotional and memory processing. On the other hand, frontal theta rhythms appear to be relevant in the process of giving value to music. However, it is not clear to which extent this oscillatory mechanism underlies the brain interactions that characterize music-evoked pleasantness and its related processes. The goal of the present experiment was to study brain synchronization in this oscillatory band as a function of music-evoked pleasantness. EEG was recorded from 25 healthy subjects while they were listening to music and rating the experienced degree of induced pleasantness. By using a multilevel Bayesian approach we found that phase synchronization in the theta band between right temporal and frontal signals increased with the degree of pleasure experienced by participants. These results show that slow fronto-temporal loops play a key role in music-evoked pleasantness.
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41
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Rossi S, Gugler MF, Rungger M, Galvan O, Zorowka PG, Seebacher J. How the Brain Understands Spoken and Sung Sentences. Brain Sci 2020; 10:E36. [PMID: 31936356 PMCID: PMC7017195 DOI: 10.3390/brainsci10010036] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2019] [Revised: 12/19/2019] [Accepted: 01/06/2020] [Indexed: 11/24/2022] Open
Abstract
The present study investigates whether meaning is similarly extracted from spoken and sung sentences. For this purpose, subjects listened to semantically correct and incorrect sentences while performing a correctness judgement task. In order to examine underlying neural mechanisms, a multi-methodological approach was chosen combining two neuroscientific methods with behavioral data. In particular, fast dynamic changes reflected in the semantically associated N400 component of the electroencephalography (EEG) were simultaneously assessed with the topographically more fine-grained vascular signals acquired by the functional near-infrared spectroscopy (fNIRS). EEG results revealed a larger N400 for incorrect compared to correct sentences in both spoken and sung sentences. However, the N400 was delayed for sung sentences, potentially due to the longer sentence duration. fNIRS results revealed larger activations for spoken compared to sung sentences irrespective of semantic correctness at predominantly left-hemispheric areas, potentially suggesting a greater familiarity with spoken material. Furthermore, the fNIRS revealed a widespread activation for correct compared to incorrect sentences irrespective of modality, potentially indicating a successful processing of sentence meaning. The combined results indicate similar semantic processing in speech and song.
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Affiliation(s)
- Sonja Rossi
- ICONE-Innsbruck Cognitive Neuroscience, Department for Hearing, Speech, and Voice Disorders, Medical University of Innsbruck, 6020 Innsbruck, Austria
| | - Manfred F Gugler
- Department for Medical Psychology, Medical University of Innsbruck, 6020 Innsbruck, Austria
| | - Markus Rungger
- Department for Hearing, Speech, and Voice Disorders, Medical University of Innsbruck, 6020 Innsbruck, Austria
| | - Oliver Galvan
- Department for Hearing, Speech, and Voice Disorders, Medical University of Innsbruck, 6020 Innsbruck, Austria
| | - Patrick G Zorowka
- Department for Hearing, Speech, and Voice Disorders, Medical University of Innsbruck, 6020 Innsbruck, Austria
| | - Josef Seebacher
- Department for Hearing, Speech, and Voice Disorders, Medical University of Innsbruck, 6020 Innsbruck, Austria
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42
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Angulo-Perkins A, Concha L. Discerning the functional networks behind processing of music and speech through human vocalizations. PLoS One 2019; 14:e0222796. [PMID: 31600231 PMCID: PMC6786620 DOI: 10.1371/journal.pone.0222796] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2019] [Accepted: 09/06/2019] [Indexed: 01/28/2023] Open
Abstract
A fundamental question regarding music processing is its degree of independence from speech processing, in terms of their underlying neuroanatomy and influence of cognitive traits and abilities. Although a straight answer to that question is still lacking, a large number of studies have described where in the brain and in which contexts (tasks, stimuli, populations) this independence is, or is not, observed. We examined the independence between music and speech processing using functional magnetic resonance imagining and a stimulation paradigm with different human vocal sounds produced by the same voice. The stimuli were grouped as Speech (spoken sentences), Hum (hummed melodies), and Song (sung sentences); the sentences used in Speech and Song categories were the same, as well as the melodies used in the two musical categories. Each category had a scrambled counterpart which allowed us to render speech and melody unintelligible, while preserving global amplitude and frequency characteristics. Finally, we included a group of musicians to evaluate the influence of musical expertise. Similar global patterns of cortical activity were related to all sound categories compared to baseline, but important differences were evident. Regions more sensitive to musical sounds were located bilaterally in the anterior and posterior superior temporal gyrus (planum polare and temporale), the right supplementary and premotor areas, and the inferior frontal gyrus. However, only temporal areas and supplementary motor cortex remained music-selective after subtracting brain activity related to the scrambled stimuli. Speech-selective regions mainly affected by intelligibility of the stimuli were observed on the left pars opecularis and the anterior portion of the medial temporal gyrus. We did not find differences between musicians and non-musicians Our results confirmed music-selective cortical regions in associative cortices, independent of previous musical training.
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Affiliation(s)
- Arafat Angulo-Perkins
- Instituto de Neurobiología, Universidad Nacional Autónoma de México, Querétaro, Querétaro, México
- Department of Cognitive Biology, Faculty of Life Sciences, University of Vienna, Vienna, Austria
| | - Luis Concha
- Instituto de Neurobiología, Universidad Nacional Autónoma de México, Querétaro, Querétaro, México
- International Laboratory for Brain, Music and Sound (BRAMS), Montreal, Québec, Canada
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43
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Spak D, Card E. Music, Movement, and Mind: Use of Drumming to Improve Strength, Balance, Proprioception, Stamina, Coordination, and Emotional Status in a 12-Year-Old With Agenesis of the Corpus Callosum: A Case Study. J Holist Nurs 2019; 38:186-192. [PMID: 31475604 DOI: 10.1177/0898010119871380] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
The purpose of this article is to report a case study of the effect of therapeutic drumming on motor, communication skills, and behavior of a preteen diagnosed with agenesis of the corpus callosum. This 12-year-old participated in 30- to 45-minute weekly sessions over a 12-month period in which rudimentary drumming exercises were used to analyze and then measure any changes in equilibrium reactions, postural transfers, and trunk control. Measurable documentation evidenced marked improvement in motor skills while suggesting communication and behavioral improvement. The findings support the theory that therapeutic drumming would benefit preteens with agenesis of the corpus callosum, which provides promising evidence to other neurologic developmental diagnoses and therefore indicates a need for further research. While the therapeutic nature of music is well documented, how the listener participates can influence the effect of the music. For example, passive music listening can improve pain or anxiety, however, active music listening with expected intentional action may improve physical, mental, behavioral, and spiritual healing. Active music listening could be a valuable holistic nursing intervention.
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44
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Sihvonen AJ, Särkämö T, Rodríguez-Fornells A, Ripollés P, Münte TF, Soinila S. Neural architectures of music - Insights from acquired amusia. Neurosci Biobehav Rev 2019; 107:104-114. [PMID: 31479663 DOI: 10.1016/j.neubiorev.2019.08.023] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2019] [Revised: 08/27/2019] [Accepted: 08/29/2019] [Indexed: 12/27/2022]
Abstract
The ability to perceive and produce music is a quintessential element of human life, present in all known cultures. Modern functional neuroimaging has revealed that music listening activates a large-scale bilateral network of cortical and subcortical regions in the healthy brain. Even the most accurate structural studies do not reveal which brain areas are critical and causally linked to music processing. Such questions may be answered by analysing the effects of focal brain lesions in patients´ ability to perceive music. In this sense, acquired amusia after stroke provides a unique opportunity to investigate the neural architectures crucial for normal music processing. Based on the first large-scale longitudinal studies on stroke-induced amusia using modern multi-modal magnetic resonance imaging (MRI) techniques, such as advanced lesion-symptom mapping, grey and white matter morphometry, tractography and functional connectivity, we discuss neural structures critical for music processing, consider music processing in light of the dual-stream model in the right hemisphere, and propose a neural model for acquired amusia.
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Affiliation(s)
- Aleksi J Sihvonen
- Department of Neurosciences, University of Helsinki, Finland; Cognitive Brain Research Unit, Department of Psychology and Logopedics, University of Helsinki, Finland.
| | - Teppo Särkämö
- Cognitive Brain Research Unit, Department of Psychology and Logopedics, University of Helsinki, Finland
| | - Antoni Rodríguez-Fornells
- Department of Cognition, University of Barcelona, Cognition & Brain Plasticity Unit, Bellvitge Biomedical Research Institute (IDIBELL), Institució Catalana de recerca i Estudis Avançats (ICREA), Barcelona, Spain
| | - Pablo Ripollés
- Department of Psychology, New York University and Music and Audio Research Laboratory, New York University, USA
| | - Thomas F Münte
- Department of Neurology and Institute of Psychology II, University of Lübeck, Germany
| | - Seppo Soinila
- Division of Clinical Neurosciences, Turku University Hospital, Department of Neurology, University of Turku, Finland
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Leo V, Sihvonen AJ, Linnavalli T, Tervaniemi M, Laine M, Soinila S, Särkämö T. Cognitive and neural mechanisms underlying the mnemonic effect of songs after stroke. NEUROIMAGE-CLINICAL 2019; 24:101948. [PMID: 31419766 PMCID: PMC6706631 DOI: 10.1016/j.nicl.2019.101948] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/20/2018] [Revised: 04/05/2019] [Accepted: 07/19/2019] [Indexed: 01/28/2023]
Abstract
Sung melody provides a mnemonic cue that can enhance the acquisition of novel verbal material in healthy subjects. Recent evidence suggests that also stroke patients, especially those with mild aphasia, can learn and recall novel narrative stories better when they are presented in sung than spoken format. Extending this finding, the present study explored the cognitive mechanisms underlying this effect by determining whether learning and recall of novel sung vs. spoken stories show a differential pattern of serial position effects (SPEs) and chunking effects in non-aphasic and aphasic stroke patients (N = 31) studied 6 months post-stroke. The structural neural correlates of these effects were also explored using voxel-based morphometry (VBM) and deterministic tractography (DT) analyses of structural MRI data. Non-aphasic patients showed more stable recall with reduced SPEs in the sung than spoken task, which was coupled with greater volume and integrity (indicated by fractional anisotropy, FA) of the left arcuate fasciculus. In contrast, compared to non-aphasic patients, the aphasic patients showed a larger recency effect (better recall of the last vs. middle part of the story) and enhanced chunking (larger units of correctly recalled consecutive items) in the sung than spoken task. In aphasics, the enhanced chunking and better recall on the middle verse in the sung vs. spoken task correlated also with better ability to perceive emotional prosody in speech. Neurally, the sung > spoken recency effect in aphasic patients was coupled with greater grey matter volume in a bilateral network of temporal, frontal, and parietal regions and also greater volume of the right inferior fronto-occipital fasciculus (IFOF). These results provide novel cognitive and neurobiological insight on how a repetitive sung melody can function as a verbal mnemonic aid after stroke. Non-aphasic stroke patients show more stable recall of sung than spoken stories. Aphasic patients show larger recency and chunking effects to sung vs. spoken stories. The left dorsal pathway mediates better recall of sung stories in non-aphasics. The right ventral pathway mediates better recall of sung stories in aphasics. Large-scale bilateral cortical networks are linked to musical mnemonics in aphasia.
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Affiliation(s)
- Vera Leo
- Cognitive Brain Research Unit, Department of Psychology and Logopedics, Faculty of Medicine, University of Helsinki, Finland
| | - Aleksi J Sihvonen
- Cognitive Brain Research Unit, Department of Psychology and Logopedics, Faculty of Medicine, University of Helsinki, Finland; Department of Neurosciences, Faculty of Medicine, University of Helsinki, Finland
| | - Tanja Linnavalli
- Cognitive Brain Research Unit, Department of Psychology and Logopedics, Faculty of Medicine, University of Helsinki, Finland
| | - Mari Tervaniemi
- Cognitive Brain Research Unit, Department of Psychology and Logopedics, Faculty of Medicine, University of Helsinki, Finland; CICERO Learning, University of Helsinki, Finland
| | - Matti Laine
- Department of Psychology, Åbo Akademi University, Turku, Finland
| | - Seppo Soinila
- Division of Clinical Neurosciences, Turku University Hospital, Department of Neurology, University of Turku, Finland
| | - Teppo Särkämö
- Cognitive Brain Research Unit, Department of Psychology and Logopedics, Faculty of Medicine, University of Helsinki, Finland.
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46
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Wang W, Wei L, Chen N, Jones JA, Gong G, Liu H. Decreased Gray-Matter Volume in Insular Cortex as a Correlate of Singers' Enhanced Sensorimotor Control of Vocal Production. Front Neurosci 2019; 13:815. [PMID: 31427924 PMCID: PMC6688740 DOI: 10.3389/fnins.2019.00815] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2019] [Accepted: 07/22/2019] [Indexed: 01/01/2023] Open
Abstract
Accumulating evidence has shown enhanced sensorimotor control of vocal production as a consequence of extensive singing experience. The neural basis of this ability, however, is poorly understood. Given that the insula mediates motor aspects of vocal production, the present study investigated structural plasticity in insula induced by singing experience and its link to auditory feedback control of vocal production. Voxel-based morphometry (VBM) was used to examine the differences in gray matter (GM) volume in the insula of 21 singers and 21 non-singers. An auditory feedback perturbation paradigm was used to examine the differences in auditory-motor control of vocal production between singers and non-singers. Both groups vocalized sustained vowels while hearing their voice unexpectedly pitch-shifted −50 or −200 cents (200 ms duration). VBM analyses showed that singers exhibited significantly lower GM volumes in the bilateral insula than non-singers. When exposed to pitch perturbations in voice auditory feedback, singers involuntarily compensated for pitch perturbations in voice auditory feedback to a significantly lesser degree than non-singers. Moreover, across the two sizes of pitch perturbations, the magnitudes of vocal compensations were positively correlated with the total regional GM volumes in the bilateral insula. These results indicate that extensive singing training leads to decreased GM volumes in insula and suggest that morphometric plasticity in insula contributes to the enhanced sensorimotor control of vocal production observed in singers.
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Affiliation(s)
- Wenda Wang
- Department of Rehabilitation Medicine, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.,Department of Rehabilitation, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China
| | - Lirao Wei
- Department of Music, Guangdong University of Education, Guangzhou, China
| | - Na Chen
- Department of Rehabilitation, Zhujiang Hospital, Southern Medical University, Guangzhou, China
| | - Jeffery A Jones
- Psychology Department and Laurier Centre for Cognitive Neuroscience, Wilfrid Laurier University, Waterloo, ON, Canada
| | - Gaolang Gong
- State Key Laboratory of Cognitive Neuroscience and Learning and IDG/McGovern Institute for Brain Research, Beijing Normal University, Beijing, China
| | - Hanjun Liu
- Department of Rehabilitation Medicine, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.,Guangdong Provincial Key Laboratory of Brain Function and Disease, Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou, China
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47
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Schlaug G. Even when right is all that's left: There are still more options for recovery from aphasia. Ann Neurol 2019; 83:661-663. [PMID: 29573028 DOI: 10.1002/ana.25217] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2018] [Accepted: 03/19/2018] [Indexed: 11/07/2022]
Affiliation(s)
- Gottfried Schlaug
- Department of Neurology; Division of Stroke Recovery and Neurorestoration, and Division of Cerebrovascular Diseases, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA
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48
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Tamplin J, Morris ME, Marigliani C, Baker FA, Vogel AP. ParkinSong: A Controlled Trial of Singing-Based Therapy for Parkinson’s Disease. Neurorehabil Neural Repair 2019; 33:453-463. [DOI: 10.1177/1545968319847948] [Citation(s) in RCA: 23] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Background. Communication impairment is one of the most common symptoms of Parkinson’s disease (PD), significantly affecting quality of life. Singing shares many of the neural networks and structural mechanisms used during speech and, thus, has potential for therapeutic application to address speech disorders. Objective. To explore the effects of an interdisciplinary singing-based therapeutic intervention (ParkinSong) on voice and communication in people with PD. Methods. A controlled trial compared the effects of the ParkinSong intervention with an active control condition at 2 dosage levels (weekly vs monthly) over 3 months, on voice, speech, respiratory strength, and voice-related quality-of-life outcomes for 75 people living with PD. The interdisciplinary ParkinSong model comprised high-effort vocal and respiratory tasks, speech exercises, group singing, and social communication opportunities. Results. ParkinSong intervention participants demonstrated significant improvements in vocal intensity ( P = .018), maximum expiratory pressure ( P = .032), and voice-related quality of life ( P = .043) in comparison to controls. Weekly ParkinSong participants increased vocal intensity more than monthly participants ( P = .011). Vocal intensity declined in nontreatment control groups. No statistical differences between groups on maximum phonation length or maximum inspiratory pressure were observed at 3 months. Conclusions. ParkinSong is an engaging intervention with the potential to increase loudness and respiratory function in people with mild to moderately severe PD.
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Affiliation(s)
| | - Meg E. Morris
- La Trobe University, Bundoora, Victoria, Australia
- Healthscope, Australia
| | | | | | - Adam P. Vogel
- The University of Melbourne, Melbourne, Victoria, Australia
- University of Tübingen and University Hospital Tübingen, Germany
- Redenlab, Australia
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Finkel S, Veit R, Lotze M, Friberg A, Vuust P, Soekadar S, Birbaumer N, Kleber B. Intermittent theta burst stimulation over right somatosensory larynx cortex enhances vocal pitch-regulation in nonsingers. Hum Brain Mapp 2019; 40:2174-2187. [PMID: 30666737 PMCID: PMC6865578 DOI: 10.1002/hbm.24515] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2018] [Revised: 12/06/2018] [Accepted: 01/07/2019] [Indexed: 02/02/2023] Open
Abstract
While the significance of auditory cortical regions for the development and maintenance of speech motor coordination is well established, the contribution of somatosensory brain areas to learned vocalizations such as singing is less well understood. To address these mechanisms, we applied intermittent theta burst stimulation (iTBS), a facilitatory repetitive transcranial magnetic stimulation (rTMS) protocol, over right somatosensory larynx cortex (S1) and a nonvocal dorsal S1 control area in participants without singing experience. A pitch-matching singing task was performed before and after iTBS to assess corresponding effects on vocal pitch regulation. When participants could monitor auditory feedback from their own voice during singing (Experiment I), no difference in pitch-matching performance was found between iTBS sessions. However, when auditory feedback was masked with noise (Experiment II), only larynx-S1 iTBS enhanced pitch accuracy (50-250 ms after sound onset) and pitch stability (>250 ms after sound onset until the end). Results indicate that somatosensory feedback plays a dominant role in vocal pitch regulation when acoustic feedback is masked. The acoustic changes moreover suggest that right larynx-S1 stimulation affected the preparation and involuntary regulation of vocal pitch accuracy, and that kinesthetic-proprioceptive processes play a role in the voluntary control of pitch stability in nonsingers. Together, these data provide evidence for a causal involvement of right larynx-S1 in vocal pitch regulation during singing.
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Affiliation(s)
- Sebastian Finkel
- Institute of Medical Psychology and Behavioral NeurobiologyEberhard Karls University TübingenTübingenGermany
| | - Ralf Veit
- Institute of Medical Psychology and Behavioral NeurobiologyEberhard Karls University TübingenTübingenGermany
| | - Martin Lotze
- Functional Imaging Unit; Center for Diagnostic Radiology and NeuroradiologyUniversity of GreifswaldGreifswaldGermany
| | - Anders Friberg
- Department of Speech, Music and HearingKTH Royal Institute of TechnologyStockholmSweden
| | - Peter Vuust
- Center for Music in the Brain, Department of Clinical MedicineAarhus UniversityAarhusDenmark
| | - Surjo Soekadar
- Department of Psychiatry and Psychotherapy and Neuroscience Research Center (NWFZ)Charité Campus Mitte (CCM)BerlinGermany
- Department of Psychiatry and PsychotherapyUniversity Hospital of TübingenTübingenGermany
| | - Niels Birbaumer
- Institute of Medical Psychology and Behavioral NeurobiologyEberhard Karls University TübingenTübingenGermany
- Wyss Center for Bio and NeuroengineeringGenevaSwitzerland
| | - Boris Kleber
- Institute of Medical Psychology and Behavioral NeurobiologyEberhard Karls University TübingenTübingenGermany
- Center for Music in the Brain, Department of Clinical MedicineAarhus UniversityAarhusDenmark
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Langhammer B, Sagbakken M, Kvaal K, Ulstein I, Nåden D, Rognstad MK. Music Therapy and Physical Activity to Ease Anxiety, Restlessness, Irritability, and Aggression in Individuals With Dementia With Signs of Frontotemporal Lobe Degeneration. J Psychosoc Nurs Ment Health Serv 2019; 57:29-37. [PMID: 30753735 DOI: 10.3928/02793695-20190124-02] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2018] [Accepted: 09/14/2018] [Indexed: 11/20/2022]
Abstract
The purpose of the current study was to evaluate whether a combined intervention of physical activity and music therapy could reduce anxiety, restlessness, irritability, and aggression among individuals with severe dementia. An exploratory design was used to evaluate a combined intervention of physical activity, music therapy, and daily walking. Interventions were systematically implemented for 8 weeks. Target groups were individuals with dementia with frontal lobe symptoms in institutional care. Primary outcome measure was the Brøset Violence Checklist (BVC). Four men and two women (mean age = 84.3 years) and their primary caretakers (n = 6) participated. The most prominent symptoms among participants at baseline were confusion, irritability, and verbal threats. The individual BVC total scores indicated significant improvements (p = 0.03). Implementation of individualized music therapy combined with increased physical activity for 8 weeks was a feasible intervention that reduced anxiety, restlessness, irritability, and aggression in the current study. [Journal of Psychosocial Nursing and Mental Health Services, 57(5), 29-37.].
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