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Strong KA, Sather TW. "It's not often that people want to hear me talk about my life": Storytelling experiences of people with aphasia in an interdisciplinary songwriting project. INTERNATIONAL JOURNAL OF SPEECH-LANGUAGE PATHOLOGY 2024; 26:737-749. [PMID: 37807482 DOI: 10.1080/17549507.2023.2251724] [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: 10/10/2023]
Abstract
PURPOSE Storytelling is an integral part of human life, providing opportunities for social closeness, relationship development, and identity exploration. Having aphasia can disrupt the ability to convey stories across a variety of settings. Structured songwriting frameworks may provide people with aphasia an opportunity to successfully engage in this medium for storytelling. METHOD Three individuals with aphasia participated in a structured songwriting intervention modified to support individuals with aphasia. Each participant-songwriter co-constructed three songs about their life in collaboration with an interdisciplinary team. Data about the songwriting process were collected via individual semi-structured qualitative interview and analysed using interpretative phenomenological analysis to identify superordinate themes and subthemes. RESULT The overarching superordinate theme related to the process itself as a catalyst that occurred as a result of participating in a songwriting intervention modified for individuals with aphasia. Three subthemes were identified: (a) relationship-centred experience, (b) engagement in meaningful activities, and (c) identity exploration. CONCLUSION Songwriting may provide meaningful opportunities for people with aphasia to experience the power of sharing stories about themselves. Key components of this experience aligned with the core elements of the positive psychology PERMA (Positive Emotion, Engagement, Relationships, Meaning, and Accomplishments) framework. Findings support incorporating storytelling through songwriting into the rehabilitation journey for individuals with aphasia.
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Affiliation(s)
- Katie A Strong
- Department of Communication Sciences and Disorders, Central Michigan University, Mt Pleasant, MI, USA
| | - Thomas W Sather
- Department of Communication Sciences and Disorders, University of Wisconsin - Eau Claire, Eau Claire, WI, USA
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Wang M, Ni J, Lin B, Huang J. Clinical efficacy and therapeutic mechanism of active 'five-tone' speech therapy compared with conventional speech-language therapy for treatment of post-stroke aphasia: protocol for a randomised controlled trial. BMJ Open 2024; 14:e082282. [PMID: 39317495 PMCID: PMC11423722 DOI: 10.1136/bmjopen-2023-082282] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/19/2023] [Accepted: 09/09/2024] [Indexed: 09/26/2024] Open
Abstract
INTRODUCTION Aphasia is a common dysfunction among patients with stroke that can severely affect daily life. Listening to the 'five-tone' melodies of traditional Chinese medicine can improve some of the language functions of patients with post-stroke aphasia; however, passive listening may limit its clinical efficacy. In this study, we transform the passive listening five-tone melodic therapy of traditional Chinese medicine into an active five-tone speech therapy. This randomised controlled trial aims to investigate the clinical efficacy of active five-tone speech therapy in the treatment of post-stroke aphasia, such as language function, daily communication ability and communication efficiency, as well as investigate the therapeutic mechanism of this innovative therapy by electroencephalogram and MRI. METHODS AND ANALYSIS The study is a multicentric, randomised, parallel-assignment, single-blind treatment study. 70 participants will be recruited from the Rehabilitation Hospital Affiliated to Fujian University of Traditional Chinese Medicine and the Third People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine and randomly assigned to two groups, the five-tone speech therapy group and the control group, at a 1:1 ratio. The control group will receive 20 sessions of conventional speech-language therapy, while the five-tone speech therapy group will receive 20 sessions of five-tone speech therapy in addition to conventional speech-language therapy. The primary outcome measure for this study will be the score on Western Aphasia Battery. Secondary outcomes include communicative abilities in daily living, percentage of correct information units and correct information units per minute, as well as resting-state electroencephalogram, event-related potentials and MRI data. All outcomes will be evaluated at 0 weeks (before intervention) and at 4 weeks (after 20 intervention sessions). ETHICS AND DISSEMINATION Ethical approval of this study was granted by the ethics committees of the Rehabilitation Hospital Affiliated to Fujian University of Traditional Chinese Medicine (2023KY-009-01) and the Third People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine (2023-kl-010). Recruitment commenced on 24 April 2023. Informed consent will be obtained from all participants of the trial (or from their legal guardians, where applicable). The outcomes of the trial will be disseminated through peer-reviewed publications. TRIAL REGISTRATION NUMBER ChiCTR2300069257.
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Affiliation(s)
- Mengxue Wang
- Fujian University of Traditional Chinese Medicine, Fuzhou, China
| | - Jinglei Ni
- Fujian University of Traditional Chinese Medicine, Fuzhou, China
| | - Bingbing Lin
- Fujian University of Traditional Chinese Medicine, Fuzhou, China
| | - Jia Huang
- Fujian University of Traditional Chinese Medicine, Fuzhou, China
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Ong A, Namasivayam-MacDonald A, Kim S, Werden Abrams S. The use of music and music-related elements in speech-language therapy interventions for adults with neurogenic communication impairments: A scoping review. INTERNATIONAL JOURNAL OF LANGUAGE & COMMUNICATION DISORDERS 2024. [PMID: 39169848 DOI: 10.1111/1460-6984.13104] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/03/2024] [Accepted: 07/28/2024] [Indexed: 08/23/2024]
Abstract
BACKGROUND A growing body of research indicates that music-based interventions show promising results for adults with a wide range of speech, language and communication disorders. AIMS The purpose of this scoping review is to summarize the evidence on how speech-language therapists (SLTs) use music and music-related elements in therapeutic interventions for adults with acquired neurogenic communication impairments. METHODS This scoping review was completed using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews guidelines. A systematic search of three databases (Allied and Complementary Medicine Database, Cumulative Index to Nursing and Allied Health Literature and OVID Medline) was conducted and articles were included if they (1) incorporated adult human participants; (2) received an assessment or intervention facilitated by an SLT; (3) incorporated techniques and interventions which included music-related elements (e.g., rhythm, melody, harmony and dynamics); (4) were written in the English language; and (5) were peer-reviewed full-text articles. Data were extracted using the Rehabilitation Treatment Specification System framework. MAIN CONTRIBUTION A total of 25 studies met the inclusion criteria. The studies included participants with neurogenic communication impairments secondary to stroke, Parkinson's disease, dementia and traumatic brain injury. Musical interventions identified in the studies were Melodic Intonation Therapy, Modified Melodic Intonation Therapy, choral singing, singing therapy and songwriting. The majority of the studies reported interprofessional collaboration between SLTs and at least one other healthcare clinician and/or musician. Many studies also included music-based interventions lead and facilitated by musically trained SLTs. CONCLUSION The results of the studies included in this review indicate that SLTs are using music-based interventions to target therapeutic goals to improve speech, language, voice and quality of life in collaboration with other clinicians and professional musicians. WHAT THIS PAPER ADDS What is already known on this subject A growing body of research indicates that interventions using music (i.e., choirs and songwriting) and musical elements (i.e., rhythm and dynamics) show promising results for adults with neurogenic communication impairments. Currently, however, there is no clear indication of how speech-language therapists (SLTs) are using music in their clinical practice. What this study adds This scoping review collates the current evidence on how SLTs use music and musical elements in their clinical practice. SLTs are using music and musical elements for individuals with neurogenic communication impairments in populations such as Parkinson's disease, dementia and traumatic brain injury. Common interventions described in the literature include Melodic Intonation Therapy, choral singing, singing therapy and songwriting. What are the clinical implications of this work? Many SLTs collaborate when delivering music-based interventions, particularly with music therapists (MTs). This scoping review suggests that SLTs should continue to explore music-based interventions in collaboration with MTs and professional musicians to target therapeutic goals to improve speech, language, voice and quality of life.
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Affiliation(s)
- Antonette Ong
- Institute for Applied Health Sciences, School of Rehabilitation Science, McMaster University, Hamilton, Ontario, Canada
| | - Ashwini Namasivayam-MacDonald
- Institute for Applied Health Sciences, School of Rehabilitation Science, McMaster University, Hamilton, Ontario, Canada
| | - Sunny Kim
- Institute for Applied Health Sciences, School of Rehabilitation Science, McMaster University, Hamilton, Ontario, Canada
| | - Sophia Werden Abrams
- Institute for Applied Health Sciences, School of Rehabilitation Science, McMaster University, Hamilton, Ontario, Canada
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Gong D, Ye F. Effects of Music Therapy on Aphasia and Cognition of Patients with Post-stroke: A Systematic Review and Meta-analysis. Noise Health 2024; 26:136-141. [PMID: 38904813 DOI: 10.4103/nah.nah_24_24] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2024] [Accepted: 04/24/2024] [Indexed: 06/22/2024] Open
Abstract
PURPOSE This investigation sought to systematically assess music therapy's impact on aphasia and cognition in patients with post-stroke. METHODS Comprehensive searches were performed across major databases, including PubMed, Web of Science, Embase, Cochrane Library, China National Knowledge Infrastructure, and Vip Chinese sci-tech periodicals (VIP), covering publications up to December 2023. After screening and extracting data from the retrieved literature, its quality was appraised, which was followed by a meta-analysis using RevMan software (version 5.4, Cochrane Collaboration, Oxford, UK). RESULTS Nine articles, which were published from 2008 to 2022, were covered in this investigation, comprising 309 stroke patients in total. Meta-analysis results from these variations were found to be not statistically significant in the degree of functional communication improvement between the experimental group and the control group (standardized mean difference [SMD] = 0.23, 95% confidence interval [CI] (-0.19; 0.77), P > 0.05). These variations were found to be not statistically significant in the improvement of understanding ability in the experimental group compared with that in the control group (SMD = 0.21, 95% CI [-0.66; 1.09], P > 0.05). The degree of improvement in repetitive ability of the experimental group was considerably greater than that of the control group (SMD = 0.37, 95% CI [0.01; 0.76], P < 0.05). These variations were found to be not statistically significant in the improvement of naming ability in the experimental group compared with that in the control group (SMD = 0.30, 95% CI [-0.19; 0.80], P > 0.05). The cognitive score of the experimental group was considerably greater than that of the control group (SMD = 0.75, 95% CI [0.44; 1.06], P < 0.05). CONCLUSION Music therapy can effectively ameliorate the repetition ability of patients with aphasia after stroke. It can also improve the cognitive ability of patients. Thus, music therapy could be further applied to treat this type of patients.
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Affiliation(s)
- Dajiao Gong
- Department of Neurology, Zhejiang Hospital Sandun District, Hangzhou City, Zhejiang Province, China
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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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Raglio A, De Maria B, Parati M, Giglietti A, Premoli S, Salvaderi S, Molteni D, Ferrante S, Dalla Vecchia LA. Movement Sonification Techniques to Improve Balance in Parkinson's Disease: A Pilot Randomized Controlled Trial. Brain Sci 2023; 13:1586. [PMID: 38002546 PMCID: PMC10670131 DOI: 10.3390/brainsci13111586] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2023] [Revised: 11/06/2023] [Accepted: 11/11/2023] [Indexed: 11/26/2023] Open
Abstract
BACKGROUND Movement sonification has been recently introduced into the field of neuromotor rehabilitation alongside Neurologic Music Therapy and music-based interventions. This study introduces the use of musical auditory cues encompassing the melodic-harmonic aspect of music. METHODS Nineteen patients with Parkinson's disease were randomly assigned to the experimental (n = 10) and control (n = 9) groups and underwent thrice-weekly sessions of the same gait training program, with or without sonification. Functional and motor parameters, as well as fatigue, quality of life, and the impact of intervention on patients' well-being, were assessed at baseline (PRE), the end of treatment (POST), and at follow-up (FU). Between-group differences were assessed for each outcome measure using linear mixed-effects models. The outcome measure was entered as the dependent variable, group and time as fixed effects, and time by group as the interaction effect. RESULTS Mini BESTest and Dynamic Gait Index scores significantly improved in the experimental group (p = 0.01 and p = 0.03, respectively) from PRE to FU, demonstrating a significant impact of the sonification treatment on balance. No other significant differences were observed in the outcome measures. CONCLUSIONS Larger sample sizes are needed to confirm the effectiveness of sonification approaches in Parkinson's disease, as well as in other neurological disorders.
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Affiliation(s)
- Alfredo Raglio
- Istituti Clinici Scientifici Maugeri IRCCS, 27100 Pavia, Italy;
| | - Beatrice De Maria
- Istituti Clinici Scientifici Maugeri IRCCS, 20138 Milan, Italy; (B.D.M.); (M.P.); (L.A.D.V.)
| | - Monica Parati
- Istituti Clinici Scientifici Maugeri IRCCS, 20138 Milan, Italy; (B.D.M.); (M.P.); (L.A.D.V.)
| | - Andrea Giglietti
- Istituti Clinici Scientifici Maugeri IRCCS, 20851 Lissone, Italy; (A.G.); (S.P.); (S.S.)
| | - Stefano Premoli
- Istituti Clinici Scientifici Maugeri IRCCS, 20851 Lissone, Italy; (A.G.); (S.P.); (S.S.)
| | - Stefano Salvaderi
- Istituti Clinici Scientifici Maugeri IRCCS, 20851 Lissone, Italy; (A.G.); (S.P.); (S.S.)
| | - Daniele Molteni
- Istituti Clinici Scientifici Maugeri IRCCS, 27100 Pavia, Italy;
| | - Simona Ferrante
- Department of Electronics, Information and Bioengineering, Politecnico di Milano, 20133 Milan, Italy;
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Xu C, He Z, Shen Z, Huang F. Potential Benefits of Music Therapy on Stroke Rehabilitation. OXIDATIVE MEDICINE AND CELLULAR LONGEVITY 2022; 2022:9386095. [PMID: 35757506 PMCID: PMC9217607 DOI: 10.1155/2022/9386095] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/26/2022] [Revised: 05/15/2022] [Accepted: 05/24/2022] [Indexed: 11/17/2022]
Abstract
Stroke is associated with a high rate of disability and mortality, and survivors are usually accompanied with dysphagia, aphasia, motor dysfunction, cognitive impairment, depression, and other complications. In the past decades, many studies have been conducted to reveal the pathogenesis and pathological mechanisms of stroke. Furthermore, treatment methods have been developed that contribute to the elevated survival rate of stroke patients. Early rehabilitation poststroke is starting to be recognized as important and has been receiving increasing attention in order to further improve the quality of life of the patients. As an emerging method of poststroke rehabilitation, music therapy can help attenuate dysphagia and aphasia, improve cognition and motor function, alleviate negative moods, and accelerate neurological recovery in stroke patients. This review helps summarize the recent progress that has been made using music therapy in stroke rehabilitation and is aimed at providing clinical evidence for the treatment of stroke patients.
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Affiliation(s)
- Chengyan Xu
- Department of Neurosurgery, The Children's Hospital Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, China
| | - Zixia He
- Department of Outpatient, The Children's Hospital Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, China
| | - Zhipeng Shen
- Department of Neurosurgery, The Children's Hospital Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, China
| | - Fei Huang
- Department of Science and Education, Hangzhou Women's Hospital, Hangzhou Maternity and Child Health Care Hospital, Hangzhou, China
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Ruotsalainen J, Carlson E, Erkkilä J. Rhythmic exercises as tools for rehabilitation following cerebellar stroke: A case study integrating music therapy and physiotherapy techniques. NORDIC JOURNAL OF MUSIC THERAPY 2022. [DOI: 10.1080/08098131.2022.2026452] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- Jaana Ruotsalainen
- Department of Music, Arts and Culture, University of Jyväskylä, Jyväskylä, Finland
| | - Emily Carlson
- Department of Music, Arts and Culture, University of Jyväskylä, Jyväskylä, Finland
| | - Jaakko Erkkilä
- Department of Music, Arts and Culture, University of Jyväskylä, Jyväskylä, Finland
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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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Liu Q, Li W, Yin Y, Zhao Z, Yang Y, Zhao Y, Tan Y, Yu J. The effect of music therapy on language recovery in patients with aphasia after stroke: a systematic review and meta-analysis. Neurol Sci 2021; 43:863-872. [PMID: 34816318 DOI: 10.1007/s10072-021-05743-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2021] [Accepted: 11/11/2021] [Indexed: 11/24/2022]
Abstract
OBJECTIVE The aim of this meta-analysis was to evaluate the evidence on the effectiveness of music therapy in the recovery of language function in post-stroke aphasia, compared with conventional therapy or no therapy. METHODS We searched studies that explored the effect of music therapy on language function in post-stroke aphasia and published in PubMed, Embase, the Cochrane Library, Web of Science, CINAHL, ProQuest Digital Dissertations, and ClinicalTrials.gov from inception to March 2021. Six reviewers independently screened out eligible studies, extracted data, and evaluated the methodological quality. Results were pooled using mean difference (MD) with 95% confidence interval (CI). Heterogeneity was assessed by the chi-square test and I2 statistic. RESULTS Six studies were included in this meta-analysis involving 115 patients. The methodological quality of these studies ranged from poor to excellent. There was significant mean difference in functional communication for post-stroke aphasia by 1.45 (95% CI: 0.24, 2.65; P = 0.02, from poor to excellent evidence), in repetition by 6.49 (95% CI: 0.97, 12.00; P = 0.02, from acceptable to excellent evidence), and in naming by 11.44 (95% CI: 1.63, 21.26; P = 0.02, from acceptable to excellent evidence). But there was no significant difference in comprehension for post-stroke aphasia by 7.21 (95% CI: - 10.88, 25.29; P = 0.43, from acceptable to excellent evidence). CONCLUSIONS Music therapy can improve functional communication, repetition, and naming in patients with post-stroke aphasia, but did not significantly improve comprehension. TRIAL REGISTRATION CRD42021251526.
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Affiliation(s)
- Qingqing Liu
- Graduate School of Hebei Medical University, Shijiazhuang, 050000, China
| | - Weibo Li
- Department of Gastrointestinal Surgery, the Second Hospital of Hebei Medical University, Shijiazhuang, 050000, China
| | - Yu Yin
- Graduate School of Hebei Medical University, Shijiazhuang, 050000, China. .,Rehabilitation Department, Hebei General Hospital, Shijiazhuang, 050000, China.
| | - Zhenbiao Zhao
- Rehabilitation Department, Hebei General Hospital, Shijiazhuang, 050000, China
| | - Yuhui Yang
- Rehabilitation Department, Hebei General Hospital, Shijiazhuang, 050000, China
| | - Yue Zhao
- Graduate School of Hebei Medical University, Shijiazhuang, 050000, China
| | - Yafei Tan
- Graduate School of Hebei Medical University, Shijiazhuang, 050000, China
| | - Jing Yu
- Graduate School of Hebei Medical University, Shijiazhuang, 050000, China
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11
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Huang YA, Wang YH, Hou WH, Kang YN. Melodic intonation therapy may improve repetition in non-fluent aphasia after stroke. Psychogeriatrics 2021; 21:850-851. [PMID: 34318562 DOI: 10.1111/psyg.12744] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/04/2021] [Accepted: 06/20/2021] [Indexed: 12/01/2022]
Affiliation(s)
- Yi-Ai Huang
- Division of Speech Therapy, Department of Physical Medicine and Rehabilitation, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan
| | - Ya-Hui Wang
- Division of Speech Therapy, Department of Physical Medicine and Rehabilitation, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan
| | - Wen-Hsuan Hou
- Master Program in Long-Term Care, College of Nursing, Taipei Medical University, Taipei, Taiwan.,Department of Physical Medicine and Rehabilitation, Taipei Medical University Hospital, Taipei, Taiwan.,Research Center of Big Data and Meta-Analysis, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan.,Department of Geriatric Medicine, Taipei Medical University Hospital, Taipei, Taiwan
| | - Yi-No Kang
- Research Center of Big Data and Meta-Analysis, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan.,Evidence-Based Medicine Center, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan.,Cochrane Taiwan, Taipei Medical University, Taipei, Taiwan.,Institute of Health Policy & Management, College of Public Health, National Taiwan University, Taipei, Taiwan
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12
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Chatterjee D, Hegde S, Thaut M. Neural plasticity: The substratum of music-based interventions in neurorehabilitation. NeuroRehabilitation 2021; 48:155-166. [PMID: 33579881 DOI: 10.3233/nre-208011] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
BACKGROUND The plastic nature of the human brain lends itself to experience and training-based structural changes leading to functional recovery. Music, with its multimodal activation of the brain, serves as a useful model for neurorehabilitation through neuroplastic changes in dysfunctional or impaired networks. Neurologic Music Therapy (NMT) contributes to the field of neurorehabilitation using this rationale. OBJECTIVE The purpose of this article is to present a discourse on the concept of neuroplasticity and music-based neuroplasticity through the techniques of NMT in the domain of neurological rehabilitation. METHODS The article draws on observations and findings made by researchers in the areas of neuroplasticity, music-based neuroplastic changes, NMT in neurological disorders and the implication of further research in this field. RESULTS A commentary on previous research reveal that interventions based on the NMT paradigm have been successfully used to train neural networks using music-based tasks and paradigms which have been explained to have cross-modal effects on sensorimotor, language and cognitive and affective functions. CONCLUSIONS Multimodal gains using music-based interventions highlight the brain plasticity inducing function of music. Individual differences do play a predictive role in neurological gains associated with such interventions. This area deserves further exploration and application-based studies.
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Affiliation(s)
- Diya Chatterjee
- Senior Research Fellow, Music Cognition Laboratory, Department of Clinical Psychology, NIMHANS, India
| | - Shantala Hegde
- Associate Professor and Wellcome DBT India Alliance Intermediate Fellow, Clinical Neuropsychology and Cognitive Neurosciences Center and Music Cognition Laboratory, Department of Clinical Psychology, National Institute of Mental Health and Neuro Sciences, Bengaluru, India
| | - Michael Thaut
- Music and Health Science Research Collaboratory and Faculty of Medicine, Institute of Medical Sciences, University of Toronto, Toronto, Canada
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Raglio A, Panigazzi M, Colombo R, Tramontano M, Iosa M, Mastrogiacomo S, Baiardi P, Molteni D, Baldissarro E, Imbriani C, Imarisio C, Eretti L, Hamedani M, Pistarini C, Imbriani M, Mancardi GL, Caltagirone C. Hand rehabilitation with sonification techniques in the subacute stage of stroke. Sci Rep 2021; 11:7237. [PMID: 33790343 PMCID: PMC8012636 DOI: 10.1038/s41598-021-86627-y] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2020] [Accepted: 03/17/2021] [Indexed: 11/25/2022] Open
Abstract
After a stroke event, most survivors suffer from arm paresis, poor motor control and other disabilities that make activities of daily living difficult, severely affecting quality of life and personal independence. This randomized controlled trial aimed at evaluating the efficacy of a music-based sonification approach on upper limbs motor functions, quality of life and pain perceived during rehabilitation. The study involved 65 subacute stroke individuals during inpatient rehabilitation allocated into 2 groups which underwent usual care dayweek) respectively of standard upper extremity motor rehabilitation or upper extremity treatment with sonification techniques. The Fugl-Meyer Upper Extremity Scale, Box and Block Test and the Modified Ashworth Scale were used to perform motor assessment and the McGill Quality of Life-it and the Numerical Pain Rating Scale to assess quality of life and pain. The assessment was performed at baseline, after 2 weeks, at the end of treatment and at follow-up (1 month after the end of treatment). Total scores of the Fugl-Meyer Upper Extremity Scale (primary outcome measure) and hand and wrist sub scores, manual dexterity scores of the affected and unaffected limb in the Box and Block Test, pain scores of the Numerical Pain Rating Scale (secondary outcomes measures) significantly improved in the sonification group compared to the standard of care group (time*group interaction < 0.05). Our findings suggest that music-based sonification sessions can be considered an effective standardized intervention for the upper limb in subacute stroke rehabilitation.
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Affiliation(s)
- Alfredo Raglio
- Istituti Clinici Scientifici Maugeri, I.R.C.C.S., Istituti Clinici Scientifici Maugeri, Music Therapy Research Laboratory, Scientific Institute of Pavia , Via Maugeri 10, 27100, Pavia, Italy.
| | - Monica Panigazzi
- Istituti Clinici Scientifici Maugeri, I.R.C.C.S., Istituti Clinici Scientifici Maugeri, Music Therapy Research Laboratory, Scientific Institute of Pavia , Via Maugeri 10, 27100, Pavia, Italy
| | - Roberto Colombo
- Istituti Clinici Scientifici Maugeri, I.R.C.C.S., Istituti Clinici Scientifici Maugeri, Music Therapy Research Laboratory, Scientific Institute of Pavia , Via Maugeri 10, 27100, Pavia, Italy
| | | | - Marco Iosa
- Fondazione S. Lucia, I.R.C.C.S., Rome, Italy
| | | | - Paola Baiardi
- Istituti Clinici Scientifici Maugeri, I.R.C.C.S., Istituti Clinici Scientifici Maugeri, Music Therapy Research Laboratory, Scientific Institute of Pavia , Via Maugeri 10, 27100, Pavia, Italy
| | - Daniele Molteni
- Istituti Clinici Scientifici Maugeri, I.R.C.C.S., Istituti Clinici Scientifici Maugeri, Music Therapy Research Laboratory, Scientific Institute of Pavia , Via Maugeri 10, 27100, Pavia, Italy
| | | | - Chiara Imbriani
- Istituti Clinici Scientifici Maugeri, I.R.C.C.S., Istituti Clinici Scientifici Maugeri, Music Therapy Research Laboratory, Scientific Institute of Pavia , Via Maugeri 10, 27100, Pavia, Italy
| | - Chiara Imarisio
- Istituti Clinici Scientifici Maugeri, I.R.C.C.S., Istituti Clinici Scientifici Maugeri, Music Therapy Research Laboratory, Scientific Institute of Pavia , Via Maugeri 10, 27100, Pavia, Italy
| | - Laura Eretti
- Istituti Clinici Scientifici Maugeri, I.R.C.C.S, Montescano, PV, Italy
| | - Mehrnaz Hamedani
- Neurological Clinic, S. Martino Hospital, University of Genoa, Genoa, Italy
| | - Caterina Pistarini
- Istituti Clinici Scientifici Maugeri, I.R.C.C.S., Nervi (GE), Pavia, Italy
| | - Marcello Imbriani
- Istituti Clinici Scientifici Maugeri, I.R.C.C.S., Istituti Clinici Scientifici Maugeri, Music Therapy Research Laboratory, Scientific Institute of Pavia , Via Maugeri 10, 27100, Pavia, Italy
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Yang Y, Fang YY, Gao J, Geng GL. Effects of Five-Element Music on Language Recovery in Patients with Poststroke Aphasia: A Systematic Review and Meta-Analysis. J Altern Complement Med 2019; 25:993-1004. [DOI: 10.1089/acm.2018.0479] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- Yang Yang
- School of Nursing, Nantong University, Nantong, China
| | - Yueh-Yen Fang
- School of Nursing, Fooyin University, Kaohsiung, Taiwan
| | - Jing Gao
- School of Nursing, Nantong University, Nantong, China
| | - Gui-Ling Geng
- School of Nursing, Nantong University, Nantong, China
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15
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Le Perf G, Donguy AL, Thebault G. Nuanced effects of music interventions on rehabilitation outcomes after stroke: a systematic review. Top Stroke Rehabil 2019; 26:473-484. [DOI: 10.1080/10749357.2019.1623518] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Affiliation(s)
- Gaël Le Perf
- Physical Medicine and Rehabilitation Department, Centre Hospitalier Paul Coste Floret, Lamalou-les-Bains, France
| | - Anne-Lise Donguy
- Physical Medicine and Rehabilitation Department, SSR La Petite Paix, Lamalou-les-Bains, France
| | - Guillaume Thebault
- Physical Medicine and Rehabilitation Department, Centre Hospitalier Paul Coste Floret, Lamalou-les-Bains, France
- Dynamique des Capacités Humaines et des Conduites de Santé (Epsylon), Université Montpellier, Montpellier, France
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16
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Swaney M. Towards a state of play: A case study exploring insight-oriented musical experiences with a woman with severe brain injury. BRITISH JOURNAL OF MUSIC THERAPY 2019. [DOI: 10.1177/1359457519841906] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
This article presents an improvisational approach to insight-oriented therapy in music therapy with a woman with severe cognitive impairments following haemorrhagic stroke. Analysis of five clinical excerpts across 40 sessions demonstrates how a prepared improvised musical experience can facilitate meaningful self-exploration in dialogue, leading to a renewed self-identity in life after brain injury. The therapist’s reflective processing is integral to the therapeutic outcomes; these are examined alongside the casework material. This article suggests that insight-oriented musical experiences may be one way of supporting the emotional health of individuals living with the enduring consequences of severe brain injury in slow-stream rehabilitation or long-term neurological care.
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Slavin D, Fabus R. A Case Study Using a Multimodal Approach to Melodic Intonation Therapy. AMERICAN JOURNAL OF SPEECH-LANGUAGE PATHOLOGY 2018; 27:1352-1362. [PMID: 30120439 DOI: 10.1044/2018_ajslp-17-0030] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/03/2017] [Accepted: 04/16/2018] [Indexed: 06/08/2023]
Abstract
PURPOSE The purpose of this study was to assess the efficacy. of increasing spontaneous expressive language using a modified melodic intonation therapy (MIT) approach with a male participant diagnosed with acquired aphasia and apraxia who was 10 years post onset. METHOD A therapeutic protocol consisting of vocal and linguistic tasks was administered. The participant attended two 50-min individual sessions and a 4-hr/week socialization program for three 12-week semesters. Measures of speech and language were administered before intervention and at the completion of each of the 3 semesters. RESULTS At the completion of the study, the participant demonstrated reduced apraxia of speech as measured by The Apraxia Battery for Adults, Second Edition (Dabul, 2000). He also showed improvements in auditory comprehension skills as measured on the Boston Diagnostic Aphasia Evaluation (Goodglass, Kaplan, & Barresi, 2000). His spontaneous utterances were characterized by an increased number of complete sentences and questions. Several language parameters including mean length of utterance, total number of spontaneous (untrained) utterances, and number of different words spoken were also improved as revealed through language analysis. CONCLUSIONS Integration of melodic intonation therapy through the addition of musical elements may result in improved speech and expressive language skills when administered over a 9-month period in conjunction with a group socialization program.
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Affiliation(s)
| | - Renee Fabus
- Health Sciences Center, School of Health Technology and Management, Stony Brook University, NY
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18
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Kasdan A, Kiran S. Please don't stop the music: Song completion in patients with aphasia. JOURNAL OF COMMUNICATION DISORDERS 2018; 75:72-86. [PMID: 30031236 DOI: 10.1016/j.jcomdis.2018.06.005] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/21/2016] [Revised: 05/02/2018] [Accepted: 06/15/2018] [Indexed: 06/08/2023]
Abstract
Aphasia, an acquired language disorder resulting from brain damage, affects over one million individuals in the United States alone. Many persons with aphasia (PWA), particularly those with non-fluent aphasia, have been observed to be able to sing the lyrics of songs more easily than they can speak the same words. Remarkably, even humming a melody can facilitate speech output in PWA, and this has been capitalized on in therapies such as Melodic Intonation Therapy. The current study examined PWA's ability to complete phrases from songs by either singing, speaking, or intoning them in an experimental stem-completion format. Twenty PWA of varying severity, all but one of whom had aphasia as a result of stroke, and 20 age-matched healthy controls participated in the task. The task consisted of three conditions (sung, spoken, and melodic) each consisting of 20 well-known songs. Participants heard the first half of a phrase that was either sung in its original format (sung condition), spoken (spoken condition), or intoned on the syllable "bum," (melodic condition) and were asked to complete the phrase according to the format in which the stimulus was presented. PWA achieved the highest accuracy in the sung condition, followed by the spoken and then melodic conditions, while controls scored comparably in the sung and spoken condition and much lower in the melodic condition. PWA and controls were better able to access and produce both the melody and lyrics of songs in the sung condition (when both components were presented together), compared to when the melody and lyrics of songs were presented in isolation. Here, melody confers an advantage for word retrieval for PWA, as lyric production is better in a sung context, and these results substantiate the theoretical framework of MIT. Additionally, the present results may be attributed to the integration hypothesis, which postulates that the text and tune of a song are integrated in memory. Interestingly, a subset of the most severe PWA scored higher in the melodic condition relative to the spoken condition, while this pattern was not found for less severe PWA and for controls. Taken together, our results suggest that singing appears to influence PWA when trying to access the lyrics of songs; access to melody is preserved in PWA even while they exhibit profound and diverse language impairments. Findings may have implications for using music as a more widely implemented tool in speech therapy for PWA.
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Affiliation(s)
- Anna Kasdan
- Vanderbilt Brain Institute, Neuroscience Graduate Program U-1205, Medical Research Building III, 465 21st Avenue, South Nashville, TN 37232-2050; Neuroscience Program, Boston University, 635 Commonwealth Ave, Boston, MA 02215, USA.
| | - Swathi Kiran
- Speech and Hearing Sciences, Boston University, 635 Commonwealth Ave, Boston, MA 02215, USA
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Nicholson CM, Wilson M. Experiences of a group creative music-making intervention to support multidisciplinary stroke rehabilitation. INTERNATIONAL JOURNAL OF THERAPY AND REHABILITATION 2018. [DOI: 10.12968/ijtr.2018.25.6.292] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Clare Marie Nicholson
- Advanced practitioner occupational therapist, Humber NHS Foundation Trust, Willerby, Hull, UK
| | - Michelle Wilson
- Senior clinical psychologist, Humber NHS Foundation Trust, Willerby, Hull, UK
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20
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Pierce JE, Menahemi-Falkov M, O’Halloran R, Togher L, Rose ML. Constraint and multimodal approaches to therapy for chronic aphasia: A systematic review and meta-analysis. Neuropsychol Rehabil 2017; 29:1005-1041. [DOI: 10.1080/09602011.2017.1365730] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- John E. Pierce
- School of Allied Health, La Trobe University, Melbourne, Australia
- Speech Pathology, Cabrini Health, Melbourne, Australia
| | | | - Robyn O’Halloran
- School of Allied Health, La Trobe University, Melbourne, Australia
| | - Leanne Togher
- Speech Pathology, Faculty of Health Sciences, University of Sydney, Lidcombe, Australia
| | - Miranda L. Rose
- School of Allied Health, La Trobe University, Melbourne, Australia
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21
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Choi YH, Park HK, Paik NJ. A Telerehabilitation Approach for Chronic Aphasia Following Stroke. Telemed J E Health 2016; 22:434-40. [DOI: 10.1089/tmj.2015.0138] [Citation(s) in RCA: 45] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- Yoon-Hee Choi
- Department of Rehabilitation Medicine, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, South Korea
- Department of Physical Medicine and Rehabilitation, Soonchunhyang University College of Medicine, Soonchunhyang University Hospital, Seoul, South Korea
| | - Hae Kyung Park
- Department of Rehabilitation Medicine, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, South Korea
| | - Nam-Jong Paik
- Department of Rehabilitation Medicine, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, South Korea
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Thaut MH, McIntosh GC, Hoemberg V. Neurobiological foundations of neurologic music therapy: rhythmic entrainment and the motor system. Front Psychol 2015; 5:1185. [PMID: 25774137 PMCID: PMC4344110 DOI: 10.3389/fpsyg.2014.01185] [Citation(s) in RCA: 130] [Impact Index Per Article: 14.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2014] [Accepted: 09/29/2014] [Indexed: 11/27/2022] Open
Abstract
Entrainment is defined by a temporal locking process in which one system's motion or signal frequency entrains the frequency of another system. This process is a universal phenomenon that can be observed in physical (e.g., pendulum clocks) and biological systems (e.g., fire flies). However, entrainment can also be observed between human sensory and motor systems. The function of rhythmic entrainment in rehabilitative training and learning was established for the first time by Thaut and colleagues in several research studies in the early 1990s. It was shown that the inherent periodicity of auditory rhythmic patterns could entrain movement patterns in patients with movement disorders (see for a review: Thaut et al., 1999). Physiological, kinematic, and behavioral movement analysis showed very quickly that entrainment cues not only changed the timing of movement but also improved spatial and force parameters. Mathematical models have shown that anticipatory rhythmic templates as critical time constraints can result in the complete specification of the dynamics of a movement over the entire movement cycle, thereby optimizing motor planning and execution. Furthermore, temporal rhythmic entrainment has been successfully extended into applications in cognitive rehabilitation and speech and language rehabilitation, and thus become one of the major neurological mechanisms linking music and rhythm to brain rehabilitation. These findings provided a scientific basis for the development of neurologic music therapy.
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Affiliation(s)
- Michael H. Thaut
- Center for Biomedical Research in Music, Colorado State UniversityFort Collins, CO, USA
| | - Gerald C. McIntosh
- Department of Neurology, University of Colorado HealthFort Collins, CO, USA
| | - Volker Hoemberg
- SRH Neurorehabilitation Hospital Bad WimpfenBad Wimpfen, Germany
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