The Effects of Modified Melodic Intonation Therapy on Nonfluent Aphasia: A Pilot Study
The Effects of Modified Melodic Intonation Therapy on Nonfluent Aphasia: A Pilot Study
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DOI：
10.1044/1092-4388(2012/11-0105
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发表时间：
2012-10-01
影响因子：
2.6
通讯作者：
Chemali, Kamal
中科院分区：
文献类型：
--
作者：
Conklyn, Dwyer;Novak, Eric;Chemali, Kamal
目的：据报道，旋律语调疗法（MIT）在左脑言语过程受损的非流利性失语症患者中取得了积极的效果，利用患者完整的唱歌能力来促进功能性语言。本试点研究旨在确定的即时效果，引入改良旋律语调治疗（MMIT），修改MIT，作为早期干预中风患者提出Broca的aphasia.Method：随机对照单盲设计后，30例急性中风幸存者与非流利性失语症被随机分配到接受MIT治疗或不治疗。一个前/后测试，西方失语症电池的响应和重复的子部分的基础上，开发了本study.Results：1届会议后，一个显着的受试者内的变化，观察到治疗组的调整后的总评分（p = .02），和组间的显着差异，发现调整后的总评分（p = .02）有利于治疗组。治疗组也表现出显着的变化，他们的响应分段分数（p = .01）时，他们的预测试从访问1到访问2进行了比较，而对照组没有表现出任何变化，这表明可能的结转效应MIT treatment.Conclusion：这项研究提供了初步的数据支持可能的好处，利用MMIT治疗早期恢复非流利性失语症患者。
Objective: Positive results have been reported with melodic intonation therapy (MIT) in nonfluent aphasia patients with damage to their left-brain speech processes, using the patient's intact ability to sing to promote functional language. This pilot study sought to determine the immediate effects of introducing modified melodic intonation therapy (MMIT), a modification of MIT, as an early intervention in stroke patients presenting with Broca's aphasia.Method: After a randomized controlled single-blind design, 30 acute stroke survivors with nonfluent aphasia were randomly assigned to receive MIT treatment or no treatment. A pre/post test, based on the responsive and repetition subsections of the Western Aphasia Battery, was developed for this study.Results: After 1 session, a significant within-subject change was observed for the treatment group's adjusted total score (p = .02), and a significant difference between groups was found for adjusted total score (p = .02) favoring the treatment group. The treatment group also showed a significant change in their responsive subsection scores (p = .01) when their pre-tests from Visit 1 to Visit 2 were compared, whereas the control group showed no change, suggesting a possible carry-over effect of MIT treatment.Conclusion: This study provides preliminary data supporting the possible benefits of utilizing MMIT treatment early in the recovery of nonfluent aphasia patients.