The Effects of Modified Melodic Intonation Therapy on Nonfluent Aphasia: A Pilot Study

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Bibliographic Details
Title: The Effects of Modified Melodic Intonation Therapy on Nonfluent Aphasia: A Pilot Study
Language: English
Authors: Conklyn, Dwyer, Novak, Eric, Boissy, Adrienne
Source: Journal of Speech, Language, and Hearing Research. Oct 2012 55(5):1463-1471.
Availability: American Speech-Language-Hearing Association (ASHA). 10801 Rockville Pike, Rockville, MD 20852. Tel: 800-638-8255; Fax: 301-571-0457; e-mail: subscribe@asha.org; Web site: http://jslhr.asha.org
Peer Reviewed: Y
Physical Description: PDF
Page Count: 9
Publication Date: 2012
Document Type: Journal Articles
Reports - Research
Descriptors: Intonation, Singing, Speech Therapy, Aphasia, Early Intervention, Patients, Pilot Projects, Pretests Posttests
DOI: 10.1044/1092-4388(2012/11-0105)
ISSN: 1092-4388
Abstract: 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 = 0.02), and a significant difference between groups was found for adjusted total score (p = 0.02) favoring the treatment group. The treatment group also showed a significant change in their responsive subsection scores (p = 0.01) 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.
Abstractor: As Provided
Entry Date: 2012
Accession Number: EJ984851
Database: ERIC
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Description
Abstract: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 = 0.02), and a significant difference between groups was found for adjusted total score (p = 0.02) favoring the treatment group. The treatment group also showed a significant change in their responsive subsection scores (p = 0.01) 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.
ISSN:1092-4388
DOI:10.1044/1092-4388(2012/11-0105)