The therapeutic effect of neurologic music therapy and speech language therapy in post-stroke aphasic patients

Kil-Byung Lim, Yong-Kyun Kim, Hong-Jae Lee, Jeehyun Yoo, Ji Youn Hwang, Jeong-Ah Kim, Sung-Kyun Kim, Kil-Byung Lim, Yong-Kyun Kim, Hong-Jae Lee, Jeehyun Yoo, Ji Youn Hwang, Jeong-Ah Kim, Sung-Kyun Kim

Abstract

Objective: To investigate the therapeutic effect of neurologic music therapy (NMT) and speech language therapy (SLT) through improvement of the aphasia quotient (AQ) in post-stroke aphasic patients.

Methods: Twenty-one post-stroke, nonfluent aphasia patients who had ischemic/hemorrhagic stroke on radiologic evaluation were divided into the NMT and SLT groups. They received NMT and SLT for 1 month. Language function was assessed by Korean version-Western Aphasia Battery before and after therapy. NMT consisted of therapeutic singing and melodic intonation therapy, and SLT consisted of language-oriented therapy.

Results: Significant improvements were revealed in AQ, repetition, and naming after therapy in the NMT group and improvements in repetition in the SLT group of chronic stroke patients (p<0.05). There were significant improvements in language ability in the NMT group of subacute stroke patients. However, there was no significant improvement in the SLT group of subacute stroke patients.

Conclusion: We concluded that the two therapies are effective treatments in the chronic stage of stroke and NMT is effective in subacute post-stroke aphasic patients.

Keywords: Aphasia; Music therapy; Speech therapy; Stroke.

Conflict of interest statement

No potential conflict of interest relevant to this article was reported.

Figures

Fig. 1
Fig. 1
The Korean version-Western Aphasia Battery values within the neurologic music therapy (NMT)-chronic and speech language therapy (SLT)-chronic group. AQ, aphasia quotient. *p<0.05 (comparison of the initial vs. final values after NMT or SLT).
Fig. 2
Fig. 2
The Korean version-Western Aphasia Battery values within the neurologic music therapy (NMT)-subacute and speech language therapy (SLT)-subacute group. AQ, aphasia quotient. *p<0.05 (comparison of the initial vs. final values after NMT or SLT).

References

    1. Engelter ST, Gostynski M, Papa S, Frei M, Born C, Ajdacic-Gross V, et al. Epidemiology of aphasia attributable to first ischemic stroke: incidence, severity, fluency, etiology, and thrombolysis. Stroke. 2006;37:1379–1384.
    1. Wade DT, Wood VA, Hewer RL. Recovery after stroke: the first 3 months. J Neurol Neurosurg Psychiatry. 1985;48:7–13.
    1. Walker-Batson D, Avent JR. Adult neurogenic communication disorders. In: Braddom RL, editor. Physical medicine and rehabilitation. 3rd ed. Philadelphia: Saunders; 2007. pp. 49–62.
    1. Berthier ML, Pulvermuller F. Neuroscience insights improve neurorehabilitation of poststroke aphasia. Nat Rev Neurol. 2011;7:86–97.
    1. Berthier ML. Poststroke aphasia: epidemiology, pathophysiology and treatment. Drugs Aging. 2005;22:163–182.
    1. Sparks RW, Holland AL. Method: melodic intonation therapy for aphasia. J Speech Hear Disord. 1976;41:287–297.
    1. Helm-Estabrooks N, Fitzpatrick PM, Barresi B. Visual action therapy for global aphasia. J Speech Hear Disord. 1982;47:385–389.
    1. Lee JH, Yoo WK, Jung KI, Kim DH, Park DS, Im HJ. The therapeutic effect of inhibitory repetitive transcranial magnetic stimulation on right inferior frontal gyrus in subcortical aphasia. J Korean Acad Rehabil Med. 2007;31:70–77.
    1. Berthier ML, Hinojosa J, Martin Mdel C, Fernandez I. Open-label study of donepezil in chronic poststroke aphasia. Neurology. 2003;60:1218–1219.
    1. Thaut MH, Gardiner JC, Holmberg D, Horwitz J, Kent L, Andrews G, et al. Neurologic music therapy improves executive function and emotional adjustment in traumatic brain injury rehabilitation. Ann N Y Acad Sci. 2009;1169:406–416.
    1. Belin P, Van Eeckhout P, Zilbovicius M, Remy P, Francois C, Guillaume S, et al. Recovery from nonfluent aphasia after melodic intonation therapy: a PET study. Neurology. 1996;47:1504–1511.
    1. Schlaug G, Marchina S, Norton A. From singing to speaking: why singing may lead to recovery of expressive language function in patients with Broca's aphasia. Music Percept. 2008;25:315–323.
    1. Kim HH, Na DL. Paradise Korean version the Western Aphasia Battery. Seoul: Paradise Welfare Foundation; 2001.
    1. Bohland JW, Guenther FH. An fMRI investigation of syllable sequence production. Neuroimage. 2006;32:821–841.
    1. Brown S, Martinez MJ, Hodges DA, Fox PT, Parsons LM. The song system of the human brain. Brain Res Cogn Brain Res. 2004;20:363–375.
    1. Guenther FH, Hampson M, Johnson D. A theoretical investigation of reference frames for the planning of speech movements. Psychol Rev. 1998;105:611–633.
    1. Jeffries KJ, Fritz JB, Braun AR. Words in melody: an H(2)15O PET study of brain activation during singing and speaking. Neuroreport. 2003;14:749–754.
    1. Thaut MH, Kenyon GP, Schauer ML, McIntosh GC. The connection between rhythmicity and brain function. IEEE Eng Med Biol Mag. 1999;18:101–108.
    1. Lahav A, Saltzman E, Schlaug G. Action representation of sound: audiomotor recognition network while listening to newly acquired actions. J Neurosci. 2007;27:308–314.
    1. Kelly H, Brady MC, Enderby P. Speech and language therapy for aphasia following stroke. Cochrane Database Syst Rev. 2010;(5):CD000425.
    1. Koelsch S, Gunter TC, von Cramon DY, Zysset S, Lohmann G, Friederici AD. Bach speaks: a cortical "language-network" serves the processing of music. Neuroimage. 2002;17:956–966.

Source: PubMed

Sponsorit ja yhteistyökumppanit

Sairaudet

Huumeiden interventiot

3
Tilaa