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Introduction: Melodic Intonation Therapy (MIT) is a therapeutic method which uses the ability to sing to promote the recovery of linguistic deficits in aphasic patients with primarily expressive impairment. Objective: Testing the efficacy of a music-based language rehabilitation program, adapted from MIT in a patient with Broca’s aphasia due to stroke in the left cerebral hemisphere (LH). Method: This research used the methodology of AB single case experimental design with multiple baselines. The participant G. is a female, right-handed, 46-year-old Brazilian; presenting Broca’s aphasia. G. suffered an ischemic stroke five years before speech therapy intervention began. Neuropsycholinguistic evaluation was undertaken before, during, and at the end of therapy. The treatment took place over three months, in two weekly meetings (24 sessions). Results: significant improvement was observed in verbal fluency, with an increased number of words produced per minute during conversational spee...
Neurorehabilitation and Neural Repair, 2014
Background. Little is known about the efficacy of language production treatment in subacute severe nonfluent aphasia. Although Melodic Intonation Therapy (MIT) is a language production treatment for this disorder, until now MIT effect studies have focused on chronic aphasia. Purpose. This study examines whether language production treatment with MIT is effective in subacute severe nonfluent aphasia. Methods. A multicenter, randomized controlled trial was conducted in a waiting-list control design: patients were randomly allocated to the experimental group (MIT) or the control group (control intervention followed by delayed MIT). In both groups, therapy started at 2 to 3 months poststroke and was given intensively (5 h/wk) during 6 weeks. In a second therapy period, the control group received 6 weeks of intensive MIT. The experimental group resumed their regular treatment. Assessment was done at baseline (T1), after the first intervention period (T2), and after the second interventio...
Frontiers in Human Neuroscience, 2016
Future neurology, 2010
It has been reported for more than 100 years that patients with severe nonfluent aphasia are better at singing lyrics than they are at speaking the same words. This observation led to the development of melodic intonation therapy (MIT). However, the efficacy of this therapy has yet to be substantiated in a randomized controlled trial. Furthermore, its underlying neural mechanisms remain unclear. The two unique components of MIT are the intonation of words and simple phrases using a melodic contour that follows the prosody of speech and the rhythmic tapping of the left hand that accompanies the production of each syllable and serves as a catalyst for fluency. Research has shown that both components are capable of engaging fronto-temporal regions in the right hemisphere, thereby making MIT particularly well suited for patients with large left hemisphere lesions who also suffer from nonfluent aphasia. Recovery from aphasia can happen in two ways: either through the recruitment of peril...
STUDIES IN EDUCATION SCIENCES
Aphasias are considered to be neurological linguistic disorders in which the comprehension and/or expression of oral and/or written language is compromised, thus having a significant potential impact on the quality of life of an individual and his / her family. Although much studied in its neurophysiological mechanism, aphasia is not always discussed in terms of rehabilitation. Therefore, this article aims to discuss the scientific production in speech therapy on the rehabilitation of aphasia. For this purpose, an Integrative Review of Literature was carried out, covering the period from 2000 to 2021 on the Scielo and BVS data platforms of articles available in full and in the Portuguese language, using as a descriptor the unitermo "aphasia", in which the articles found were submitted to the relevance tests I and II, in which the final sample made only those that passed the established criteria. A total of 236 articles were found on the Scielo platform, with only 29 discus...
Aphasiology, 2015
Journal of Rehabilitation Research and Development, 2006
Stability Self-Awareness Checklist Being self-aware is key when it comes to staying on the right track in order to prevent relapse and setbacks when coping with substance use and coexisting mental health issues. To be truly self-aware, we need to be able to honestly ask and answer questions of ourselves and to objectively assess our true progress, insight and motivation. When we are honest and open our minds, we can learn where we need to make the improvements and adjustments needed to stay on a positive course and avoid going down the wrong path.
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