The Therapeutic Effect of Neurologic Music Therapy and Speech Language Therapy in Post-Stroke Aphasic Patients
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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.
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.
참고문헌 (21)
- Engelter ST., "Epidemiology of aphasia attributable to first ischemic stroke : incidence, severity, fluency, etiology, and thrombolysis", Stroke, 37, pp.1379~1384 (2006)
- Wade DT., "Recovery after stroke : the first 3 months", J Neurol Neurosurg Psychiatry, 48, pp.7~13 (1985)
- Walker-Batson D., "Adult neurogenic communication disorders, In Physical medicine and rehabilitation. 3rd ed", pp.49~62 (2007), Saunders
- Berthier ML., "Neuroscience insights improve neurorehabilitation of poststroke aphasia", Nat Rev Neurol, 7, pp.86~97 (2011)
- Berthier ML., "Poststroke aphasia : epidemiology, pathophysiology and treatment", Drugs Aging, 22, pp.163~182 (2005)
- Sparks RW., "Method : melodic intonation therapy for aphasia", J Speech Hear Disord, 41, pp.287~297 (1976)
- Helm-Estabrooks N., "Visual action therapy for global aphasia", J Speech Hear Disord, 47, pp.385~389 (1982)
- 이지훈, "피질하 실어증에서 우측 하전두엽 억제 반복 경두개 자기자극의 치료 효과", Annals of Rehabilitation Medicine, 31(1), pp.70~77 (2007), 대한재활의학회
- Berthier ML., "Open-label study of donepezil in chronic poststroke aphasia", Neurology, 60, pp.1218~1219 (2003)
- Thaut MH., "Neurologic music therapy improves executive function and emotional adjustment in traumatic brain injury rehabilitation", Ann N Y Acad Sci, 1169, pp.406~416 (2009)
- Belin P., "Recovery from nonfluent aphasia after melodic intonation therapy : a PET study", Neurology, 47, pp.1504~1511 (1996)
- Schlaug G., "From singing to speaking : why singing may lead to recovery of expressive language function in patients with Broca's aphasia", Music Percept, 25, pp.315~323 (2008)
- Kim HH., "Paradise Korean version the Western Aphasia Battery" (2001), Paradise Welfare Foundation
- Bohland JW., "An fMRI investigation of syllable sequence production", Neuroimage, 32, pp.821~841 (2006)
- Brown S., "The song system of the human brain", Brain Res Cogn Brain Res, 20, pp.363~375 (2004)
- Guenther FH., "A theoretical investigation of reference frames for the planning of speech movements", Psychol Rev, 105, pp.611~633 (1998)
- Jeffries KJ., "Words in melody : an H(2)15O PET study of brain activation during singing and speaking", Neuroreport, 14, pp.749~754 (2003)
- Thaut MH., "The connection between rhythmicity and brain function", IEEE Eng Med Biol Mag, 18, pp.101~108 (1999)
- Lahav A., "Action representation of sound : audiomotor recognition network while listening to newly acquired actions", J Neurosci, 27, pp.308~314 (2007)
- Kelly H., "Speech and language therapy for aphasia following stroke", Cochrane Database Syst Rev., (5) (2010)
- Koelsch S., "Bach speaks : a cortical"language-network"serves the processing of music", Neuroimage, 17, pp.956~966 (2002)