JSLHR Papers in Press
Published online March 12, 2012
Journal of Speech, Language, and Hearing Research 2012; doi:10.1044/1092-4388(2012/11-0105)

Journal of Speech, Language, and Hearing Research 2012;55:1463.

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Article

The Effects of Modified Melodic Intonation Therapy on Non-Fluent Aphasia-A Pilot Study

Dwyer Conklyn
The Music Settlement, Cleveland, Ohio

Eric Novak
Adrienne Boissy
Francois Bethoux
Kamal Chemali
The Cleveland Clinic Foundation

Correspondence concerning this article should be addressed to Dwyer Conklyn, 5145 E Sprague Rd, Independence, OH 44131. E-mail: dbconk{at}gmail.com.

Objective: Positive results were reported with Modified Melodic Intonation Therapy (MMIT) in non-fluent aphasic 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 MMIT as an early intervention in stroke patients presenting with Broca's aphasia.

Methods: Following a randomized controlled single blind design, thirty acute stroke survivors with non-fluent aphasia were randomly assigned to receive MMIT treatment or no treatment. A pre/post-test, based on the responsive and repetition sub-sections of the Western Aphasia Battery, was developed for this study.

Results: Following one 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 sub-section scores (p = 0.01) when comparing their pre-tests from visit 1 to visit 2, while the control group showed no change, suggesting a possible carry-over effect to MMIT treatment.

Conclusion: This study provides preliminary data supporting the possible benefits to utilizing MMIT treatment early in the recovery of non-fluent aphasia patients.

KEY WORDS: Aphasia, Melodic Intonation Therapy, Modified Melodic Intonation Therapy, Stroke, Speech Rehabilitation


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