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This study is examining the use of intensive melodic intonation therapy and video feedback as a means of aiding individuals with nonfluent aphasia and co-occurring motor speech impairments. Individuals with nonfluent aphasia have difficulty with language, particularly with word retrieval.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention | Experimental | 20 sessions/4 weeks: Video Feedback: S1) Participant (P1) views recording of previous session with the clinician & judges whether the production is intelligible. S2) S1 & the clinician identifies changes in motor movements that are influencing performance. S3+S4) S1+S2 & given support from the clinician, P1 identifies techniques improving intelligibility & modifies behavior accordingly. MIT (Albert et al., 1973; Helm-Estabrooks et al., 2014): Humming - Clinician introduces the target phrase by showing a visual cue, humming the phrase, then intoning the phrase while P1 taps left-hand. Simultaneous production with melody - The Clinician and P1 melodically produce the target phrase & tap together. Simultaneous melodic production accompanied by gradual reduction of clinician support. Immediate repetition response to probe question - Following P1's successful repetition, the clinician melodically produces a question and P1 melodically produces the target. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Melodic Intonation Therapy | Behavioral | Melodic Intonation Therapy uses intonation and melody to aid individuals with aphasia with producing words. |
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| Measure | Description | Time Frame |
|---|---|---|
| Intelligibility | Intelligibility as measured by percentage of consonants correct and by targets produced on trained and untrained stimuli. 20 trained and 20 untrained speech phrases that are relevant to the client (measured during reading and repetition tasks) | From enrollment to 4 weeks post treatment |
| Measure | Description | Time Frame |
|---|---|---|
| Apraxia Battery for Adults | A test to measure the presence and severity of apraxia in adults | Baseline and one week following the end of treatment |
| Assessment of Intelligibility of Dysarthria Speech |
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Inclusion Criteria:
Exclusion Criteria:
• History of learning disability prior to accident (per patient report)
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| Name | Affiliation | Role |
|---|---|---|
| Andre Lindsey, PhD | Nevada State University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Nevada State University | Henderson | Nevada | 89002 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 4717723 | Background | Albert ML, Sparks RW, Helm NA. Melodic intonation therapy for aphasia. Arch Neurol. 1973 Aug;29(2):130-1. doi: 10.1001/archneur.1973.00490260074018. No abstract available. | |
| Background | Helm-Estabrooks, N., Albert, M. L., & Nicholas, M. (2014). Manual of aphasia and aphasia therapy (3rd ed.). Austin, TX: Pro-Ed | ||
| 24478754 |
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| ID | Term |
|---|---|
| D020521 | Stroke |
| D001037 | Aphasia |
| ID | Term |
|---|---|
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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Single-subject experimental design
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Independent Raters will be used to examine non-standardized outcomes at benchmark time points.
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| Video Feedback Performance Review | Behavioral | Participant will view recording to judge correct and incorrect productions of trained words and to identify motor techniques increasing intelligibility |
|
A tool for quantifying single-word intelligibility, sentence intelligibility, and speaking rate of adult speakers with dysarthria
| Baseline and one week following the end of treatment |
| Longer Connected Speech Assessment | Change in Performance on Rainbow Passage- A public domain paragraph frequently used by speech-language pathologists to gather a speech sample of all phonemes for American English | Baseline and one and four weeks following the end of treatment |
| Quality of Life with Dysarthria (QOLdys) | A reliable and valid tool to assess quality of life for patients with dysarthria. | Baseline and four weeks following treatments. |
| Background |
| Zumbansen A, Peretz I, Hebert S. Melodic intonation therapy: back to basics for future research. Front Neurol. 2014 Jan 28;5:7. doi: 10.3389/fneur.2014.00007. eCollection 2014. |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D013064 | Speech Disorders |
| D007806 | Language Disorders |
| D003147 | Communication Disorders |
| D019954 | Neurobehavioral Manifestations |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |