The Utilization of Music With Patients with Aphasia: Part Two
The
Utilization of Music With Patients with Aphasia: Part Two
By
Mark R. Baldridge, Nuance Crusaders #nuance4health,
Sunday,
March 29, 2020
To understand how music influences the
health of patients with Aphasia, Melodic Intonation Therapy (MIT) could be
utilized as a tool. MIT is beneficial because of its inherent sustained
vocalization and tapping with the left hand (Gottfried et. al. 2008). In such
cases my composition Brazilian Fantasy (lyrics by Andrea Litzenberger) could be
utilized for both tapping and vocalization treatment https://www.youtube.com/watch?v=EFfpxf5BIus.
There are four types of techniques
utilized in MIT: Reduction in Speed (words articulated at a slower rate than in
speaking); Syllable lengthening, (provides the opportunity to distinguish the
individual phonemes that together form words and phrases); Syllable “Chunking”
(deals with intonation, change in pitch,
and may help group syllables into words); and Hand tapping (patient
utilizing the left hand as each syllable is sung) (Gottfried et. al. 2008).
Even though MIT is a therapy
procedure, you still have to decide on a strategy (global or local). For
example, melodic contour, music phrasing,
and/or meter generate greater activity in right-hemispheric activation
rather than left-hemispheric activation (Gottfried et. al. 2008), the reason
being that patients with right-hemispheric lesions have greater difficulty with
global processing (e.g. melodies and contour processing) than patients with
left-hemispheric lesions (Gottfried et. al. 2008). A lesion is a region in an
organ or tissue which has suffered damage through injury or disease, such as a
wound, ulcer, abscess, or tumor; a lesion may also result from a stroke. The
reason why a decision must be made to determine which therapy to utilize is
because the right hemisphere of the brain governs language. In terms of music
phrasing, I believe my composition “I Know It Will Better” could be beneficial
because of the repetition of the melody https://www.youtube.com/watch?v=nbGAF_IjVEQ. I believe my composition has a
musical contour that is pleasant to the listener https://www.youtube.com/watch?v=f4Mv1a9azqU. One of the benefits of my
compositions is that they are memorable.
Bibliography
Nuance
Crusaders by Mark R. Baldridge, https://www.youtube.com/channel/UCVURWzmPFRVt4ar6TQlprYA
Gottfried
Schlaug, Sarah Marchina, and Andrea Norton. From Singing to Speaking: Why
Singing May Lead to Recovery of Expressive Language Function in Patients with
Broca’s Aphasia, NIH public Access. Music Percept. 2008. April 1;25(4): 315-323.
doi:10,1525/MP.2008:25,4,315
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