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KMID : 1159120120190010023
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Korean Journal of Rehabilitation Psychology
2012 Volume.19 No. 1 p.23 ~ p.41
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A Case Study: The Effects of Neurologic Music Therapy on Language and Speech Rehabilitation of a Patient with Global Aphasia
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Kim Tae-Youn
Kang Kyoung-Sun
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Abstract
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This study investigated the effects of two neurologic music therapy methods, MUSTIM (Musical Speech Stimulation) and OMREX (Oral Motor and Respiratory Exercises), on a global aphasia patient. The patient, a 66 year old female diagnosed with a Lt. MCA Infarction, was referred to music therapy in order to increase spontaneous speech and expand the number of syllables produced. For her language and speech rehabilitation in the music therapy MUSTIM and OMREX methods were used twice a week from June 7 to November 28, 2011 for a total of 29 times, and measurements were taken every month for a total of 6 times. For the study the patient’s favorite songs were chosen and at the same time three songs made by therapist which contained necessary expressions for the patient in the lyrics were used. The number of syllables of reflective speech for the lyrics increased in all 4 songs from the measured results from a total of 6 sessions. This could also be seen from the total number of speech syllables produced in each session. Results showed an increase of 10% from the first to the second measurement but increased 30% from the second to the third. It was not consistently and repeatedly observed in the three songs based on the patient’s necessary expression in th lyrics, but the ability to produce spontaneous speech when the melody was erased was checked. In addition, the patient’s guardian reported that some expressions outside of the therapy sessions were produced. These results imply that the intervention of music therapy contributed to an increase in reflexive speech and an expansion of syllables produced in the speech of a patient with global aphasia.
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KEYWORD
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global aphasia, neurologic music therapy, spontaneous speech, Musical Speech Stimulation, Oral Motor and Respiratory Exercises
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