Page 36 - NAMAH-Oct-2020
P. 36

Namah                                  Vol. 28, Issue 3, 15th October 2020





        Hearing Association (1), dysarthria can affect  of music therapy developed for people
        one or more of the following five systems  suffering from cognitive, sensory, or motor
        that speech involves:                    dysfunctions arising from neurological
                                                 diseases of the nervous system. People
        •   Respiration: respiration moves air across  who can benefit from this therapy include
          the vocal cords, creating sounds that the  patients suffering from stroke, traumatic
          mouth and nose shape into words.       brain injury, Parkinson’s and Huntington’s
        •   Phonation: this system uses airflow from the  diseases, cerebral palsy, Alzheimer’s
          lungs plus vocal cord vibrations to produce  disease, autism, and other neurological
          speech sounds.                         diseases affecting cognition, movement
        •   Resonance: resonance refers to the quality of  and communication.
          speech sounds that the vocal tract produces.  In the Rhythmic Speech Cueing (RSC) tech-
        •  Articulation: this term means shaping sounds  nique, speech rate control via auditory rhythm
          into recognisable words, which involves  is used to improve temporal characteristics
          forming precise and accurate vowels and  such as fluency, articulatory rate, pause time,
          consonants.                            and intelligibility of speaking. Speech rate can
        •  Prosody: the rhythm and intonation of speech  be the primary therapeutic focus as in fluency
          that give words and phrases their meaning.  disorders, or the tempo of speech can take on
                                                 a mediating role for articulatory precision and
        These five speech systems work together,  thus speech intelligibility.
        meaning that impairment in one system can
        affect the others.                       Therapeutic Singing (TS) refers to the more
                                                 generalised use of singing activities for a
        The American Music Therapy Association  variety of therapeutic purposes. Therapeutic
        defines music therapy as the clinical and  singing allows direct engagement in musical
        evidence-based use of music interventions  creation. It can be a very success-oriented
        to accomplish individualised goals within  technique, thus providing important motivational
        a therapeutic relationship by a credentialed  input in tandem with functional enhancements
        professional who has completed an approved  to the client. This technique can synthesise a
        music therapy programme (2).             range of specific speech-language and respiratory
                                                 control. (3)
        Music therapy interventions can be designed to:
                                                 Target population
        •  Promote wellness
        •  Manage stress                         In this research paper, the main clinical
        •  Alleviate pain                        target population for induced speech and
        •  Express feelings                      communication through music therapy is
        •  Enhance memory                        sufferers of acquired dysarthria. This is a
        •  Improve communication                 neurological motor-speech impairment
        •  Promote physical rehabilitation       characterised by slow or hastened, weak,
                                                 uncoordinated movements of the articulatory
        Neurologic music therapy (NMT) is a form  muscles. It results in reduced speech


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