Page 39 - NAMAH-Oct-2020

Namah Music Therapy-induced speech...

4. Functional therapeutic musical exercises traumatic brain injury and neurogenetic disorder.
Music Therapy techniques: a combination of
In this step, the professional music therapist is Rhythm speech cueing (RSC) and Therapeutic
using the tools and techniques of neurologic Singing (TS).
music therapy and translating functional and Number of sessions: 60 weekly sessions.
therapeutic exercises, and stimuli into functional
therapeutic music exercises and stimuli. A systematic step-by-step training scheme is
Speech pacing in dysarthria rehabilitation is developed to transfer the therapeutic musical
accomplished through rhythmic cues in musical exercises to functional activities of daily
stimuli. The therapist can apply a combination life. This is derived from an evidence-based
of Rhythmic Speech cueing followed by hierarchical training scheme and it builds up
Therapeutic Singing for better results. from cued reading to free speaking in every
session (10).
5. Reassessment
1. Out of the 20 older adults from the regular
In this step, music therapists reassess the music therapy group, four had been
patient’s progress using the same assessment chosen based on the assessment of speech
tool from Step 1 to be able to compare and intelligibility, rate, and naturalness, for
benchmark the effectiveness of treatment. specific individual music therapy training
Reassessment may occur during the treatment schemes for subjects with dysarthria to
process, and at the end of treatment and at induce speech and communication skills.
follow-ups.
2. After the selection process, the music
6. Transfer of therapeutic learning to functional therapist needs to test the patient’s rhythmic
applications entrainment ability. Here the patient should
be asked to follow a comfortably paced beat
Step 6 deals with transfer exercise from with the hand. This could be done with an
treatment training to activities of daily living. electronic tabla app/metronome set to 100
One of the main underlying principles in bpm. In the next step, the tempo and mode
therapeutic training to recover functions or of stimulation need to be defined.
learn new functions is based on neuroplasticity
— that is, the ability of the brain to reorganise or 3. In this step, the simple mode of stimulation
rewire itself to build new neural connections is metric cueing, in which each syllable is
(9). matched to one beat from the metronome.
We used Raag Yamen to sing and try to
Clinical application develop the oral-motor coordination and
practise one syllable per beat.
Skill area targeted: speech intelligibility, rate,
and naturalness. Swara Rhythm — Sa Ni Dha Pa Ma Pa Ga Ma
Age group: 4 subjects aged 65 to 80 years Pa Pa Re Ga Ni Re Sa
Setting: individual music therapy sessions. Spoken Rhythm — Pa Ya Li Ya A A MoRi
Clinical diagnosis: dystharia due to Parkinson’s, Ba Je Re Pi ii Ya A

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