Aphasia, Motor Speech, Stroke
Conditions
Brief summary
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.
Interventions
Melodic Intonation Therapy uses intonation and melody to aid individuals with aphasia with producing words.
Participant will view recording to judge correct and incorrect productions of trained words and to identify motor techniques increasing intelligibility
Sponsors
Study design
Masking description
Independent Raters will be used to examine non-standardized outcomes at benchmark time points.
Intervention model description
Single-subject experimental design
Eligibility
Inclusion criteria
* Fluent English speakers * Sustained a left-hemisphere stroke * Presents with language and motor speech impairments
Exclusion criteria
* • History of learning disability prior to accident (per patient report) * Uncorrected auditory or visual impairments * Not meeting the criteria of stroke * Failure to provide evidence of stroke diagnosis (medical record history) * History of psychiatric disorder
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Intelligibility | From enrollment to 4 weeks post treatment | 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) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Assessment of Intelligibility of Dysarthria Speech | Baseline and one week following the end of treatment | A tool for quantifying single-word intelligibility, sentence intelligibility, and speaking rate of adult speakers with dysarthria |
| Apraxia Battery for Adults | Baseline and one week following the end of treatment | A test to measure the presence and severity of apraxia in adults |
| Longer Connected Speech Assessment | Baseline and one and four weeks following the end of treatment | 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 |
| Quality of Life with Dysarthria (QOLdys) | Baseline and four weeks following treatments. | A reliable and valid tool to assess quality of life for patients with dysarthria. |
Countries
United States