Intensive MIT Paired With Video Feedback for Motor Speech Disorders and Aphasia
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 1
- 试验地点
- 1
- 主要终点
- Intelligibility
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
盲法说明
Independent Raters will be used to examine non-standardized outcomes at benchmark time points.
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Fluent English speakers
- •Sustained a left-hemisphere stroke
- •Presents with language and motor speech impairments
排除标准
- •• 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
研究组 & 干预措施
Intervention
20 sessions/4 weeks:
Video Feedback:
S1) Participant (P1) views recording of previous session with the clinician & judges whether the production is intelligible.
S2) S1 & the clinician identifies changes in motor movements that are influencing performance.
S3+S4) S1+S2 & given support from the clinician, P1 identifies techniques improving intelligibility & modifies behavior accordingly.
MIT (Albert et al., 1973; Helm-Estabrooks et al., 2014):
Humming - Clinician introduces the target phrase by showing a visual cue, humming the phrase, then intoning the phrase while P1 taps left-hand.
Simultaneous production with melody - The Clinician and P1 melodically produce the target phrase & tap together.
Simultaneous melodic production accompanied by gradual reduction of clinician support.
Immediate repetition response to probe question - Following P1's successful repetition, the clinician melodically produces a question and P1 melodically produces the target.
干预措施: Melodic Intonation Therapy (Behavioral)
Intervention
20 sessions/4 weeks:
Video Feedback:
S1) Participant (P1) views recording of previous session with the clinician & judges whether the production is intelligible.
S2) S1 & the clinician identifies changes in motor movements that are influencing performance.
S3+S4) S1+S2 & given support from the clinician, P1 identifies techniques improving intelligibility & modifies behavior accordingly.
MIT (Albert et al., 1973; Helm-Estabrooks et al., 2014):
Humming - Clinician introduces the target phrase by showing a visual cue, humming the phrase, then intoning the phrase while P1 taps left-hand.
Simultaneous production with melody - The Clinician and P1 melodically produce the target phrase & tap together.
Simultaneous melodic production accompanied by gradual reduction of clinician support.
Immediate repetition response to probe question - Following P1's successful repetition, the clinician melodically produces a question and P1 melodically produces the target.
干预措施: Video Feedback Performance Review (Behavioral)
结局指标
主要结局
Intelligibility
时间窗: 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)
次要结局
- Apraxia Battery for Adults(Baseline and one week following the end of treatment)
- Longer Connected Speech Assessment(Baseline and one and four weeks following the end of treatment)
- Assessment of Intelligibility of Dysarthria Speech(Baseline and one week following the end of treatment)
- Quality of Life with Dysarthria (QOLdys)(Baseline and four weeks following treatments.)
研究者
Andre Lindsey
Assistant Professor of Speech Pathology
Nevada State University