Wednesday, March 2, 2016

Music and Stroke Rehabilitation: A Narrative Synthesis of the Music-Based Treatments used to Rehabilitate Disorders of Speech and Language following Left-Hemispheric Stroke

How many times does research proving music helps stroke recovery need to be published before your fucking failure of a stroke hospital implements a music stroke protocol? 500? 1000? When are our stroke association presidents going to call up every stroke hospital president and ask when they will stop the barbaric practice of not delivering music therapy to stroke patients? This is so fucking simple, read research articles and implement protocols from them in your hospital. Do you have absolute idiots running your stroke hospital? You need no medical expertise to recognize failure and stupidity.
https://voices.no/index.php/voices/article/view/789/708
By Kevin Draper

Abstract

Stroke is a leading cause of long-term disability. A stroke can damage areas of the brain associated with communication, resulting in speech and language disorders. Such disorders are frequently acquired impairments from left-hemispheric stroke. Music-based treatments have been implemented, and researched in practice, for the past thirty years; however, the number of published reports reviewing these treatments is limited. This paper uses the four elements of the narrative synthesis framework to investigate, scrutinise and synthesise music-based treatments used in the rehabilitation of patients with speech and language disorders. A systematic review revealed that fifteen studies meet the inclusion criteria set out. It was found that the music-based treatments utilised included: Melodic Intonation Therapy (MIT), Modified Melodic Intonation Therapy (MMIT), adapted forms of MIT, the Singing Intonation, Prosody, breathing (German: Atmung), Rhythm and Improvisation (SIPARI) method and a variety of methods using singing and songs. From a synthesis of the data, three themes emerged which were key elements of the interventions; they were: (a) singing songs and vocal exercises, (b) stimulating the right hemisphere and (c) use of speech prosody. These themes are discussed and implications for newly-qualified practitioners are explored.

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