Shipkova K.M. Speech recovery in patients with acoustic-mnestic aphasia in a modelled music-enriched environment and in traditional speech therapy approach. Comparative analysis
Karine M. Shipkova, PhD (Psychology), Associate Professor, Senior Research Associate, V. Serbsky National Medical Research Center of Psychiatry and Narcology, Moscow, Russia; bld. 23, Kropotkinskiy all., Moscow, Russia, 119034; Associate Professor, Moscow Institute of Psychoanalysis, Moscow, Russia; bld. 34–14, Kutuzovsky av., Moscow, Russia, 121170; karina.shipkova@gmail.com
Introduction. Aphasia is a cognitive disorder that affects many people, with only a small percentage achieving full recovery from speech impairments. Therefore, researchers are constantly seeking scientifically-based approaches to speech recovery. This study aims to compare the effectiveness of a music-enriched environment versus traditional speech therapy in recovering speech abilities in patients with acoustic-mnestic aphasia. The study involved 40 right-handed patients with moderate or mild acoustic-mnestic aphasia. Among them, 14 patients (average age 54.7 ± 6.88 years) were assigned to the main group, and 26 patients (average age 55.12 ± 6.74 years) to the control group. The main group underwent 15 sessions of speech therapy in a music-enriched environment over five weeks, in addition to traditional speech therapy. The control group only received traditional speech therapy. Speech diagnostics were conducted using the "test-retest" scheme five weeks after the first measurement. The diagnostic block included speech assessment, assessment of oral speech speed, free associations, and dichotic listening. The results showed that neigher the music-enriched environment nor traditional therapy affected the profile of auditory-speech asymmetry. However, both approaches led to improvements in expressive and impressive speech at the word, phrase, and text levels. The main group exhibited a more significant improvement in the regression of speech disorders from moderate to mild compared to the control group. In conclusion, this study provides evidence that a music-enriched environment can be an effective approach to improving speech recovery in patients with acoustic-mnestic aphasia.
Key words: aphasia, speech recovery, music-enriched environment, acoustic-mnestic aphasia
For citation: Shipkova, K.M. (2024). Speech recovery in patients with acoustic-mnestic aphasia in a modelled music-enriched environment and in traditional speech therapy approach. Comparative analysis. New Psychological Research, No. 2, 82–99. DOI: 10.51217/npsyresearch_2024_04_02_04
Keywords: aphasia speech recovery music-enriched environment acoustic-mnestic aphasia
Received: 18th june 2024
Published: 18th june 2024