음악적 말하기 자극(MUSTIM)을 사용한 음악치료가 비유창성 실어증 환자의 문장 구사력에 미치는 효과 = The Effects Stimulation-Based Music Speech Therapy on Sentence Fluency of Non-Fluent Aphasia Patients

다국어 초록 (Multilingual Abstract)

The purpose of this study was to investigate the effects of a musical speech stimulation (MUSTIM)-based therapy on the sentence fluency of non-fluent aphasics. To investigate, the study administered a session to each of the three non-fluent aphasic participants over a total of 16, 40-minute sessions twice per week. To measure speech fluency, the investigator collected acoustic data using the praat program. Analysis revealed that the number of accumulated syllables produced increased from an average of 7 in the first session to an average of 188 in the last session; success rate of speech with a mean of 84%. Additionally, reaction time decreased from a mean of 2.3476 seconds in the first session to 0.6983 seconds in the final session. Results also revealed that participants were able to speak more syllables at similar speeds leading researchers to believe that a MUSTIM can be useful for increasing sentence fluency of non-fluent aphasics.

참고문헌 (Reference)

1 이유지, "하모니카를 활용한 음악치료프로그램이 뇌졸중환자의 호흡기능과 구강운동기능 향상에 미치는 영향" 한국재활심리학회 23 (23): 709-724, 2016

2 김관일, "치료와 재활로서의 음악의 흐름" 5 (5): 59-70, 1998

3 김태연, "전체성 실어증 환자의 언어재활을 위한 신경학적 음악치료 사례연구" 한국재활심리학회 19 (19): 23-41, 2012

4 정옥란, "전체성 실어증 환자의 명명하기 수행력" 3 : 43-62, 1993

5 박정숙, "음악치료 프로그램이 우울증 중년여성의 자아존중감과 우울증 완화에 미치는 영향" 한국재활심리학회 19 (19): 63-83, 2012

6 전희운, "음악요소와 노래 부르기를 활용한 호흡 및 구강훈련이 정상노인의 음성에 미치는 영향" 한국콘텐츠학회 11 (11): 380-387, 2011

7 김향희, "실어증-신경언어장애 선별검사(Screening Test for Aphasia & Neurologic-communication Disoiders)" 학지사 2009

8 김수련, "브로카 실어증 환자의 과제간 명사와 동사의 산출 비교" 한국언어청각임상학회 9 (9): 1-18, 2004

9 김대웅, "복식호흡을 통한 발성훈련과 멜로디 억양 치료법의 혼합적 중재가 브로카 실어증 환자의 언어 표현력에 미치는 효과 : 단일대상연구" 성신여자대학교 대학원 2012

10 이난복, "멜로디억양치료(Melodic Intonation Therapy)가 비유창성 실어증 환자의 언어재활에 미치는 효과" 2 (2): 55-74, 2000

11 Thaut, M. H., "리듬, 음악, 그리고 뇌" 학지사 2009

12 박정선, "노래하기와 MIT의 혼합적 음악 중재가 브로카 실어증 환자의 이름대기 수행 향상에 미치는 효과" 숙명여자대학교 음악치료대학원 2008

13 윤혜연, "노래부르기 과업이 브로카 실어증자의 읽기와 조음 능력에 미치는 영향" 30 (30): 11-22, 2012

14 Raglio, A., "When music becomes music therapy" 65 (65): 682-683, 2011

15 Berndt, R. S., "Verb retrieval in aphasia 1. Characterizing single word impairments" 56 (56): 68-106, 1997

16 Lucia, C. M., "Toward developing a model of music therapy intervention in the rehabilitation of head trauma patients" 4 (4): 34-39, 1987

17 Narmour, E., "The top-down and bottom-up systems of musical implication : Building on Meyer’s theory of emotional syntax" 9 (9): 1-26, 1991

18 Patel, A. D., "The relationship of music to the melody of speech and to syntactic processing disorders in aphasia" 1060 (1060): 59-70, 2005

19 Darrow, A. A., "The effect of vocal training on the intonation and rate of hearing impaired children’s speech : A pilot study" 23 (23): 194-201, 1986

20 Cohen, N. S., "The effect of singing instruction on the speech production of neurologically impaired persons" 29 (29): 87-102, 1991

21 Chen, S., "The dissociation between nouns and verbs in Broca’s and Wernicke’s aphasia : Findings from Chinese" 12 : 5-36, 1998

22 Goodglass, H., "The assessment of aphasia and related disorders" Lippincott Williams & Wilkins 2001

23 Sherman, J. C., "Syntactic and semantic contributions to sentence comprehension in agrammatism" 37 (37): 419-439, 1989

24 Yamaguchi, S., "Singing therapy can be effective for a patient with severe nonfluent aphasia" 35 (35): 78-81, 2012

25 Keith, R. L., "Singing as therapy for apraxia of speech and aphasia : Report of a case" 2 : 483-488, 1975

26 McEntee, W. J., "Serotonin, memory, and the aging brain" 103 (103): 143-149, 1991

27 Rogers, A., "Rhythm and melody in speech therapy for the neurologically impaired" 1 : 33-38, 1981

28 Maess, B., "Musical syntax is processed in Broca’s area : An MEG study" 4 (4): 540-545, 2001

29 홍도경, "MIT(Melodic Intonation Therapy)중심의 음악활동을 이용한 실어증을 가진 뇌졸중 노인의 음절수 증가에 대한 사례연구" 2 (2): 57-67, 2005

30 신미희, "MIDI 건반을 활용한 치료적 악기연주가 뇌졸중 편마비 노인환자의 손기능에 미치는 영향" 한국재활심리학회 23 (23): 123-136, 2016

31 Edmonds, L. A., "Effect of Verb Network Strengthening Treatment(VNeST)on lexical retrieval of content words in sentences in persons with aphasia" 23 : 402-424, 2009

32 Benton, A. L., "Early descriptions of aphasia" 3 (3): 205-222, 1960

33 Saur, D., "Dynamics of language reorganization after stroke" 129 (129): 1371-1384, 2006

34 Caramazza, A., "Dissociation of algorithmic and heuristic processes in language comprehension : Evidence from aphasia" 3 (3): 572-582, 1976

35 Straube, T., "Dissociation between singing and speaking in expressive aphasia : The role of song familiarity" 46 (46): 1505-1512, 2008

36 Caplan, D., "Disorders of syntactic comprehension" MIT Press 1988

37 Davis, G. A., "Cognitive pragmatics of language disorders in adults" 28 (28): 111-121, 2007

38 Grodzinsky, Y., "Cognitive deficits, their proper description, and its theoretical relevance" 27 (27): 178-191, 1986

39 Bradley, D. C., "Biological studies of mental processes" MIT Press 269-286, 1980

40 Gerstman, H. L., "A case of aphasia" 29 (29): 89-91, 1964