Efficacy of a multicomponent singing intervention on communication and psychosocial functioning in chronic aphasia: a randomized controlled crossover trial.

Autor:	Siponkoski ST; Cognitive Brain Research Unit, Department of Psychology and Logopedics, University of Helsinki, 00014 Helsingin yliopisto, Helsinki, Finland.; Centre of Excellence in Music, Mind, Body and Brain, University of Helsinki, 00014 Helsingin yliopisto, Helsinki, Finland., Pitkäniemi A; Cognitive Brain Research Unit, Department of Psychology and Logopedics, University of Helsinki, 00014 Helsingin yliopisto, Helsinki, Finland.; Centre of Excellence in Music, Mind, Body and Brain, University of Helsinki, 00014 Helsingin yliopisto, Helsinki, Finland., Laitinen S; Centre of Excellence in Music, Mind, Body and Brain, University of Helsinki, 00014 Helsingin yliopisto, Helsinki, Finland.; Espoo Hospital, 00029 HUS, Espoo, Finland., Särkämö ER; Private choir conductor, 01300 Vantaa, Finland., Pentikäinen E; Cognitive Brain Research Unit, Department of Psychology and Logopedics, University of Helsinki, 00014 Helsingin yliopisto, Helsinki, Finland.; Centre of Excellence in Music, Mind, Body and Brain, University of Helsinki, 00014 Helsingin yliopisto, Helsinki, Finland., Eloranta H; Helsinki-Uusimaa Stroke Association, 00610 Helsinki, Finland., Tuomiranta L; Department of Psychology and Logopedics, University of Helsinki, 00014 Helsingin yliopisto, Helsinki, Finland., Melkas S; Department of Neurology, University of Helsinki and Helsinki University Central Hospital, 00029 HUS, Helsinki, Finland., Schlaug G; Department of Neurology, UMass Medical School, Springfield & Department of Biomedical Engineering and Institute of Applied Life Sciences, UMass Amherst, Amherst, MA 01003, USA., Sihvonen AJ; Cognitive Brain Research Unit, Department of Psychology and Logopedics, University of Helsinki, 00014 Helsingin yliopisto, Helsinki, Finland.; Centre of Excellence in Music, Mind, Body and Brain, University of Helsinki, 00014 Helsingin yliopisto, Helsinki, Finland.; Department of Neurology, University of Helsinki and Helsinki University Central Hospital, 00029 HUS, Helsinki, Finland.; School of Health and Rehabilitation Sciences, Queensland Aphasia Research Centre and UQ Centre for Clinical Research, The University of Queensland, QLD 4029, Brisbane, Australia., Särkämö T; Cognitive Brain Research Unit, Department of Psychology and Logopedics, University of Helsinki, 00014 Helsingin yliopisto, Helsinki, Finland.; Centre of Excellence in Music, Mind, Body and Brain, University of Helsinki, 00014 Helsingin yliopisto, Helsinki, Finland.
Jazyk:	angličtina
Zdroj:	Brain communications [Brain Commun] 2022 Dec 27; Vol. 5 (1), pp. fcac337. Date of Electronic Publication: 2022 Dec 27 (Print Publication: 2023).
DOI:	10.1093/braincomms/fcac337
Abstrakt:	The ability to produce words through singing can be preserved in severe aphasia, but the benefits of group-based singing rehabilitation in aphasia are largely unknown. Our aim was to determine the efficacy of a multicomponent singing intervention on communication and speech production, emotional-social functioning and caregiver well-being in aphasia. Fifty-four patients with acquired brain injury and chronic aphasia and their family caregivers ( n = 43) were recruited. Using a crossover randomized controlled trial design, participants were randomized to two groups who received a 4-month singing intervention either during the first or second half of the study in addition to standard care. The intervention comprised weekly group-based training (including choir singing and group-level melodic intonation therapy) and tablet-assisted singing training at home. At baseline, 5- and 9-month stages, patients were assessed with tests and questionnaires on communication and speech production, mood, social functioning, and quality of life and family caregivers with questionnaires on caregiver burden. All participants who participated in the baseline measurement ( n = 50) were included in linear mixed model analyses. Compared with standard care, the singing intervention improved everyday communication and responsive speech production from baseline to 5-month stage, and these changes were sustained also longitudinally (baseline to 9-month stage). Additionally, the intervention enhanced patients' social participation and reduced caregiver burden. This study provides novel evidence that group-based multicomponent singing training can enhance communication and spoken language production in chronic aphasia as well as improve psychosocial wellbeing in patients and caregivers. https://www.clinicaltrials.gov, Unique identifier: NCT03501797. (© The Author(s) 2022. Published by Oxford University Press on behalf of the Guarantors of Brain.)
Databáze:	MEDLINE
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