Effect of music and singing in the rehabilitation of language, communication and cognitive-linguistic functions of patients with aphasia. A systematic review of the literature.
DOI:
https://doi.org/10.61989/qzgpbr21Keywords:
aphasia, music, singing, songs, rhythm, melodic intonation therapyAbstract
Background: Since the 1970s, publications evaluating the effect of musical or singing tools to support aphasia remediation have flourished.
Aims: This systematic literature review examines the hypothesis that music- and singing-based therapies promote the recovery of language, communication, and cognitive-linguistic functions in patients with aphasia.
Methods: To do so, the selection, reading and analysis of 51 studies were conducted.
Results: Analyzed publications show high levels of efficacy of musical and singing-based interventions (89% of significant effects in the linguistic domain, 100% in the communication domain, and 100% for cognitivo-linguistic tests), covering a large range of criteria, from articulation to the decrease of stereotypies in speech. This systematic review distinguishes the efficacy of three types of musical intervention: the Melodic Intonation Therapy and its variants, singing-based interventions, and musical listening. In addition, it collects data on the generalization of acquired skills and the effects according to aphasia severity, stage and patient musical background. This work allows to identify factors that may influence intervention outcomes and suggests research perspectives.
Conclusions: This review will provide precious data for therapists who are willing to build an evidence-based practice using music and singing.
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