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Ebook Handbook of neurologic music therapy: Part 2

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(BQ) Part 2 book “Handbook of neurologic music therapy” has contents: Musical speech stimulation, rhythmic speech cueing, oral motor and respiratory exercises, vocal intonation therapy, therapeutic singing, musical sensory orientation training, and other contents. | Chapter 12 Musical Speech Stimulation (MUSTIM) Corene P. Thaut 12.1  Definition Musical speech stimulation (MUSTIM) is a neurologic music therapy (NMT) technique for non-fluent aphasia, that utilizes musical materials such as songs, rhymes, chants, and musical phrases to simulate prosodic speech gestures and trigger automatic speech (Thaut, 2005). In many patients with aphasia, non-propositional reflexive speech is unaffected, and overlearned musical phrases or songs can be used to stimulate spontaneous speech output. MUSTIM is an appropriate technique to select for patients who do not meet the criteria to be good candidates for melodic intonation therapy (MIT), due to decreased cognition or to dementia-related primary progressive aphasia. MUSTIM can also be an appropriate follow-up technique for patients who are beginning to show increased functional language after MIT and are ready to increase their spontaneous output of propositional speech. 12.2  Target populations Patients who have experienced a left hemisphere stroke or brain injury frequently suffer from some level of non-fluent aphasia which results in disrupted spontaneous expression of speech. Although many of these patients never recover speech despite intensive treatment, it has been observed that many patients with non-fluent expressive aphasia retain the ability to sing familiar melodies and words (Yamadori et al., 1977). MUSTIM is an NMT intervention designed for people with some form of non-fluent aphasia who still have the ability to produce non-propositional reflexive speech by accessing undamaged subcortical thalamic speech circuitry. Appropriate candidates for MUSTIM have some type of non-fluent aphasia, such as Broca’s or primary progressive aphasia, accompanied by difficulty with cognition. Candidates are also typically unable to follow the complexity of MIT with good functional carryover. This may be due to a stroke, or to diffuse traumatic brain injury, or related to Alzheimer’s disease .