Aphasia, Mit

Front 1

What is the candidacy for Melodic Intonation Therapy?

Back 1

-Broca's Aphasia Clients
-Poorly articulated, nonfluent or severely restricted verbal output that may be limited to stereotype
-Can produce some real, accurate words with singing familiar songs
-Repetition is poor
-Auditory comprehension is moderately preserved
-Spontaneous speech is poorly articulated
-Person is motivated

Front 2

What is the rationale for Melodic Intonation Therapy?

Back 2

-Stimulating the right hemisphere because that hemisphere is important in mediating music
-fMRI study by did NOT show right hemisphere activation but activation of undamaged left hemisphere areas including the prefrontal cortex and Heschl's gyrus

Front 3

What happens in the 1st level/stage of Melodic Intonation Therapy?

Back 3

Stage I:
The therapist hums intoned phrases and the client taps the rythm of the stress pattern with his hands/feet.
-humming (no score)
-Unison intoning with assisted hand tapping (1). Up to 4 repetitions
-Unisons singing with fading (1) do no lip-sync
-Immediate repetition
-Responses to probe questions

Front 4

What happens in the 2nd level/stage of Melodic Intonation Therapy?

Back 4

Stage II:
As the patient progresses, the therapist begins to "sing" the intoned phrases and the patient repeats them
-Introduction of item (no score)
-Unison with fading (1)
-Delayed repetition of approx. 6 secs (2) (backup is allowed; 1)
-Response to probe question (2) (Backup allowed; 1)

Front 5

What happens in the 3rd level/stage of MIT?

Back 5

Stage III:
Length is increased and "sprechgesang" is is used to facilitate the transition to normal speech.
-Delayed repetition (2) (backup allowed; 1)
-Introduce sprechgesang (no score)
-Sprechgesang with fading (2) (backup w/ unison sprechgesang; 1)
-Spoken repetition with delay (2) (backup allowed; 1)
-Response to probe questions (2) (backup allowed; 1)