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MIT – Non-Fluent Aphasia Rehabilitation — SCE Neurology MCQ

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ModerateNeurorehabilitationMIT – Non-Fluent Aphasia RehabilitationSCE Neurology

A 60-year-old man with a left hemispheric stroke has severe non-fluent aphasia. He cannot speak but can sing familiar songs with correct lyrics and melody. His speech therapist uses this ability therapeutically. What is the name of this therapy technique?

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Correct answer: A — Melodic intonation therapy (MIT) — it exploits the preserved right-hemisphere musical/prosodic processing to facilitate language output in non-fluent aphasia

Melodic intonation therapy (MIT) is a speech therapy technique that uses melodic (singing) patterns to facilitate language production in patients with severe non-fluent (Broca) aphasia. It exploits the observation that patients with left-hemisphere language damage can often sing lyrics that they cannot speak, because musical/prosodic processing is mediated by the right hemisphere. MIT uses intoned (melodic) speech patterns, rhythmic tapping, and gradual transition from singing to speaking to help patients produce functional phrases. A: LSVT is for PD speech. C: LSVT LOUD is for PD. D: Constraint-induced language therapy limits compensatory strategies. E: Computer-based therapy is an adjunct.

Reference: RCP Stroke Guidelines; Schlaug et al. MIT