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歌唱促进获得性神经源性交流障碍的康复:通过对言语语言病理学当前实践的调查延续证据对话

Singing for the Rehabilitation of Acquired Neurogenic Communication Disorders: Continuing the Evidence Dialogue with a Survey of Current Practices in Speech-Language Pathology.

作者信息

Behaghel Estelle, Zumbansen Anna

机构信息

Department of Speech-Language Pathology, Université de Limoges, 87036 Limoges, France.

School of Rehabilitation Sciences, University of Ottawa, Ottawa, ON K1H 8M5, Canada.

出版信息

Healthcare (Basel). 2022 May 30;10(6):1010. doi: 10.3390/healthcare10061010.

Abstract

Therapeutic applications of singing (e.g., melodic intonation therapy) for acquired neurogenic communication disorders (ANCD) such as post-stroke aphasia, dysarthria, or neurodegenerative diseases have emerged from innovations by clinical speech-language pathologists (SLPs). However, these specialists have never been systematically consulted about the use of singing in their practices. We report a survey of 395 SLPs in France using an online questionnaire (September 2018-January 2019). Most (98%) knew that singing could be a therapeutic tool. A wide variety of uses emerged in our data. Some practices (e.g., song games) have not yet been investigated in research settings. Melodic therapy, which is supported by scientific evidence, is familiar to clinicians (90%), but they lack training and rarely follow a full protocol. Over half of respondents (62%) recognize group singing for various benefits, but do not often use it, mainly due to the lack of adapted or welcoming choirs in their area. These results provide key information for continued dialogue between researchers, clinicians, and the community. Considering the aging population and the associated increase in the prevalence of ANCD, access to group singing in particular could be facilitated for these patients from a social prescription perspective with further research evidence.

摘要

歌唱(如旋律语调疗法)在中风后失语症、构音障碍等后天性神经源性沟通障碍(ANCD)或神经退行性疾病中的治疗应用,源自临床言语语言病理学家(SLP)的创新。然而,这些专家从未就歌唱在其临床实践中的应用接受过系统的咨询。我们报告了一项对法国395名SLP进行的在线问卷调查(2018年9月 - 2019年1月)的结果。大多数(98%)知道歌唱可以作为一种治疗工具。我们的数据中出现了各种各样的应用。一些实践(如歌戏)尚未在研究环境中进行过调查。有科学证据支持的旋律疗法,临床医生比较熟悉(90%),但他们缺乏相关培训,也很少遵循完整的方案。超过一半的受访者(62%)认识到集体歌唱有各种益处,但不常使用,主要原因是他们所在地区缺乏合适的或受欢迎的合唱团。这些结果为研究人员、临床医生和社区之间的持续对话提供了关键信息。考虑到人口老龄化以及ANCD患病率的相应增加,从社会处方的角度来看,有进一步的研究证据的话,尤其可以为这些患者提供集体歌唱的机会。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb94/9222374/f45468c0445f/healthcare-10-01010-g001.jpg

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