Goldfarb R, Bader E
Int J Rehabil Res. 1979;2(3):333-42. doi: 10.1097/00004356-197909000-00002.
A program of Melodic Intonation Therapy (MIT) was adapted as a home training procedure to enable a severely affected aphasic adult to respond to 52 simple questions bearing relevance to his daily life. MIT involves embedding short phrases or sentences in a simple, non-distinct melody pattern. As the patient progresses through the program, the melodic aspect is faded and the program eventually leads to production of the target phrase or sentence in normal speech prosody. The present procedure consisted of three levels of training designed to advance the subject from an initial level of intoning responses in a simple melody to producing the responses in normal speech prosody. The subject's wife was trained to administer MIT both in the clinical and home settings. Considerable improvement was obtained in imitation and in context related responses to questions. These findings lend support to the proposal that the music dominance to the right hemisphere assists, and perhaps diminishes the language dominance of, the damaged left hemisphere. The limitations of use of Melodic Intonation Therapy were discussed.
一种旋律语调疗法(MIT)程序被改编为家庭训练方法,以使一名受严重影响的失语成年患者能够回答52个与他日常生活相关的简单问题。MIT包括将短短语或句子嵌入简单、无明显特征的旋律模式中。随着患者在该程序中不断进步,旋律方面逐渐淡化,该程序最终导致目标短语或句子以正常语音韵律产生。目前的程序包括三个训练级别,旨在使受试者从最初以简单旋律语调回答的水平提升到以正常语音韵律进行回答。受试者的妻子接受了培训,以便在临床和家庭环境中实施MIT。在模仿以及对问题的情境相关反应方面取得了显著改善。这些发现支持了以下提议:右半球的音乐优势有助于受损的左半球,或许还能削弱其语言优势。文中还讨论了旋律语调疗法使用的局限性。