The Importance of Material Used in Speech Therapy: Two Case Studies in Minimally Conscious State Patients

Brain Sciences

Alice Sautet¹  Anna Fiveash¹  Laura Hurtado¹  Fabien Perrin¹  Mélaine De Quelen²  Leslie Baron³ 

[1] CAP Team (Cognition Auditive et Psychoacoustique), Lyon Neuroscience Research Centre (Université Claude Bernard Lyon 1, INSERM U1028, CNRS UMR5292), 69675 Bron, France;Neuro-Rehabilitation Unit, Neurological Hospital Pierre-Wertheimer, Hospices Civils de Lyon, 69677 Bron, France;Speech Therapy Department, Université de Nantes, 44035 Nantes, France;

关键词: music;    autobiographical memory;    tempo;    speech therapy;    minimally conscious state;   

DOI  :  10.3390/brainsci12040483

来源: DOAJ

【 摘 要 】

Speech therapy can be part of the care pathway for patients recovering from comas and presenting a disorder of consciousness (DOC). Although there are no official recommendations for speech therapy follow-up, neuroscientific studies suggest that relevant stimuli may have beneficial effects on the behavioral assessment of patients with a DOC. In two case studies, we longitudinally measured (from 4 to 6 weeks) the behavior (observed in a speech therapy session or using items from the Coma Recovery Scale—Revised) of two patients in a minimally conscious state (MCS) when presenting music and/or autobiographical materials. The results highlight the importance of using relevant material during a speech therapy session and suggest that a musical context with a fast tempo could improve behavior evaluation compared to noise. This work supports the importance of adapted speech therapy for MCS patients and encourages larger studies to confirm these initial observations.

【 授权许可】

Unknown