COMPARISON OF SEMANTIC FEATURE ANALYSIS (SFA) AND MELODIC INTONATION THERAPY (MIT) IN PATIENTS WITH NON-FLUENT APHASIA

Main Article Content

Nayab Iftikhar
Arshad Mahmood Naz
Hafiz Muhammad Tahir Zia
Muhammad Bilal Bhatti
Asia

Keywords

Semantic Feature Analysis, Melodic Intonation Therapy

Abstract

Introduction: Individuals with aphasia often experience difficulties in naming objects and words. While there have been reports of treatment benefits from approaches like Semantic Feature Analysis (SFA) and Melodic Intonation Therapy (MIT), a comprehensive understanding of their effectiveness is lacking. This study seeks to address this gap by investigating whether the therapeutic impact of SFA and MIT varies among individuals with Non-Fluent Aphasia. The primary objective of the research is to compare the outcomes of these therapy protocols to gain insights into their relative effectiveness.


Methods: The research was structured as a Between Group Research design, employing a non-randomized control sampling strategy to assess the effectiveness of Semantic Feature Analysis (SFA) and Melodic Intonation Therapy (MIT) in treating patients with Non-Fluent Aphasia. Utilizing a Within Subject Research Design, pre and post assessments were conducted. Data was gathered through purposive sampling from hospital settings, involving a sample size of 10 participants. Comprehensive assessment tools including the Boston Diagnostic Aphasia Examination, Progressive, and Aphasia Severity Scale were administered both before and after therapy sessions, spanning 6-8 weeks, conducted 2-3 days a week, each lasting 30-45 minutes.


Results: The Wilcoxon Signed Ranked Test showed good posttest findings, whereas the Mann-Whitney U Test produced favorable results, indicating a beneficial outcome. This study provides tried-and-true procedures to manage language impairments in people with aphasia, and it is anticipated to have a substantial positive impact on speech-language pathologists working in actual clinical settings.

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References

1. Barofsky, I. (2012). Can quality or quality-of-life be defined? Quality of life research: an international journal of quality of life aspects of treatment, care and rehabilitation, 21(4), 625-31. doi: 10.1007/s11136-011-9961-0.
2. Bénédicte, B., Hélène, C., Marie, V, Mélanie, C., Clémence, M., Isabelle, D. G., Patrick, D., Pierre, A. J., Igor, S., & Bertrand, G. (2020). New factors that affect quality of life in patients with aphasia. Annals of Physical and Rehabilitation Medicine, 63(1), 33-37.
3. Bonita, R., & Beaglehole, R. (1988). Recovery of motor function after stroke. Stroke. 1988;19(12):1497-500. http://dx.doi.org/10.1161/01. STR.19.12.1497 20.
4. Boyle, M. (2001). Semantic Feature Analysis: The Evidence for Treating Lexical Impairments in Aphasia. Perspectives on Neurophysiology and Neurogenic Speech and Language Disorders, 11(2), 23. doi: 10.1044/nnsld11.2.23
5. Boyle, M. (2010). Semantic Feature Analysis Treatment for Aphasic Word Retrieval Impairments: What’s in a Name? Topics in Stroke Rehabilitation, 17(6), 411–422. doi: 10.1310/tsr1706-411.
6. Chen, W., Qian, Q., van de Weijer, J., Zhu, S., & Wang, M. (2023). Adaptation of Melodic Intonation Therapy to a Tone Language: A Pilot Study of Tone-Rhythmic Therapy in Mandarin Chinese. Folia Phoniatrica et Logopaedica, 75(2), 104-116.
7. Efstratiadou, E. A., Papathanasiou, I., Holland, R., Archonti, A., & Hilari, K. (2018). A systematic review of semantic feature analysis therapy studies for aphasia. Journal of Speech, Language, and Hearing Research, 61(5), 1261-1278.
8. Folker, A. P., Hegelund, E. R., Mortensen, E. L., Wimmelmann, C. L., & Flensborg-Madsen, T. (2018). The association between life satisfaction, vitality, self-rated health, and risk of cancer. Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 28(4), 947-954. doi: 10.1007/s11136-018-2083-1.
9. Fridriksson, J., Rorden, C., Elm, J., Sen, S., George, M. S., & Bonilha, L. (2018). Transcranial Direct Current Stimulation vs Sham Stimulation to Treat Aphasia After Stroke: A Randomized Clinical Trial. JAMA neurology, 75(12), 1470-1476. doi: 10.1001/jamaneurol.2018.2287.
10. García-Casares, N., Barros-Cano, A., & García-Arnés, J. A. (2022). Melodic Intonation Therapy in Post-Stroke Non-Fluent Aphasia and Its Effects on Brain Plasticity. Journal of Clinical Medicine, 11(12), 3503.
11. Gravier, M. L., Dickey, M. W., Hula, W. D., Evans, W. S., Owens, R. L., Winans-Mitrik, R. L., & Doyle, P. J. (2018). What matters in semantic feature analysis: Practice-related predictors of treatment response in aphasia. American Journal of Speech-Language Pathology, 27(1S), 438-453.
12. Hilari, K., Byng, S., Lamping, D. L., & Smith, S. C. (2003). Stroke and Aphasia Quality of Life scale-39 (SAQOL-39). Stroke, 34(8), 1944–1950. https://doi.org/10.1161/01.str.0000081987.46660.ed
13. Kaplan E, Goodglass H, Weintraub S. The Boston Naming Test. Philadelphia: Lea & Febiger; 1983.
14. Kauhanen, M. L., Korpelainen, J. T., Hiltunen, P., Nieminen, P., Sotaniemi, K. A., & Myllylä, V. V. (2000). Domains and determinants of quality of life after stroke caused by brain infarction. Arch Phys Med Rehabil. 81(12), 1541-6. 22.
15. Kendall, D. L., Moldestad, M. O., Allen, W., Torrence, J., & Nadeau, S. E. (2019). Phonomotor versus semantic feature analysis treatment for anomia in 58 persons with aphasia: A randomized controlled trial. Journal of Speech, Language, and Hearing Research, 62(12), 4464-4482.
16. Oechsle, K. (2019). Palliative Care in Patients with Hematological Malignancies. Oncology research and treatment, 42(1-2), 25-30. doi: 10.1159/000495424.
17. Sapolsky, D., Domoto-Reilly, K., & Dickerson, B. C. (2014). Use of the Progressive Aphasia Severity Scale (PASS) in monitoring speech and language status in PPA. Aphasiology, 28(8–9), 993–1003. https://doi.org/10.1080/02687038.2014.931563
18. Sarno, M. T. (2007). Quality of life in aphasia in the first post-stroke year. Aphasiology, 11(7), 665-679.
19. Tabei, K. I., Satoh, M., Nakano, C., Ito, A., Shimoji, Y., Kida, H., & Tomimoto, H. (2016). Improved neural processing efficiency in a chronic aphasia patient following melodic intonation therapy: A neuropsychological and functional MRI study. Frontiers in Neurology, 7, 148.
20. Wambaugh, J. L., & Ferguson, M. (2017). Application of semantic feature analysis to retrieval of action names in aphasia. Journal of Rehabilitation Research & Development, 44(3).
21. Zhang, X. Y., Yu, W. Y., Teng, W. J., Lu, M. Y., Wu, X. L., Yang, Y. Q., & Li, J. J. (2021). Effectiveness of melodic intonation therapy in chinese mandarin on non-fluent aphasia in patients after stroke: a randomized control trial.