Home  TBI-Adults-Treatment-Voice-General-Findings |
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Traumatic Brain Injury (Adults)
Voice Treatment
General Findings
External Scientific Evidence
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Evidence-Based Practice Guidelines |
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No evidence-based practice guidelines were found. |
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Evidence-Based Systematic Reviews |
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A Critical Review of Interventions Targeting Prosody
Hargrove, P., Anderson, A., et al. (2009).
International Journal of Speech-Language Pathology, 11(4), 298-304. |
Description
This is a review of group and single-subject designs investigating the effect of interventions targeting prosody in children and adults with communication impairment.
Conclusions
“All researchers claimed at least partial success for treatment approaches. It is difficult to make a definitive statement about the relative effectiveness about the treatment procedures because quality indicators were not consistent in judging direction and/or degree of clinical success. That is, 50% of the time the measures of treatment success (i.e., quality indicators) were in agreement but 50% they contradicted one another with one quality indicator suggesting the treatment was successful and the other indicating limited or no improvement. We could not detect a pattern to these disagreements” (p. 301).
Evidence-Based Review of Moderate to Severe Acquired Brain Injury
Teasell, R., Marshall, S., et al. (2008).
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Description
This is a review of prospective and retrospective experimental and non-experimental studies that investigated the effectiveness of rehabilitation for adults and children with moderate to severe acquired brain injury (ABI), including stroke and traumatic brain injury (TBI). This review includes the assessment and management of several aspects of rehabilitation including speech and language treatments. The levels of evidence used to summarize the findings are based on the modified Sackett criteria: Level 1 was applied to randomized controlled trials (RCT) with a PEDro score greater than 5. Level 2 was applied to RCTs with a PEDro score less than 6, non-RCTs, and cohort studies. Level 3 was applied to case control studies. Level 4 was applied to pre-post studies, post-studies, case series, and single intervention group studies. Level 5 was applied to observational studies, case studies, and consensus statements.
Conclusions
Based on Level 4 evidence, the authors conclude that telephone use facilitates the initiation of voicing in individuals with severe brain injury and that “a pitch biofeedback and expression modeling intervention is beneficial to a patient with motor aprosodia, improving affective prosody” (p. 23).
Clinical Expertise/Expert Opinion
| Consensus Guidelines |
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No consensus guidelines were found. |
Client/Patient/Caregiver Perspectives
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The Effects of a Song-Singing Programme on the Affective Speaking Intonation of People with Traumatic Brain Injury
Baker, F., Wigram, T., et al. (2005).
Brain Injury, 19(7), 519-528. |
Description
This is a qualitative study of four individuals with traumatic brain injury. This study examines the impact and perceived effectiveness of a music therapy program to improve intonation.
Conclusions
Immediate post treatment improvements were not found. However, long term effects were reported for improved intonation in three of the four participants. Additionally, participants expressed a change in mood with treatment with "increased feelings of happiness and decreased feelings of tension, fear, sadness and confusion" (p. 525).
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