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ASHA 2014
Introduction
Focus: SLPs use of songs as component of intervention
for language and cognition in adults with dementia
We will be looking at the evidence base for singing to
facilitate language and cognition, including external
evidence and case examples. Well be providing
demonstrations of songs and techniques where we hope
youll join in.
Clinical Use
Establish rapport
Increase memory
Personal Experience
Using song-based techniques as a part of language and
cognitive intervention with older adults for over eight
years
Irish, M., Cunningham, C.J., Walsh, J.B., Coakley, D., Lawlor, B.A.,
Robertson, I.H., & Coen, R.F. (2006). Investigating the enhancing effect
of music on autobiographical memory in mild Alzheimers disease.
Dementia and Geriatric Cognitive Disorders, 22, 108-120.
El Haj, M., Clment, S., Fasotti, L., & Allain, P. (2013). Effects of music
on autobiographical verbal narration in Alzheimer's disease. Journal Of
Neurolinguistics, 26(6), 691-700. doi:10.1016/j.jneuroling.2013.06.001
Chatterton, W., Baker, F., & Morgan, K. (2010, December 4). The Singer or the
Singing: Who Sings Individually to Persons with Dementia and What Are the
Effects?
American Journal of Alzheimers Disease and Other Dementias, 25(8), 641-649.
Deason, R. G., Simmons-Stern, N. R., Ally, B. A., Frustace, B. S., & Budson, A. E.
(2012). Music as a Memory Enhancer: Differences Between Healthy Older Adults
and Patients With Alzheimer's Disease. Psychomusicology: Music, Mind & Brain, 22(2),
175-179. doi:10.1037/a0031118
Recap, continued
Memory for music seems to be retained longer and
music is processed differently than spoken language.
Can be used to facilitate cognitive and language
goals even in cases of severe cognitive impairments
Several studies have shown song based techniques
superior to only conversation/talking based
techniques in persons with dementia
Some studies have shown for subjects with dementia
that singing superior to listening to music in re:
cognitive gains
Mitchell et al., 2014 ASHA
What songs?
Personalized: songs that are familiar to the person and are matter
to them. Ask client and/or family about song preferences, musical
style preferences, or make educated guess based on client age and
background. As you sing/play, watch for facial an other cues that
client is engaging with song. Aim for songs that would have been
popular when the individual was between teen and adult years.
Live music in interaction context. Be engaging yourself and
demonstrate enjoyment.
Keep singing segments short and therapeutically oriented. Focus
on the objectives you want to accomplish, e.g., short term memory,
reminiscence of older memories, increase language production and
comprehension, increase reading skills, etc.
Verse 1:
When
When
When
Chorus: