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

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 be...

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Bibliographic Details
Main Authors: Alice Sautet, Laura Hurtado, Anna Fiveash, Leslie Baron, Mélaine De Quelen, Fabien Perrin
Format: Article
Language:English
Published: MDPI AG 2022-04-01
Series:Brain Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3425/12/4/483
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Summary: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.
ISSN:2076-3425