Adequação de protocolo clínico para paciente com afasia global e disartria por sequela de AVCi

Abstract

There are several techniques and protocols for the treatment and rehabilitation ofspeech and language in Neurological Music Therapy, however, none of them is specific to treatthe different types of aphasia that exist and their particularities. The clinical music therapistneeds, then, to seek effective and scientifically based means to conduct and qualify the service.This work presents a clinical protocol based on Melodic Intonation Therapy, adapted for anelderly patient with global aphasia. This is a case study, with a qualitative and methodologicalapproach. It is presented from the treatment performed with a patient diagnosed with globalaphasia and dysarthria due to a sequela of fronto-temporo-parietal stroke, which occurred 1 yearand 6 months before the beginning of the music therapy treatment. Patient X showed afavorable and effective evolution in his diagnosis, such as improvement in word articulation andunderstanding of sentences, attempt at spoken communication.