About this trial
Sequentially applying Melodic Intonation Therapy (MIT) during the subacute phase, followed by Constraint-Induced Aphasia Therapy (CIAT) during the chronic phase
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Have suffered a single LH stroke, with the RH remaining entirely intact;
Have a diagnosis of non-fluent aphasia characterized by non-fluent speech-with or without agrammatism, paraphasias, or stereotypies-anomia, and relatively preserved auditory comprehension;
Be within 9 weeks post-stroke at the time of enrollment;
Have no hearing, neurological, or psychiatric impairments;
Disqualifiers
None
Trial design
Parallel
Treatments tested in this trial
CIPAN = MIT + CIAT
BehavioralThe First Therapeutic Period (1st TP) takes place during the subacute phase, from 10 to 15 weeks since the patient's stroke onset. The Second Therapeutic Period (2nd TP) occurs during the chronic phase, from 27 to 32 weeks since the patient's stroke onset. MIT sessions (1st TP) will last one hours each and will be administered daily (5 days per week) over six weeks, amounting to a total of 30 hours of therapy. CIAT sessions (2nd TP) will be three-hour long and delivered on a daily basis (also 5 days per week) for two weeks, resulting in a total of 30 hours of therapy.
MIT + MIT
BehavioralThe First Therapeutic Period (1st TP) takes place during the subacute phase, from 10 to 15 weeks since the patient's stroke onset. The Second Therapeutic Period (2nd TP) occurs during the chronic phase, from 27 to 32 weeks since the patient's stroke onset. MIT sessions (1st TP) will last one hours each and will be administered daily (5 days per week) over six weeks, amounting to a total of 30 hours of therapy. MIT sessions (2nd TP) will last one hours each and will be administered daily (5 days per week) over six weeks, amounting to a total of 30 hours of therapy.
CIAT + CIAT
BehavioralThe First Therapeutic Period (1st TP) takes place during the subacute phase, from 10 to 15 weeks since the patient's stroke onset. The Second Therapeutic Period (2nd TP) occurs during the chronic phase, from 27 to 32 weeks since the patient's stroke onset. CIAT sessions (1st TP) will be three-hour long and delivered on a daily basis (also 5 days per week) for two weeks, resulting in a total of 30 hours of therapy. CIAT sessions (2nd TP) will be three-hour long and delivered on a daily basis (also 5 days per week) for two weeks, resulting in a total of 30 hours of therapy.
Treatment groups
Trial outcomes
Primary outcomes
Conversational speech
From The Cookie Theft picture description of the Boston Diagnostic Aphasia Examination (BDAE)
Repetition
From the Word and sentence repetition test of the Boston Diagnostic Aphasia Examination (BDAE)
Naming (auditory confrontation)
From the Responsive naming test of the Boston Diagnostic Aphasia Examination (BDAE)
Naming (visual confrontation)
From the Boston Naming Test of the Boston Diagnostic Aphasia Examination (BDAE)
Secondary outcomes
Auditive comprehension
From the Commands test of the Boston Diagnostic Aphasia Examination (BDAE)
Depression
From the Signs of Depression Scale (SODS) and Stroke Aphasia Depression Questionnaire (SADQ-10)
Lesion volume and extent
By MRI Voxel-based Lesion-Symptom Mapping (VLSM)
White matter integrity
By MRI Diffusion Weighted Imaging (DWI)
Locations
Sponsors and contacts
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