International journal of language & communication disorders · 2026
Rehabilitative Efficacy of Music Speech Training for Speech Disorders in Patients With Tongue Cancers: A Pilot Study.
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Guo Kaixin, Chen Chen, Lao Zhentao, Xiao Yudong, Yang Le, Liao Guiqing, Lu Shuo, Shi Peixuan, Liang Yujie
Аннотация
BACKGROUND: Patients with tongue cancers (TC) often experience speech disorders, necessitating a comprehensive rehabilitation strategy to enhance speech function after the surgery.
AIMS: To investigate the safety and efficacy of music speech training integrated into the postoperative routine speech rehabilitation for patients with TC.
METHODS & PROCEDURES: A pilot cohort study was conducted, where patients in the intervention group (n = 10) were instructed to engage in music speech training twice a week for 4 weeks. Pre- and post-training assessments of speech function were performed, encompassing questionnaires (e.g., Speech Handicap Index, SHI), perceptual evaluations (words and sentences intelligibility), and acoustic analysis of vowels. Adverse events were monitored for safety throughout the process. The control group (n = 10) only underwent tongue strengthening exercise. Speech function assessments for the control group were administered concurrently with those for the intervention group to facilitate comparative analysis of baseline and post-intervention speech performance (SHI, words and sentences intelligibility, vowel space area (VSA) and formant centralization ratio (FCR)).
OUTCOMES & RESULTS: No adverse effects were reported. The study included 20 participants (aged 28-67 years, 12 males). Baseline characteristics showed no significant differences between the intervention and control groups. Statistical analyses revealed significant improvements in speech-related quality of life (s-QoL) (p < 0.05) and speech intelligibility (words: p < 0.001, sentences: p = 0.006) in the intervention group following music speech training. In comparison with the control group, patients in the intervention group demonstrated higher word intelligibility scores after music speech training (68.25±5.37 vs. 52.00±10.93, p = 0.014). Furthermore, the VSA was greater in the intervention group (317488.04 ± 152059.21 vs. 248280.05 ± 126732.80, p = 0.044), indicating a broader range of tongue movement during the same postoperative period compared to the control group.
CONCLUSIONS & IMPLICATIONS: Music speech training demonstrated improvements in speech intelligibility and s-QoL among postoperative patients with TC, offering a promising new approach for postoperative speech rehabilitation.
WHAT THIS PAPER ADDS: What is already known on this subject Speech disorders (SDs) represent a prevalent complication among postoperative tongue cancer (TC) patients, significantly impairing speech related quality of life (s-QoL). There remains a lack of standardized therapeutic protocols for managing SDs in postoperative TC patients. What this paper adds to existing knowledge Music speech training improved word and sentence intelligibility in patients with TC, while improving their s-QoL. This improvement was possibly attributed to the expanded range of tongue motion. What are the potential or actual clinical implications of this work? Current results suggest that music speech training can improve speech function and the s-QoL in patients with TC, providing a new possibility for postoperative speech rehabilitation.
AIMS: To investigate the safety and efficacy of music speech training integrated into the postoperative routine speech rehabilitation for patients with TC.
METHODS & PROCEDURES: A pilot cohort study was conducted, where patients in the intervention group (n = 10) were instructed to engage in music speech training twice a week for 4 weeks. Pre- and post-training assessments of speech function were performed, encompassing questionnaires (e.g., Speech Handicap Index, SHI), perceptual evaluations (words and sentences intelligibility), and acoustic analysis of vowels. Adverse events were monitored for safety throughout the process. The control group (n = 10) only underwent tongue strengthening exercise. Speech function assessments for the control group were administered concurrently with those for the intervention group to facilitate comparative analysis of baseline and post-intervention speech performance (SHI, words and sentences intelligibility, vowel space area (VSA) and formant centralization ratio (FCR)).
OUTCOMES & RESULTS: No adverse effects were reported. The study included 20 participants (aged 28-67 years, 12 males). Baseline characteristics showed no significant differences between the intervention and control groups. Statistical analyses revealed significant improvements in speech-related quality of life (s-QoL) (p < 0.05) and speech intelligibility (words: p < 0.001, sentences: p = 0.006) in the intervention group following music speech training. In comparison with the control group, patients in the intervention group demonstrated higher word intelligibility scores after music speech training (68.25±5.37 vs. 52.00±10.93, p = 0.014). Furthermore, the VSA was greater in the intervention group (317488.04 ± 152059.21 vs. 248280.05 ± 126732.80, p = 0.044), indicating a broader range of tongue movement during the same postoperative period compared to the control group.
CONCLUSIONS & IMPLICATIONS: Music speech training demonstrated improvements in speech intelligibility and s-QoL among postoperative patients with TC, offering a promising new approach for postoperative speech rehabilitation.
WHAT THIS PAPER ADDS: What is already known on this subject Speech disorders (SDs) represent a prevalent complication among postoperative tongue cancer (TC) patients, significantly impairing speech related quality of life (s-QoL). There remains a lack of standardized therapeutic protocols for managing SDs in postoperative TC patients. What this paper adds to existing knowledge Music speech training improved word and sentence intelligibility in patients with TC, while improving their s-QoL. This improvement was possibly attributed to the expanded range of tongue motion. What are the potential or actual clinical implications of this work? Current results suggest that music speech training can improve speech function and the s-QoL in patients with TC, providing a new possibility for postoperative speech rehabilitation.