Testing a rhythm-based intervention for dysarthria: Evidence from two case studies

Journal title RICERCHE DI PSICOLOGIA
Author/s Giulia Gasparotto, Silvia Maculotti, Alessandra Maietti, Alessandro Antonietti, Alice Cancer
Publishing Year 2026 Issue 2025/2
Language English Pages 15 P. 109-123 File size 0 KB
DOI 10.3280/rip2025oa21669
DOI is like a bar code for intellectual property: to have more infomation click here

FrancoAngeli is member of Publishers International Linking Association, Inc (PILA), a not-for-profit association which run the CrossRef service enabling links to and from online scholarly content.

<p>Dysarthria is characterized by disruptions in motor control necessary for producing speech and other verbal sounds. These motor impairments often extend to reading, impacting both speed and accuracy due to the articulatory challenges inherent in speech production. Most dysarthria treatments traditionally focus on improving oral production. However, a novel approach involves targeting anticipatory processes through rhythmic stimulation combined with verbal fluency exercises. In this study, a remote intervention was delivered via an online platform, incorporating rhythm-based reading exercises for two patients (A and B) diagnosed with dysarthria. Following a two-week period of daily intervention, patients were assessed on reading and language fluency. Both patients showed considerable improvements in reading skills. Additionally, Patient B exhibited improvements in functions commonly impaired in dysarthria, including respiratory and articulatory abilities. In conclusion, this remote rhythm-based intervention resulted in notable enhancements in reading and language parameters in dysarthria. These preliminary findings suggest that this approach holds promise and warrants further investigation in future studies on dysarthria.</p>

Keywords: dysarthria;language fluency;rehabilitation;reading;rhythm;music therapy

  1. Mainka, S., & Mallien, G. (2014). Rhythmic speech cueing (RSC). In M. H. Thaut & V. Hoemberg (Eds.), Handbook of neurologic music therapy, 150-160. Oxford University Press.
  2. Bonacina, S., Cancer, A., Lanzi, P. L., Lorusso, M. L., & Antonietti, A. (2015). Improving reading skills in students with dyslexia: the efficacy of a sublexical training with rhythmic background. Frontiers in Psychology, 6, 1510, 1-8. Doi: 10.3389/fpsyg.2015.01510.
  3. Cancer, A., & Antonietti, A. (2017). Remedial interventions for developmental dyslexia: how neuropsychological evidence can inspire and support a rehabilitation training. Neuropsychological Trends, 22, 73-95. Doi: 10.7358/neur-2017-022-canc.
  4. Cancer, A., Bonacina, S., Antonietti, A., Salandi, A., Molteni, M., & Lorusso, M. L. (2020). The effectiveness of interventions for developmental dyslexia: Rhythmic Reading Training compared with hemisphere-specific stimulation and action video games. Frontiers in Psychology, 11, 1158, 1-15. Doi: 10.3389/fpsyg.2020.01158.
  5. Cancer, A., Bonacina, S., Lorusso, M. L., Lanzi, P. L., & Antonietti, A. (2016). Rhythmic Reading Training (RRT): A computer-assisted intervention program for dyslexia. In S. Serino, A. Matic, D. Giakoumis, G. Lopez & P. Cipresso (Eds.), Pervarsive computing paradigms for mental health (pp. 249-258). Cham: Springer. doi: 10.1007/978-3-319-32270-4_25.
  6. Cancer, A., Colautti, L., Rago, S., & Antonietti, A. (2025). Application of a rhythmic reading training in post-stroke patients with acquired dyslexia: A single-case pilot study. Applied Neuropsychology: Adult, 1-10. Doi: 10.1080/23279095.2025.2561191.
  7. Cancer, A., De Salvatore, M., Granocchio, E., Andreoli, L., Antonietti, A., & Sarti, D. (2022). The role of auditory and visual components in reading training: No additional effect of synchronized visual cue in a rhythm-based intervention for dyslexia. Applied Sciences, 12(7), 3360, 1-12. Doi: 10.3390/app12073360.
  8. Cancer, A., Sarti, D., De Salvatore, M., Granocchio, E., Chieffo, D. P. R., & Antonietti, A. (2021). Dyslexia telerehabilitation during the COVID-19 Pandemic: Results of a rhythm-based intervention for reading. Children, 8(11), 1011, 1-10. Doi: 10.3390/children8111011.
  9. Cancer, A., Stievano, G., Pace, G., Colombo, A., Brembati, F., Donini, R., & Antonietti, A. (2023). Remedial interventions for Italian children with developmental dyslexia: Comparing the Rhythmic Reading Training combined with specific auditory training to the “Abilmente” approach. Psychology of Music, 51, 938-951. Doi: 10.1177/03057356221123374.
  10. Cancer, A., Stievano, G., Pace, G., Colombo, G., & Antonietti, A. (2019). Cognitive processes underlying reading improvement during a rhythm-based intervention. A small-scale investigation of italian children with dyslexia. Children, 6(8), 9, 1-8. Doi: 10.3390/children6080091.
  11. Chiaramonte, R., & Vecchio, M. (2020). Dysarthria and stroke. The effectiveness of speech rehabilitation. A systematic review and meta-analysis of the studies. European Journal of Physical and Rehabilitation Medicine, 57(1), 24-43.
  12. Colombi, F., Varesio, G., Selini, E., Amighetti, E., Crepaldi, M., Fusi, G., Ronga, I., Cancer, A., Antonietti, A., Gemignani, G. C., & Rusconi, M. L. (in press). Exploring the role of aesthetics stimulation in neurorehabilitation. Frontiers in Psychology, 16, 1671220, 1-7. Doi: 10.3389/fpsyg.2025.1671220.
  13. Darley, F. L., Aronson, A. E., & Brown, J. R. (1969). Differential diagnostic patterns of dysarthria. Journal of Speech and Hearing Research, 12(2), 246-269.
  14. Della Sanità, O. M. (2002). ICF. Classificazione Internazionale del Funzionamento, della Disabilità e della Salute. Trento: Erickson.
  15. Duffy, J. R. (2013). Motor speech disorders: Substrates, differential diagnosis, and management. Elsevier Health Sciences.
  16. Flannery, J. (1995) Cognitive assessment in the acute care setting: reliability and validity of the Levels of Cognitive Functioning Assessment Scale (LOCFAS). Journal of Nursing Measurement, 3(1), 43-58.
  17. Folstein, M.F., Folstein, S.E., McHugh, P.R. (1975) “Mini-mental state”. A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12(3), 189-198. Doi: 10.1016/0022-3956(75)90026-6.
  18. Fussi, F. & Cantagallo, A. (1999). Profilo di valutazione della Disartria. Torino: Omega.
  19. George F., Pech-Georgel C. (2017) VALS - Valutazione delle difficoltà di lettura e scrittura in età adulta; Prove di lettura, scrittura, competenze metafonologiche, memoria e attenzione. Trento: Erickson.
  20. Kim, S.J., Jo, U. (2013). Study of accent-based music speech protocol development for improving voice problems in stroke patients with mixed dysarthria. NeuroRehabilitation, 32(1), 185-190. Doi: 10.3233/NRE-130835.
  21. Lowit, A., Cox, J., Loucas, M., Grassly, J., Egan, A., van Brenk, F., Hadjivassiliou, M. (2023). ClearSpeechTogether: a rater blinded, single, controlled feasibility study of speech intervention for people with progressive ataxia. Cerebellum, 22, 865-876. Doi: 10.1007/s12311-022-01462-9.
  22. Mackenzie, C., & Lowit, A. (2012). Improved status following behavioural intervention in a case of severe dysarthria with stroke aetiology. International Journal of Speech-Language Pathology, 14(4), 318-328. Doi: 10.3109/17549507.2011.652672.
  23. Magee, W.L., Clark, I., Tamplin, J., Bradt, J. (2017) Music interventions for acquired brain injury. Cochrane Database of Systematic Reviews, Doi: 10.1002/14651858.CD006787.pub3.
  24. Raven, J. C. (1947). Progressive Matrices. London: H.K. Levis and Co. Ltd. Edizione Italiana a cura di Giunti Organizzazioni Speciali, Firenze.
  25. Raven, J., & Raven, J. (2003). Raven Progressive Matrices. In R. S. McCallum (Ed.). Handbook of Nonverbal Assessment. Springer, Boston, MA. Doi: 10.1007/978-1-4615-0153-4_11.
  26. Spinnler, H., & Tognoni, G. (Eds.). (1987). Standardizzazione e taratura Italiana di test neuropsicologici. Italian Journal of Neurological Sciences, 6(Suppl.), 20-120.
  27. Stahl, B., Kotz, S. A., Henseler, I., Turner, R., & Geyer, S. (2011). Rhythm in disguise: why singing may not hold the key to recovery from aphasia. Brain: a journal of neurology, 134(10), 3083-3093. Doi: 10.1093/brain/awr240.
  28. Zumbansen, A., & Tremblay, P. (2019). Music-based interventions for aphasia could act through a motor-speech mechanism: A systematic review and case-control analysis of published individual participant data. Aphasiology, 33(4), 466-497. Doi: 10.1080/02687038.2018.1506089.

Giulia Gasparotto, Silvia Maculotti, Alessandra Maietti, Alessandro Antonietti, Alice Cancer, Testing a rhythm-based intervention for dysarthria: Evidence from two case studies in "RICERCHE DI PSICOLOGIA" 2/2025, pp 109-123, DOI: 10.3280/rip2025oa21669