joint    instrument    playing    on    instruments,    which    can    be    used without   any   musical   experience.   These   communication   trainings support   social   interaction   but   also   promote   cognitive   functions (e.g. attention, working memory). Treatment   objectives   using   SIPARI®   include   improving   linguistic, motor,   and   cognitive   functions   and   thereby   supporting   speech- motor    processes    and    those    speech-systematic    processes    that encourage planning and sequencing performance. Understandably,     group     therapy     focuses     on     interactive     and communicative   aspects   among   the   group   members   themselves supported   by   training   together.   Individual   therapy   puts   the   main emphasis   on   specific   treatment   of   the   respective   language   and speech-motor   impairment.   The   combination   of   individual   and group   therapy   proved   to   be   particularly   effective   (see   controlled group-study, Cochrane Review). In   order   to   intensify   motor   and   cognitive   improvement,   training- CDs    and    DVDs    can    be    purchased    for    home    training    from therapists who successfully completed the SIPARI® training.       If you have further questions, please contact Dr. rer. medic. Monika Jungblut

SIPARI®     is     a     directed     music-supported     treatment     approach developed     to     improve     language     and     speech     capabilities     of patients   suffering   from   chronic   aphasia.   SIPARI®   was   developed by   Dr.   Jungblut   and   was   first   tried   and   tested   in   cooperation   with the     Medical     Faculty     of     the     University     of     Witten-Herdecke, Germany. In   a   controlled   group-study   with   patients   suffering   from   chronic non-fluent    aphasia    (average    duration    of    aphasia:    11    years) significant   improvements   of   75%   of   all   patients   were   assessed   by a   standardized   language   procedure,   the   Aachener   Aphasie   Test (AAT).   In   2010   the   Cochrane   Review   “Music   therapy   for   acquired brain    injury”    included    this    controlled    SIPARI®    group-study.    In international     comparison,     this     was     the     only     study,     which provided   evidence   that   this   specifically   targeted   music-supported treatment    significantly    improved    the    speech    profile    of    people with   chronic   aphasia. (Bradt   J,   Magee   WL,   Dileo   C,   Wheeler   BL,   McGilloway   E. Music   therapy   for   acquired   brain   injury.   Cochrane   Database   of   Systematic   Reviews 2010, Issue 7. Art. No.: CD006787. DOI: 10.1002/14651858. CD006787.pub2.) Meanwhile      further      single      case      studies      substantiate      the extraordinary   efficacy   of   SIPARI®   in   the   treatment   of   severely impaired     chronic     aphasia     patients     and     also     patients     who additionally suffer from apraxia of speech. In    the    SIPARI®    group    therapy,    patients    are    joined    together according    to    their    aphasia    syndrome    in    order    to    allow    an effective   training.   Thus,   communication   between   group   members is   supported   and   social   competence   strengthened.   According   to our    research,    this    helps    patients    to    overcome    their    speech inhibitions and improve their everyday communication. Music   and   language   consist   of   melodic   and   rhythmic   elements, although    these    basic    components    are    differently    emphasized. Undoubtedly,     the     human     voice     represents     the     most     direct connection   between   music   and   language.   Starting   from   singing towards   intonation   up   to   prosody,   the   human   voice   takes   over   a bridging     function,     which     combines     rhythmic     and     melodic components    in    a    unique    manner    because    transitions    can    be produced   step   by   step.   Therefore,   specifically   targeted   rhythmic- melodic    voice    training    represents    the    starting    point    of    the SIPARI® method. Apart   from   the   voice,   further   instruments   are   used.   Rhythmic cognition   trainings,   which   are   performed   on   instruments,   vocally or   in   combination   serve   to   encourage   planning   and   sequencing performance.      Another      basic      component      of      this      method constitutes