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Neumes A neume  (sometimes spelled neum) is the basic element of Western and Eastern systems of musical notation prior to the invention of five-line staff notation. The word entered the English language in the Middle English forms “newme”, “nevme”, “neme” in the fifteenth century, from the Middle French “neume,” in turn from either medieval Latin “pneuma” or “neuma,” the former either from ancient Greek  πνεῦμα   pneuma  (“breath”) or  νεῦμα   neuma  (“sign”), or else directly from Greek as a corruption or an adaptation of the former. The earliest neumes were inflective marks which indicated the general shape but not necessarily the exact notes or rhythms to be sung. Later developments included the use of heightened neumes which showed the relative pitches between neumes, and the creation of a four-line musical staff that identified particular pitches. Neumes do not generally indicate rhythm, but additional symbols were sometimes juxtaposed with neumes to indicate changes in a