Speech Rehabilitation in Parkinson’s Disease

Avagyan, Armenuhi; Mkrtchyan, Hasmik; Petrosyan, Tigran

doi:10.17554/j.issn.2313-5611.2015.01.28

Cited by 1 publication

(2 citation statements)

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“…The outcomes showed that the use of an exercise sequence that included overarticulation technique can improve communication and that this improvement is still present for at least 15 minutes. Data from the literature shows that the effects on the speech (24) of PD patients with DBS are particular; some patients get worse while others do not. However, in most cases the treatment does not change the speech pattern (25) , like other pharmacological treatments (24) .…”

Section: Discussionmentioning

confidence: 99%

“…Regarding the rehabilitation using vocal exercises, the LSVT is the treatment most common and used worldwide, despite the stage of the PD (24) . Although with different exercises and different duration of the intervention, the vocal training in the LSVT is intense, with daily session that happens during one month, the maintenance of the results after the LSVT intervention has been proven (9) and it can be maintained for at least two to three years (24) . However, no studies that analyzed the effects of vocal techniques for patients with PD treated with DB were found, once the DBS is considered to be a treatment (24) .…”

Section: Discussionmentioning

confidence: 99%

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Efeito da técnica de sobrearticulação na voz e na fala em indivíduos com doença de Parkinson após cirurgia de estimulação cerebral profunda

Bento

Diaferia

Fonoff

et al. 2019

Audiol., Commun. Res.

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Purpose: To verify the immediate and after 15 minutes effect of the overarticulation technique in individuals with Parkinson's disease, submitted to deep brain stimulation in subthalamic nucleus, in the voice, speech and facial movements. Methods: This study counted with 29 patients with the diagnosis of Parkinson Disease who were undergoing pharmacotherapy and were submitted to deep brain stimulation in the subthalamic nucleus, with and without prior speech therapy. Speech and voice samples were recorded in an audio and video file at three different moments: pre-intervention, immediate post intervention and 15 minutes post intervention. The intervention was the individual performance of 5 minutes exercise consisting of sequence of overarticulation techniques. The audio and video recordings were submitted to the perceptual-judgement of the voice quality and facial movements. Results: The technique produced positive results in 69% of the cases after 15 minutes of its application when compared to the other moments. Articulation was the parameter that most contributed in the perceptual-judgment of the best voice quality (69%); it was significantly higher than the other parameters, except speech rate. After 15 minutes of the technique, 58.6% of the patients had improvement in the facial movements, according to the perceptual-judgment which was also significantly better when compared to other moments. The parameter with greater provement was movement of the mouth, eyebrows and eyes. Conclusion: The overarticulation technique produces an immediate positive effect on vocal aspects and greater facial expressiveness, especially after 15 minutes. RESUMOObjetivo: Verificar o efeito imediato e após 15 minutos da técnica de sobrearticulação de fala em indivíduos com doença de Parkinson, submetidos à estimulação cerebral profunda em núcleo subtalâmico, nos parâmetros de voz, fala e mímica facial. Métodos: Participaram 29 sujeitos com diagnóstico médico de doença de Parkinson, sob tratamento medicamentoso e submetidos à estimulação cerebral profunda em núcleo subtalâmico, com e sem reabilitação fonoaudiológica prévia. Realizou-se gravação em áudio e vídeo de amostra de fala e voz em três momentos: pré-intervenção, pós-imediato e após 15 minutos da realização individual de cinco minutos de uma sequência de exercícios de sobrearticulação de fala. As gravações foram submetidas à avaliação perceptivo-auditiva da voz e perceptivo-visual da mímica facial. Resultados: A técnica produziu resultados positivos em 69% dos casos, após 15 minutos de aplicação, em relação aos demais momentos. O parâmetro que mais contribuiu para a identificação da melhor emissão na avaliação perceptivo-auditiva foi articulação (69%), significativamente maior que os demais parâmetros, exceto velocidade de fala. A análise perceptivo-visual mostrou melhora em 58,6% dos casos após 15 minutos, também significativamente melhor que os demais momentos. O parâmetro em que se observou maior proporção de melhora foi na movimentação de boca, sobrancelhas e olhos. Conclu...

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Section: Discussionmentioning

confidence: 99%