The Effects of Intensive Speech Treatment on Conversational Intelligibility in Spanish Speakers With Parkinson's Disease

Moya‐Galé, Gemma; Goudarzi, Alireza; Bayés, Àngels; McAuliffe, Megan J.; Bulté, Bram; Levy, Erika S.

doi:10.1044/2017_ajslp-17-0032

Cited by 29 publications

(26 citation statements)

References 52 publications

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“…Studies have also looked at the longer-term effects of intervention using the VHI. [59][60][61]67 Moya-Galé et al, 61 using LSVT ® , reported a reduction in scores without significance 1 month post-treatment. Shih et al 67 reported a slight non-significant increase in scores (increased disability) 3 months post-treatment using group choral singing.…”

Section: Treatment Outcomes Relating To Proms and Patient Perspectivesmentioning

confidence: 99%

“…Table 1 summarizes the findings of treatment studies (2008-2018) which incorporated a patient reported outcome measure (PROM) and/or sought to determine the perspective of pwPD of speech/voice and/or treatment. A range of PROMs including the VHI, [59][60][61][65][66][67]74 the V-RQOL,74 VAPP, 64 LSVT VAS, 59,60 and CETI-M 59,62 for spouse/ carers were used to determine the effects of treatment.…”

Section: Treatment Outcomes Relating To Proms and Patient Perspectivesmentioning

confidence: 99%

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Voice treatment in Parkinson’s disease: patient perspectives

Gillivan-Murphy¹,

Miller²,

Carding³

2019

JPRLS

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Speech and voice changes are a central feature of the symptom complex of people with Parkinson's disease (pwPD). Speaking is a social activity involving the pwPD, family, and the wider communicative context. Sensory-motor, cognitive-linguistic, and affective changes in Parkinson's disease (PD) combine to alter communication, impacting on psychosocial quality-of-life, leading to risks of social withdrawal and increased depression and anxiety. The underlying pathophysiology of speech, voice, and communication difficulties in pwPD is multi-factorial and complex. Sensory-motor changes in the respiratory, phonatory, and articulatory subsystems, underscaling of effort, and central processing problems are further affected by broader cognitive-linguistic difficulties, and non-speech motor deficits. Many studies show that, when pwPD are asked to rate their own voice and how it functions in everyday situations, they show increased voice-related disability and negative impact relative to healthy controls. Voice treatment is integral to improving communication in pwPD. Studies show positive benefits from the perspective of pwPD and carers. Treatment approaches vary from one-to-one to group interventions, a singular focus on increasing loudness to more general voice exercises, and choral singing. The nature and underlying pathophysiology of speech, voice, and communication changes in pwPD are reviewed before exploring the effects of voice treatment programs and pwPD and carer perceptions of their effect. Larger scale, better powered, controlled trials of intervention for voice and speech that measure clinically and socially relevant outcomes are finally underway. Future research should also focus on issues of treatment compliance, practicality (for service delivery and use), and long-term follow-up outcomes. The role of carers in longer-term maintenance represents a further important area of exploration.

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Section: Treatment Outcomes Relating To Proms and Patient Perspectivesmentioning

confidence: 99%

Section: Treatment Outcomes Relating To Proms and Patient Perspectivesmentioning

confidence: 99%

Voice treatment in Parkinson’s disease: patient perspectives

Gillivan-Murphy¹,

Miller²,

Carding³

2019

JPRLS

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“…Benefits from increased vocal intensity in adult talkers have also been found in Spanish (Moya‐Galé et al . 2018), Mandarin (Lee and McCann 2009) and French (Sauvageau et al . 2015), among other languages.…”

Section: Introductionmentioning

confidence: 99%

“…In fact, language‐specific responses to such treatment or cueing strategies are beginning to be documented (e.g., Moya‐Galé et al . 2016). Moreover, although French and English lexicons contain numerous cognates, the two prosodies differ considerably.…”

Section: Introductionmentioning

confidence: 99%

Effects of speech cues in French‐speaking children with dysarthria

Levy

Moya‐Galé

Chang

et al. 2020

Intl J Lang & Comm Disor

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Background: Articulatory excursion and vocal intensity are reduced in many children with dysarthria due to cerebral palsy (CP), contributing to the children's intelligibility deficits and negatively affecting their social participation. However, the effects of speech-treatment strategies for improving intelligibility in this population are understudied, especially for children who speak languages other than English. In a cueing study on English-speaking children with dysarthria, acoustic variables and intelligibility improved when the children were provided with cues aimed to increase articulatory excursion and vocal intensity. While French is among the top 20 most spoken languages in the world, dysarthria and its management in French-speaking children are virtually unexplored areas of research. Information gleaned from such research is critical for providing an evidence base on which to provide treatment. Aims: To examine acoustic and perceptual changes in the speech of French-speaking children with dysarthria, who are provided with speech cues targeting greater articulatory excursion (French translation of 'speak with your big mouth') and vocal intensity (French translation of 'speak with your strong voice'). This study investigated whether, in response to the cues, the children would make acoustic changes and listeners would perceive the children's speech as more intelligible. Methods & Procedures: Eleven children with dysarthria due to CP (six girls, five boys; ages 4;11-17;0 years; eight with spastic CP, three with dyskinetic CP) repeated pre-recorded speech stimuli across three speaking conditions (habitual, 'big mouth' and 'strong voice'). Stimuli were sentences and contrastive words in phrases. Acoustic analyses were conducted. A total of 66 Belgian-French listeners transcribed the children's utterances orthographically and rated their ease of understanding on a visual analogue scale at sentence and word levels.Outcomes & Results: Acoustic analyses revealed significantly longer duration in response to the big mouth cue at sentence level and in response to both the big mouth and strong voice cues at word level. Significantly higher vocal sound-pressure levels were found following both cues at sentence and word levels. Both cues elicited significantly higher first-formant vowel frequencies and listeners' greater ease-of-understanding ratings at word level. Increases in the percentage of words transcribed correctly and in sentence ease-of-understanding ratings, however, did not reach statistical significance. Considerable variability between children was observed. Conclusions & Implications: Speech cues targeting greater articulatory excursion and vocal intensity yield significant acoustic changes in French-speaking children with dysarthria. However, the changes may only aid listeners' ease of understanding at word level. The significant findings and great inter-speaker variability are generally consistent with studies on English-speaking children with dysarthria, although changes appear more constrained in ...

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“…In a study of Spanish speakers with PD, Moya-Galé et al investigated the effects of LSVT LOUD on conversational intelligibility and self-perceptions of daily communicative capabilities. 77 Subjective and objective intelligibility measures (including the rigorous intelligibility measure of listeners' orthographic transcription accuracy) revealed substantial and significant gains in both variables post-treatment. These findings, therefore, support the implementation of this intensive treatment approach in Spanishspeaking populations and raise the question of whether vocal loudness increases conversational intelligibility universally.…”

Section: Crosslinguistic Research On Speech Treatment For Pdmentioning

confidence: 95%

Parkinson’s disease-associated dysarthria: prevalence, impact and management strategies

Moya‐Galé¹,

Levy²

2019

JPRLS

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Dysarthria is a motor speech disorder of neurological origin and is characterized by deficits in the execution of movement for speech. Close to 90% of individuals with Parkinson's disease (PD) present with hypokinetic dysarthria, as evidenced by reduced vocal loudness, monotone, reduced fundamental frequency range, consonant and vowel imprecision, breathiness and irregular pauses. The presence of these speech deficits negatively impacts intelligibility, functional communication and, ultimately, social participation. The aims of this review are to 1) describe the nature of this motor speech disorder and its impact on the ability to communicate effectively, 2) provide an overview of medical approaches to dysarthria management and 3) review research on behavioral treatment techniques aimed at improving the intelligibility and quality of life of individuals with dysarthria secondary to PD. The delivery of speech treatment through telepractice is also examined, as this is a modality particularly well-suited to individuals with the mobility difficulties characteristic of PD. Finally, dysarthria management across languages is considered, representing a relevant new and under-researched area in motor speech disorders.

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The Effects of Intensive Speech Treatment on Conversational Intelligibility in Spanish Speakers With Parkinson's Disease

Cited by 29 publications

References 52 publications

<p>Voice treatment in Parkinson’s disease: patient perspectives</p>

<p>Voice treatment in Parkinson’s disease: patient perspectives</p>

Effects of speech cues in French‐speaking children with dysarthria

<p>Parkinson’s disease-associated dysarthria: prevalence, impact and management strategies</p>

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