Feasibility of group voice therapy for individuals with Parkinson's disease

Searl, Jeff; Wilson, Kristina; Haring, K.; Dietsch, Angela M.; Lyons, Kelly E.; Pahwa, Rajesh

doi:10.1016/j.jcomdis.2011.05.001

Cited by 24 publications

(44 citation statements)

References 25 publications

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“…In conclusion, the findings of this study were in agreement with the literature, indicating that traditional therapy results in better voice and communication patterns, regardless of the group climate (20) and with great benefit of the group itself (5,23) . The use of others strategies, such as coping and emotional skills, can contribute to the self-esteem and the self-confidence of each individual, promote a bond between the groups members and lead the group to establish a collaborative environment (25) .…”

Section: Discussionsupporting

confidence: 91%

“…Both groups showed positive results after the speech-language pathology intervention, what reinforces the positive aspects of the group environment for a better therapy performance (5,23) . Considering that many analyses showed tendency to statistical difference, probably the positive effects of the therapy would have been even greater with a larger sample size.…”

Section: Discussionsupporting

confidence: 63%

“…Group voice therapy for patients with similar problems is indicated in order to improve interaction between the participants and also to improve their mood (6) . This type of intervention has been applied in cases of PD and it has contributed for the treatment effectiveness (7) .…”

Section: Introductionmentioning

confidence: 99%

“…These group experience interactions results in personal development, symptoms relief and corrective experiences that will help to improve and to maintain the new pattern (7) . Therefore, the group therapy is used for many types of diseases rehabilitations such as psychological and/or psychiatric (8,9) , nicotine dependency (9) and also for speech-language pathology (10)(11)(12) .…”

Section: Introductionmentioning

confidence: 99%

“…In both situations, great part of the therapeutic group therapy success is the group climate (GC) (7) . The GC has a direct impact on the relationships established during the therapy and on the perception of the therapeutic group environment itself.…”

Section: Introductionmentioning

confidence: 99%

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Clima de grupo na terapia vocal de pacientes com Doença de Parkinson

Diaferia

Madazio

Pacheco

et al. 2017

CoDAS

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RESUMO Objetivo Verificar impacto de estratégias de coaching e de dinâmica dos grupos na voz, fala, comunicação e clima do grupo de pacientes com DP. Método Participaram 16 indivíduos com disartria leve a moderada por DP, divididos em: GC (8 pacientes), terapia tradicional (12 sessões mais 4 de reforço), e GE (8 pacientes), terapia tradicional (12 sessões) acrescida de 4 sessões de estratégias de coaching de dinâmica dos grupos. Foi aplicado questionário Vivendo com Disartria - VcD, além de autoavaliação da voz, fala e comunicação e análise perceptivo-auditiva da voz, nos momentos: pré-terapia, pós-terapia tradicional (pós 1) e pós-reforço/estratégias de coaching (pós 2); no pós 1 e 2 foi aplicado o Questionário Clima de Grupo - QCG. Resultados GC e GE apresentaram melhores escores do VcD, comparando pré com pós 1 e pós 2. A autoavaliação da voz foi melhor no GE, comparando pré com pós 2 e pós 1 com pós 2, de regular para muito boa; ambos apresentaram melhora na autoavaliação da comunicação. A análise perceptivo-auditiva foi diferente entre os grupos no pós 1, com vozes melhores no GE. Sem diferença em QCG; contudo, GE apresentou menor evitação no pós 2. Conclusão Pacientes apresentaram melhor autoavaliação da voz, fala e comunicação nas duas modalidades de terapia; GE mostrou redução na evitação, tornando o ambiente mais colaborativo e propício para a terapia fonoaudiológica.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 63%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Clima de grupo na terapia vocal de pacientes com Doença de Parkinson

Diaferia

Madazio

Pacheco

et al. 2017

CoDAS

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Acoustic Analysis and Voice Quality in Parkinson Disease

Kreiman

Gerratt²

2020

Communications in Computer and Information Science

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ClearSpeechTogether: a Rater Blinded, Single, Controlled Feasibility Study of Speech Intervention for People with Progressive Ataxia

et al. 2022

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Background Progressive ataxias frequently lead to speech disorders and consequently impact on communication participation and psychosocial wellbeing. Whilst recent studies demonstrate the potential for improvements in these areas, these treatments generally require intensive input which can reduce acceptability of the approach. A new model of care—ClearSpeechTogether—is proposed which maximises treatment intensity whilst minimising demands on clinician. This study aimed to establish feasibility and accessibility of this approach and at the same time determine the potential benefits and adverse effects on people with progressive ataxias. Method This feasibility study targeted people with progressive ataxia and mild-moderate speech and gross motor impairment. ClearSpeechTogether consisted of four individual sessions over 2 weeks followed by 20 patient-led group sessions over 4 weeks. All sessions were provided online. Quantitative and qualitative data were collected for evaluation. Results Nine participants completed treatment. Feasibility and acceptability were high and no adverse effects were reported. Statistical tests found significantly reduced vocal strain, improved reading intelligibility and increased participation and confidence. Participant interviews highlighted the value of group support internalisation of speech strategies and psycho-social wellbeing. Discussion ClearSpeechTogether presented a feasible, acceptable intervention for a small cohort of people with progressive ataxia. It matched or exceeded the outcomes previously reported following individual therapy. Particularly notable was the fact that this could be achieved through patient led practice without the presence of a clinician. Pending confirmation of our results by larger, controlled trials, ClearSpeechTogether could represent an effective approach to manage speech problems in ataxia.

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Feasibility of group voice therapy for individuals with Parkinson's disease

Cited by 24 publications

References 25 publications

Clima de grupo na terapia vocal de pacientes com Doença de Parkinson

Clima de grupo na terapia vocal de pacientes com Doença de Parkinson

Acoustic Analysis and Voice Quality in Parkinson Disease

ClearSpeechTogether: a Rater Blinded, Single, Controlled Feasibility Study of Speech Intervention for People with Progressive Ataxia

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