Life with communication changes in Parkinson’s disease

Miller, Nick; Noble, Emma; Jones, Diana; Burn, David J.

doi:10.1093/ageing/afj053

Cited by 269 publications

(237 citation statements)

References 23 publications

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“…Also, the greatest concern of patients with PD is not usually their voice and/or speech, but rather how these changes affect their self-concept and their participation in family and social activities (24) .…”

Section: Discussionmentioning

confidence: 99%

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: Discussionmentioning

confidence: 99%

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

Diaferia

Madazio

Pacheco

et al. 2017

CoDAS

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“…Overall, speech in PD is attenuated in range, and restricted in speed and flexibility (Duffy, 2005). These speech symptoms often impair effective communication, as they have a negative impact on speech intelligibility, social functioning and emotional well-being (Miller, Noble, & Jones, 2006;Sapir, Spielman, Ramig, Story, & Fox, 2007). These communication impairments ultimately affect the quality of life in individuals with PD (Schrage, Jahanshahi, & Quinn, 2000).…”

Section: Hypokinetic Dysarthriamentioning

confidence: 99%

Effect of concurrent walking and interlocutor distance on conversational speech intensity and rate in Parkinson's disease

et al. 2016

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This study examined the effects of concurrent walking tasks and interlocutor distance on conversational speech production in fifteen individuals with idiopathic Parkinson's disease (PD) and fourteen age-equivalent controls. Recent studies of speech in PD have demonstrated that changes in the behavioural conditions and the environmental context can have a powerful effect on the severity of speech symptoms in PD. This investigation focused on changes in speech intensity and speech rate in response to changes in walking speed and interlocutor distance. Results suggest that the introduction of a concurrent walking task significantly increased the conversational speech intensity of both controls and individuals with PD. When compared to sitting and talking or standing and talking, current walking and talking appeared to have an energizing effect on conversational speech intensity. In addition, walking faster was associated with a significant increase in conversational speech intensity relative to normal and slow walking speeds. These results provide important new information about the effect of concurrent walking on speech motor performance and speech symptom severity in PD. The potential energizing effect of concurrent walking conditions on conversational speech intensity may be an important consideration in the assessment and treatment of individuals with low speech intensity in PD.

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“…It is estimated that 80%–90% of individuals with PD develop dysarthria over the course of the disease (Sapir, 2014), with deviant perceptual characteristics including monopitch, monoloudness, reduced stress, variable rate, short rushes of speech, and imprecise consonants (Duffy, 2013). As a result, the perceived intelligibility and naturalness of speech in individuals with PD can be negatively affected (Darley, Aronson, & Brown, 1969), leading to social withdrawal and impaired work‐related performance (Miller, Noble, Jones, & Burn, 2006). …”

Section: Introductionmentioning

confidence: 99%

Altered resting‐state functional connectivity of the putamen and internal globus pallidus is related to speech impairment in Parkinson's disease

et al. 2018

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IntroductionSpeech impairment in Parkinson's disease (PD) is pervasive, with life‐impacting consequences. Yet, little is known about how functional connections between the basal ganglia and cortex relate to PD speech impairment (PDSI). Whole‐brain resting‐state connectivity analyses of basal ganglia nuclei can expand the understanding of PDSI pathophysiology.MethodsResting‐state data from 89 right‐handed subjects were downloaded from the Parkinson's Progression Markers Initiative database. Subjects included 12 older healthy controls (“OHC”), 42 PD patients without speech impairment (“PDN”), and 35 PD subjects with speech impairment (“PDSI”). Subjects were assigned to PDN and PDSI groups based on the Movement Disorders Society Unified Parkinson's Disease Rating Scale (MDS‐UPDRS) Part III speech item scores (“0” vs. “1–4”). Whole‐brain functional connectivity was calculated for four basal ganglia seeds in each hemisphere: putamen, caudate, external globus pallidus (GPe), and internal globus pallidus (GPi). For each seed region, group‐averaged connectivity maps were compared among OHC, PDN, and PDSI groups using a multivariate ANCOVA controlling for the effects of age and sex. Subsequent planned pairwise t‐tests were performed to determine differences between the three groups using a voxel‐wise threshold of p < 0.001 and cluster‐extent threshold of 272 mm3 (FWE<0.05).ResultsIn comparison with OHCs, both PDN and PDSI groups demonstrated significant differences in cortical connectivity with bilateral putamen, bilateral GPe, and right caudate. Compared to the PDN group, the PDSI subjects demonstrated significant differences in cortical connectivity with left putamen and left GPi. PDSI subjects had lower connectivity between the left putamen and left superior temporal gyrus compared to PDN. In addition, PDSI subjects had greater connectivity between left GPi and three cortical regions: left dorsal premotor/laryngeal motor cortex, left angular gyrus, and right angular gyrus.ConclusionsThe present findings suggest that speech impairment in PD is associated with altered cortical connectivity with left putamen and left GPi.

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Life with communication changes in Parkinson’s disease

Abstract: Speech and language changes in PD impact upon individual and family life long before frank impairment of intelligibility is apparent. The role of early referral to speech and language therapy is therefore worthy of detailed investigation.

Cited by 269 publications

References 23 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

Effect of concurrent walking and interlocutor distance on conversational speech intensity and rate in Parkinson's disease

Altered resting‐state functional connectivity of the putamen and internal globus pallidus is related to speech impairment in Parkinson's disease

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