Treating the speech disorder in Parkinson's disease online

Theodoros, Deborah; Constantinescu, Gabriella; Russell, Trevor; Ward, Elizabeth C.; Wilson, Stephen J.; Wootton, Richard

doi:10.1258/135763306779380101

Cited by 71 publications

(51 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Tele-health delivery of services to patients is well established and effective (Theodoros et al, 2006;Russell, 2004 Tele-supervision models can also be used to support remote supervisors and hence increase supervisor capacity, providing a win-win for students, universities and clinical supervisors. The evidence base is growing that tele-supervision has similar outcomes or nil negative impact on students' capacity to develop and demonstrate competence in comparison with traditional models of supervision.…”

Section: Tele-supervisionmentioning

confidence: 99%

Accreditation requirements in allied health education: Strengths, weaknesses and missed opportunities

McAllister

Nagarajan

2015

JTLGE

View full text Add to dashboard Cite

This paper reviews the accreditation requirements for six Allied Health (AH) degree programs in Australia to understand the range of accreditation requirements and approaches, with a particular focus on requirements around clinical education in AH education. Strengths of current approaches and further requirements are identified. Of particular interest are those areas where accreditation could better support educational goals and processes, including the preparation of work ready graduates and the encouragement of the use of currently underutilized opportunities for preparing the AH workforce for future healthcare needs. The findings suggest that the accreditation criteria perform well for the development of students' conceptual and procedural knowledge. However, there are several opportunities for improvement where accreditation could better support preparation of graduates to meet current and future needs of healthcare. These opportunities include increased emphasis on biopsychosocial perspectives of health as healthcare models shift from hospital to community-based settings, increased emphasis on development of interprofessional skills, encouragement of diverse supervision models, explicitness about intentions and interpretations of accreditation requirements, and increased employer representation on accreditation panels. Constraints on universities' uses of new educational approaches imposed by or arising from non-explicit accreditation requirements are outlined. Arising from this analysis, a summary of considerations for AH accreditation bodies is provided.

show abstract

Section: Tele-supervisionmentioning

confidence: 99%

Accreditation requirements in allied health education: Strengths, weaknesses and missed opportunities

McAllister

Nagarajan

2015

JTLGE

View full text Add to dashboard Cite

show abstract

“…The development of LSVT included treatment adaptations that we previously identified in this review as LSVT-X [74], LSVT-web [72,76,78,84] and LSVTgroup [85]; another LSVT variant is called LSVT-Companion, which involves the use of a dedicated software and calibrated microphone to allow patients practicing LSVT exercises independently at home [90]. One study suggested that even a less intensive form of LSVT treatment (LSVT-8, i.e., 8 instead of 16 sessions in 1 month) would lead to better results [71] than classic LSVT.…”

Section: • • Speech Loudness Treatmentsmentioning

confidence: 99%

Behavioral Treatments for Speech in Parkinson’s Disease: Meta-Analyses and Review of the Literature

Atkinson-Clément

Sadat

Pinto

2015

Neurodegener. Dis. Manag.

View full text Add to dashboard Cite

Parkinson's disease (PD) results from neurodegenerative processes leading to alteration of motor functions. Most motor symptoms respond well to pharmacological and neurosurgical treatments, except some axial symptoms such as speech impairment, so-called dysarthria. However, speech therapy is rarely proposed to PD patients. This review aims at evaluating previous research on the effects of speech behavioral therapies in patients with PD. We also performed two meta-analyses focusing on speech loudness and voice pitch. We showed that intensive therapies in PD are the most effective for hypophonia and can lead to some improvement of voice pitch. Although speech therapy is effective in handling PD dysarthria, behavioral speech rehabilitation in PD still needs further validation.

show abstract

“…Further support for the use of telepractice has been shown in studies comparing the outcomes of LSVT ® delivered remotely to the outcomes of traditional treatment delivered FTF. Investigators have reported post-treatment improvements achieved following remote LSVT ® and a similar magnitude of treatment effects was shown when compared with the FTF group (Constantinescu et al, 2011;Tindall et al, 2008;Theodoros et al, 2006). The benefits for such remote intensive voice treatment were that it may assist in reducing the effects of physical disability, and eliminates the need to travel to a hospital or clinic when transport and travel difficulties are encountered (Constantinescu et al, 2011;Tindall et al, 2008).…”

Section: Alternative Methods Of Service Delivery: Telepracticementioning

confidence: 95%

“…Parkinson's disease using the LSVT ® (Constantinescu et al, 2010;Constantinescu, Theodoros, Russell, Ward, Wilson, & Wootton, 2011;Howell, Tripoliti, & Pring, 2009;Tindall et al, 2008;Theodoros et al, 2006). It has been shown that online assessment of the speech and voice disorders associated with Parkinson's disease was generally reliable and valid and the results are comparable to the FTF assessment (Constantinescu et al, 2010).…”

Section: Alternative Methods Of Service Delivery: Telepracticementioning

confidence: 99%

“…The majority of these have focussed on the assessment and treatment of voice disorders associated with Parkinsons Disease and revealed very positive outcomes (Constantinescu, Theodoros, Russell, Ward, Wilson, & Wootton, 2010;Constantinescu, Theodoros, Russell, Ward, Wilson, & Wootton, 2011;Theodoros, Constantinescu, Russell, Ward, Wilson, & Wootton, 2006;Tindall, Huebner, Stemple, & Kleinert, 2008). Only one investigation, however, has explored the use of telepractice with a group of patients with voice disorders of various aetiologies, including some patients with vocal fold nodules (Mashima, Birkmire-Peters, Syms, Holtel, Burgess, & Peters, 2003).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Efficacy of intensive voice therapy for patients with vocal fold nodules

Fu¹

View full text Add to dashboard Cite

The primary aetiologic factor for vocal fold nodules has been proposed to be cumulative perpendicular impact stress between the vocal folds over time, which increases with voice use (Titze, 1994). Many people with vocal fold nodules work in high vocal demand occupations, therefore, it is essential that they recover vocal function so that their ability to perform their jobs is not compromised (Karkos & McCormick, 2009). A number of studies have reported positive improvements in vocal fold nodules following various types of behavioural voice therapy, and as such, voice therapy is recommended as a first-line treatment .The majority of the intervention studies for patients with vocal fold nodules have examined treatment outcomes following traditional voice therapy models, typically delivered once a week over a period of multiple weeks. To date, no studies have systematically examined the impact of using an intensive, massed practice therapy approach. In that the rehabilitation process for vocal fold nodules requires the learning, maintenance and transfer of new behaviours, it is possible that a more condensed voice therapy protocol may yield equal or even greater benefit. Therefore, the primary aim of this thesis was to explore the efficacy of intensive voice therapy (eight sessions within 3 weeks) as compared with traditional voice therapy (one session per week for 8 weeks).Both the short and long term effects of the different treatments on perceptual, acoustic, and physiological outcomes were examined.Although it has been established that voice therapy is often effective, in many caseloads, rates of therapy completion are poor and this creates a challenge for clinicians (Portone-Maira, Wise, Johns, & Hapner, 2011). Traditional, face-to-face (FTF) voice therapy has shown dropout rates as high as 65% (Hapner, Portone-Maira, & Johns, 2009). Various factors contributing to nonattendance include travel time, inflexible work conditions, and inability to access due to physical barriers. Non-attendance not only affects treatment success, but also results in unnecessary extensions to treatment, and repeated examinations without sufficient behavioural change to effect improvement. Ultimately, there may be a loss of revenue or even employment if patients are unable to meet the vocal requirements of their occupations (Portone, et al., 2008;Portone-Maira et al., 2011). Consequently, there is a need to explore ways to help maximise attendance and ultimately enhance outcomes for people with vocal fold nodules. To this end, the secondary aim of this thesis iii was to examine the feasibility and outcomes of delivering intensive voice therapy via telepractice, as an alternative service delivery model for patients with vocal fold nodules.To address aim one, 53 female patients (56% professional voice users) with bilateral vocal fold nodules were recruited. Participants were matched in pairs according to their age, occupation, and severity of dysphonia and assigned to either of two treatment groups: traditional therapy of eigh...

show abstract

Treating the speech disorder in Parkinson's disease online

Cited by 71 publications

References 15 publications

Accreditation requirements in allied health education: Strengths, weaknesses and missed opportunities

Accreditation requirements in allied health education: Strengths, weaknesses and missed opportunities

Behavioral Treatments for Speech in Parkinson’s Disease: Meta-Analyses and Review of the Literature

Efficacy of intensive voice therapy for patients with vocal fold nodules

Contact Info

Product

Resources

About