Game-Based Augmented Visual Feedback for Enlarging Speech Movements in Parkinson's Disease

2017 ◽  
Vol 60 (6S) ◽  
pp. 1818-1825 ◽  
Author(s):  
Yana Yunusova ◽  
Elaine Kearney ◽  
Madhura Kulkarni ◽  
Brandon Haworth ◽  
Melanie Baljko ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Visual Feedback ◽  
Speech Intelligibility ◽  
Training Session ◽  
Working Space ◽  
Retention Session ◽  
Tongue Movements ◽  
Impaired Speech ◽  
And Training

Purpose The purpose of this pilot study was to demonstrate the effect of augmented visual feedback on acquisition and short-term retention of a relatively simple instruction to increase movement amplitude during speaking tasks in patients with dysarthria due to Parkinson's disease (PD). Method Nine patients diagnosed with PD, hypokinetic dysarthria, and impaired speech intelligibility participated in a training program aimed at increasing the size of their articulatory (tongue) movements during sentences. Two sessions were conducted: a baseline and training session, followed by a retention session 48 hr later. At baseline, sentences were produced at normal, loud, and clear speaking conditions. Game-based visual feedback regarding the size of the articulatory working space (AWS) was presented during training. Results Eight of nine participants benefited from training, increasing their sentence AWS to a greater degree following feedback as compared with the baseline loud and clear conditions. The majority of participants were able to demonstrate the learned skill at the retention session. Conclusions This study demonstrated the feasibility of augmented visual feedback via articulatory kinematics for training movement enlargement in patients with hypokinesia due to PD. Supplemental Materials https://doi.org/10.23641/asha.5116840

scholarly journals Treating Speech Movement Hypokinesia in Parkinson's Disease: Does Movement Size Matter?

2018 ◽  
Vol 61 (11) ◽  
pp. 2703-2721 ◽  
Author(s):  
Elaine Kearney ◽  
Brandon Haworth ◽  
Jordan Scholl ◽  
Petros Faloutsos ◽  
Melanie Baljko ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Visual Feedback ◽  
Speech Intelligibility ◽  
Speech Therapy ◽  
Primary Outcome Measure ◽  
Single Subject ◽  
Working Space ◽  
Tongue Movements ◽  
Size Matter

PurposeThis study evaluates the effects of a novel speech therapy program that uses a verbal cue and gamified augmented visual feedback regarding tongue movements to address articulatory hypokinesia during speech in individuals with Parkinson's disease (PD).MethodFive participants with PD participated in an ABA single-subject design study. The treatment aimed to increase tongue movement size using a combination of a verbal cue and augmented visual feedback and was conducted in 10 45-min sessions over 5 weeks. The presence of visual feedback was manipulated during treatment. Articulatory working space of the tongue was the primary outcome measure and was examined during treatment and in cued and uncued sentences pre- and posttreatment. Changes in speech intelligibility in response to a verbal cue pre- and posttreatment were also examined.ResultsDuring treatment, 4/5 participants showed a beneficial effect of visual feedback on tongue articulatory working space. At the end of the treatment, they used larger tongue movements when cued, relative to their pretreatment performance. None of the participants, however, generalized the effect to the uncued sentences. Speech intelligibility of cued sentences was judged as superior posttreatment only in a single participant.ConclusionsThis study demonstrated that using an augmented visual feedback approach is beneficial, beyond a verbal cue alone, in addressing articulatory hypokinesia in individuals with PD. An optimal degree of articulatory expansion might, however, be required to elicit a speech intelligibility benefit.

Pointing to Remembered Targets in 3-D Space in Parkinson's Disease

Motor Control ◽  
1998 ◽  
Vol 2 (3) ◽  
pp. 251-277 ◽  
Author(s):  
Howard Poizner ◽  
Olga I. Fookson ◽  
Michail B. Berkinblit ◽  
Wayne Hening ◽  
Gregory Feldman ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Visual Feedback ◽  
Tracking System ◽  
Three Dimensional ◽  
Performance Deficits ◽  
Normal Speed ◽  
Task Conditions ◽  
Variable Errors ◽  
Target Locations

A three-dimensional tracking system was used to examine whether subjects with Parkinson's disease (PD) would show characteristic performance deficits in an unconstrained pointing task. Five targets were presented in a pyramidal array in space to 11 individuals with mild to moderate PD and 8 age-matched controls. After the target was indicated, subjects closed their eyes and pointed to the remembered target locations without vision. Despite the absence of visual feedback during movement, PD subjects were as accurate overall as controls. However, PD subjects showed greater variable errors, more irregular trajectories, and a vertical endpoint bias in which their endpoints were significantly lower than controls. They also showed deficiencies in the compensatory organization of joint rotations to ensure consistency in azimuthal (horizontal) positioning of the arm endpoint. We concluded that, under appropriate task conditions, PD subjects may not show overall deficits in accuracy even when making targeted movements at normal speed without visual feedback. Nevertheless, our findings indicate that there are certain dimensions of performance which are selectively altered in Parkinson's disease even when overall performance is normal.

Delayed visual feedback and movement control in Parkinson's disease

1990 ◽  
Vol 110 (2) ◽  
pp. 228-235 ◽  
Author(s):  
A. Beuter ◽  
J.G. Milton ◽  
C. Labrie ◽  
L. Glass ◽  
S. Gauthier
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Visual Feedback ◽  
Movement Control ◽  
Delayed Visual Feedback

scholarly journals Rhythmic movement in Parkinson’s disease: effects of visual feedback and medication state

2011 ◽  
Vol 211 (2) ◽  
pp. 277-286 ◽  
Author(s):  
S. Levy-Tzedek ◽  
H. I. Krebs ◽  
J. E. Arle ◽  
J. L. Shils ◽  
H. Poizner
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Visual Feedback ◽  
Rhythmic Movement

scholarly journals Listener Perception of Monopitch, Naturalness, and Intelligibility for Speakers With Parkinson's Disease

2015 ◽  
Vol 58 (4) ◽  
pp. 1134-1144 ◽  
Author(s):  
Supraja Anand ◽  
Cara E. Stepp
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Speech Intelligibility ◽  
Potential Significance ◽  
Rehabilitation Outcomes ◽  
Rate Method ◽  
Highly Correlated ◽  
Short Utterances ◽  
Speech Naturalness

PurposeGiven the potential significance of speech naturalness to functional and social rehabilitation outcomes, the objective of this study was to examine the effect of listener perceptions of monopitch on speech naturalness and intelligibility in individuals with Parkinson's disease (PD).MethodTwo short utterances were extracted from monologue samples of 16 speakers with PD and 5 age-matched adults without PD. Sixteen listeners evaluated these stimuli for monopitch, speech naturalness and intelligibility using the visual sort and rate method.ResultsNaïve listeners can reliably judge monopitch, speech naturalness, and intelligibility with minimal familiarization. While monopitch and speech intelligibility were only moderately correlated, monopitch and speech naturalness were highly correlated.ConclusionsA great deal of attention is currently being paid to improvement of vocal loudness and thus speech intelligibility in PD. Our findings suggest that prosodic characteristics such as monopitch should be explored as adjuncts to this treatment of dysarthria in PD. Development of such prosodic treatments may enhance speech naturalness and thus improve quality of life.

Effects of Neurosurgical Management of Parkinson's Disease on Speech Characteristics and Oromotor Function

2005 ◽  
Vol 48 (1) ◽  
pp. 5-20 ◽  
Author(s):  
Anna Farrell ◽  
Deborah Theodoros ◽  
Elizabeth Ward ◽  
Bruce Hall ◽  
Peter Silburn
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Motor Function ◽  
Speech Intelligibility ◽  
General Motor ◽  
Neurologically Impaired ◽  
Speech Characteristics ◽  
Participant Group ◽  
Neurosurgical Intervention ◽  
Deep Brain

The present study examined the effects of neurosurgical management of Parkinson’s disease (PD), including the procedures of pallidotomy, thalamotomy, and deep-brain stimulation (DBS) on perceptual speech characteristics, speech intelligibility, and oromotor function in a group of 22 participants with PD. The surgical participant group was compared with a group of 25 non-neurologically impaired individuals matched for age and sex. In addition, the study investigated 16 participants with PD who did not undergo neurosurgical management to control for disease progression. Results revealed that neurosurgical intervention did not significantly change the surgical participants’ perceptual speech dimensions or oromotor function despite significant postoperative improvements in ratings of general motor function and disease severity. Reasons why neurosurgical intervention resulted in dissimilar outcomes with respect to participants’ perceptual speech dimensions and general motor function are proposed.

Effects of visual feedback on manual tracking and action tremor in Parkinson's disease

1999 ◽  
Vol 129 (3) ◽  
pp. 0477-0481 ◽  
Author(s):  
X. Liu ◽  
S. A. Tubbesing ◽  
T. Z. Aziz ◽  
R. C. Miall ◽  
J. F. Stein
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Visual Feedback ◽  
Manual Tracking ◽  
Action Tremor
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