scholarly journals Effect of speech therapy and pharmacological treatment in prosody of parkinsonians

2015 ◽  
Vol 73 (1) ◽  
pp. 30-35 ◽  
Author(s):  
Luciana Lemos de Azevedo ◽  
Irene Soares de Souza ◽  
Patrícia Marques de Oliveira ◽  
Francisco Cardoso

ObjectiveParkinsonian patients usually present speech impairment. The aim of this study was to verify the influence of levodopa and of the adapted Lee Silverman Vocal Treatment® method on prosodic parameters employed by parkinsonian patients.MethodTen patients with idiopathic Parkinson's disease using levodopa underwent recording of utterances produced in four stages: expressing attitudes of certainty and doubt and declarative and interrogative modalities. The sentences were recorded under the effect of levodopa (on), without the effect of levodopa (off); before and after speech therapy during the on and off periods.ResultsThe speech therapy and its association with drug treatment promoted the improvement of prosodic parameters: increase of fundamental frequency measures, reduction of measures of duration and greater intensity.ConclusionThe association of speech therapy to medication treatment is of great value in improving the communication of parkinsonian patients.

2012 ◽  
Vol 70 (9) ◽  
pp. 674-679 ◽  
Author(s):  
Luiza Furtado e Silva ◽  
Ana Cristina Côrtes Gama ◽  
Francisco Eduardo Costa Cardoso ◽  
César Augusto da Conceição Reis ◽  
Iara Barreto Bassi

OBJECTIVE: To compare voice and life quality of male patients with idiopathic Parkinson's disease, with individuals without disease (Control Group). METHODS: A cross-sectional study that evaluated the voice of individuals with Parkinson's disease, the group was composed of 27 subjects, aged from 39 to 79 years-old (average 59.96). The Control Group was matched on sex and age. Participants underwent voice recording. Perceptual evaluation was made using GRBASI scale, which considers G as the overall degree of dysphonia, R as roughness, B as breathiness, A as asthenia, S as strain and I as instability. The acoustic parameters analyzed were: fundamental frequency, jitter, shimmer, and harmonic to noise ratio (NHR). For vocal self-perception analysis, we used the Voice Related Quality of Life protocol. RESULTS: Fundamental frequency and jitter presented higher values in the Parkinson's group. NHR values were higher in the Control Group. Perceptual analysis showed a deviation ranging. The vocal disorder self-perception demonstrated a worse impact on quality of life. CONCLUSIONS: Individuals with Parkinson's disease have an altered voice quality and a negative impact on quality of life.


1991 ◽  
Vol 1 (2) ◽  
pp. 181-186
Author(s):  
H.C. Hansen ◽  
J.M. Gibson ◽  
W.H. Zangemeister ◽  
C. Kennardt

Eye-head movements to target steps of amplitude 3.75∘ to 30∘ were analyzed in 9 untreated patients with idiopathic Parkinson’s disease. Testing was performed before and after the introduction of a dopamimetic drug (L-dopa or bromocriptine) and compared with 9 normal controls. The patients showed a significantly greater scatter of mean head latencies prior to treatment, although their mean latencies were not significantly prolonged. When compared to controls, the patients’ head movements were of reduced peak velocity and gain. Treatment resulted in an improvement of gain but not velocity. Analysis of the frequency of gaze types showed no significant effect of treatment.


2012 ◽  
Vol 26 (2) ◽  
pp. 214-219 ◽  
Author(s):  
Michael P. Cannito ◽  
Debra M. Suiter ◽  
Doriann Beverly ◽  
Lesya Chorna ◽  
Teresa Wolf ◽  
...  

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