scholarly journals PRESENCE OF DYSPHONIA IN INDIVIDUALS WITH TOURETTE’S SYNDROME

2015 ◽  
Vol 4 (1) ◽  
pp. 42-47
Author(s):  
Humaira Hussain
Keyword(s):  
Treatment Strategies ◽  
Voice Disorders ◽  
Tourette's Syndrome ◽  
Continuous Treatment ◽  
Voice Disorder ◽  
Tourette’S Syndrome ◽  
Spasmodic Dysphonia ◽  
Vocal Qualities ◽  
Assessment And Treatment ◽  
Vocal Tics

Professionals working in the field of voice disorders have come to recognize the variability of vocal qualities in different populations. While voice disorders can be of organic, neurogenic, or functional etiology, concomitant disorders often directly impact the vocal features. Such a disorder is Tourette’s Syndrome which is an impairment characterized by motor and vocal tics. This study examined the prevalence of voice disorders in individuals with Tourette’s Syndrome. Research was conducted over the duration of two years with clientele aged 15;2 to 26;5. Participants were receiving continuous treatment from a team of neurologist and psychologist at private clinics situated around a suburban area. Two case studies consisting of 1-2 individuals were also closely examined to further distinguish the types of voice disorders present given the severity of motor and vocal tics. Instrumental and perceptual analysis was obtained to accurately diagnose the voice disorder. Given the sample of participants, presence of spasmodic dysphonia and falsetto were noted. Results of this study indicates a strong presence of dysphonia in individuals with Tourette’s Syndrome, particularly spasmodic dysphonia and falsetto. Additionally, dysphonic vocal qualities were irrelevant to the existence of vocal tics. Further research with this population is mandated to determine assessment and treatment strategies

Multiple Perspectives on the Barriers to Identification and Management of Pediatric Voice Disorders

2017 ◽  
Vol 2 (3) ◽  
pp. 49-56
Author(s):  
Jana Childes ◽  
Alissa Acker ◽  
Dana Collins
Keyword(s):  
Academic Success ◽  
Voice Disorders ◽  
School Personnel ◽  
Voice Disorder ◽  
Multiple Perspectives ◽  
Vocal Qualities ◽  
High Prevalence ◽  
Pediatric Populations ◽  
Low Incidence ◽  
University Settings

Pediatric voice disorders are typically a low-incidence population in the average caseload of clinicians working within school and general clinic settings. This occurs despite evidence of a fairly high prevalence of childhood voice disorders and the multiple impacts the voice disorder may have on a child's social development, the perception of the child by others, and the child's academic success. There are multiple barriers that affect the identification of children with abnormal vocal qualities and their access to services. These include: the reliance on school personnel, the ability of parents and caretakers to identify abnormal vocal qualities and signs of misuse, the access to specialized medical services for appropriate diagnosis, and treatment planning and issues related to the Speech-Language Pathologists' perception of their skills and competence regarding voice management for pediatric populations. These barriers and possible solutions to them are discussed with perspectives from the school, clinic and university settings.

scholarly journals Motor, Behavioral and Pharmacologic Findings in Tourette's Syndrome

1987 ◽  
Vol 14 (S3) ◽  
pp. 541-546 ◽  
Author(s):  
Joseph Jankovic ◽  
Haydee Rohaidy
Keyword(s):  
Family Member ◽  
Sleep Disturbances ◽  
Age Of Onset ◽  
Tourette's Syndrome ◽  
Tourette’S Syndrome ◽  
Obsessive Compulsive ◽  
Duration Of Symptoms ◽  
Female Ratio ◽  
Motor Tics ◽  
Vocal Tics

ABSTRACT:We studied 112 patients with Tourette's syndrome (TS); the male-to-female ratio was 3.8, the mean age of onset was 7.3 years, and the average duration of symptoms prior to the initial evaluation was 15.2 years. Seventy-nine percent of the patients had at least one family member with motor or vocal tics, and an additional 10 percent had a family member with marked obsessive-compulsive behavior. Simple motor tics occurred as the presenting symptom in about one-third of patients; one-third had multiple motor tics at the onset, and another third started with vocal tics. During the course of the illness all patients developed multifocal motor tics and 86 percent had vocal tics. Verbal and mental coprolalia was present in 44 percent of the patients. Copropraxia was seen in 19 percent of patients, and both coprolalia and copropraxia were more frequent among the males than expected. Attentional deficit disorder was diagnosed in 36 percent of the patients and 32 percent had obsessive-compulsive personality. Sleep disturbances were reported by 62 percent of the patients and polysomnography in 34 patients showed motor and vocal tics during all stages of sleep, sleep apnea, abnormal arousal pattern, and other sleep disturbances. Patients with mild symptoms improved with clonidine or clonazepam, but those with more advanced disorder required fluphenazine, pimozide, haloperidol or tetrabenazine.

Hereditary Agoraphobia and Obsessive-Compulsive Behaviour in Relatives of Patients with Gilles de la Tourette's Syndrome

1987 ◽  
Vol 151 (2) ◽  
pp. 195-199 ◽  
Author(s):  
D. E. Comings ◽  
B. G. Comings
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Panic Attacks ◽  
Tourette's Syndrome ◽  
Tourette’S Syndrome ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Genetic Subtypes ◽  
Compulsive Behaviour ◽  
Motor Tics ◽  
Vocal Tics

We present 11 pedigrees in which a propositus with Gilles de la Tourette's syndrome had first or second-degree relatives with obsessive-compulsive behaviour or agoraphobia with panic attacks, but only partially expressed the TS gene (i.e. had only motor tics or vocal tics, or neither). Of 90 females over the age of 18 presenting with TS, or with motor or vocal tics alone, nine had severe agoraphobia with panic attacks. There may be genetic subtypes of both obsessive-compulsive disorder and agoraphobia with panic attacks that are due to partial expression of the TS gene.

Long latency between the onset of motor and vocal tics in Tourette's syndrome

1983 ◽  
Vol 14 (6) ◽  
pp. 693-694 ◽  
Author(s):  
Anthony E. Lang ◽  
Harvey Moldofsky ◽  
Awad G. Awad
Keyword(s):  
Tourette's Syndrome ◽  
Tourette’S Syndrome ◽  
Long Latency ◽  
Vocal Tics

Gilles De La Tourette's Syndrome

1969 ◽  
Vol 115 (520) ◽  
pp. 351-353 ◽  
Author(s):  
Bengt Eriksson ◽  
Torgny Persson
Keyword(s):  
Skeletal Muscles ◽  
Pure Form ◽  
Tourette's Syndrome ◽  
Tourette’S Syndrome ◽  
Laryngeal Muscles ◽  
The Face ◽  
Motor Tics ◽  
Vocal Tics

The classic and pure form of Gilles de la Tourette's syndrome is characterized by: (1) Multiple motor tics, generally developing during childhood or adolescence, starting in the face, neck or hands, and tending to spread to involve most of the skeletal muscles. Sometimes they are paroxysmal, but the victims never lose consciousness. (2) “Vocal tics”, occurring when the contractions spread to the laryngeal muscles. The victims utter sounds, often resembling the cries of an animal, such as barking, bellowing or whinnying (3). Generally the last to appear, though the order probably varies, is a compulsion to shout obscene or blasphemous words, insults or oaths. Echopraxia and echolalia are disorders bordering on this syndrome, and sometimes accompanying it.

Movement Disorders 1: Tourette’s Syndrome, Essential Tremor, and Parkinson’s Disease (DRAFT)

2018 ◽  
Author(s):  
Tamara Kaplan ◽  
Tracey Milligan
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Essential Tremor ◽  
Movement Disorders ◽  
Postural Instability ◽  
Tourette's Syndrome ◽  
Tourette’S Syndrome ◽  
Resting Tremor ◽  
Kinetic Tremor ◽  
Vocal Tics

The video in this chapter explores movement disorders, and focuses on Tourette’s Syndrome, Essential tremor, and Parkinson’s Disease. It outlines the characteristics of each, such as motor and vocal tics in Tourette’s Syndrome, postural or kinetic tremor in Essential tremor, and the four hallmark features of Parkinson’s Disease (bradykinesia, resting tremor, cogwheel rigidity, and postural instability).

scholarly journals Expert System-Type Approach to Voice Disorders: Scheduling Botulinum Toxin Treatment for Adductor Spasmodic Dysphonia

2006 ◽  
Vol 10 (3) ◽  
pp. 332-338
Author(s):  
Anthony P. Salvatore ◽  
◽  
Amitava Biswas ◽  
Vladik Kreinovich ◽  
Bertha Manriquez ◽  
...  
Keyword(s):  
Botulinum Toxin ◽  
Expert System ◽  
Voice Disorders ◽  
Voice Disorder ◽  
Spasmodic Dysphonia ◽  
Objective Criterion ◽  
System Type ◽  
Adductor Spasmodic Dysphonia ◽  
Simple Rules ◽  
Botulinum Toxin Treatment

One of the most debilitating voice disorders is adductor spasmodic dysphonia (ADSD), a voice disorder caused by involuntary movements of the muscles of the larynx (voice box). For treating ADSD, botulinum toxin (BT) injections turned out to be very useful. However, the effects of BT are highly variable, so at present, there is no objective criterion of when such a BT treatment is necessary. It is therefore desirable to develop such a criterion. In this paper, we show that traditional statistical techniques are unable to generate such a criterion, while a natural expert system approach seems to be capable of generating reasonably simple rules that determine when a BT treatment is necessary.

Perceived Voice Disorders in Older Adults and Impact on Social Interactions

2021 ◽  
pp. 1-8
Author(s):  
Connie K. Porcaro ◽  
Clare Singer ◽  
Boris Djokic ◽  
Ali A. Danesh ◽  
Ruth Tappen ◽  
...  
Keyword(s):  
Older Adults ◽  
Social Interactions ◽  
Social Engagement ◽  
Leisure Activities ◽  
Treatment Strategies ◽  
Voice Disorders ◽  
Community Dwelling ◽  
Vocal Performance ◽  
Older Individuals ◽  
Cross Sectional

Purpose Many aging individuals, even those who are healthy, report voice changes that can impact their ability to communicate as they once did. While this is commonly reported, most do not seek evaluation or management for this issue. The purpose of this study was to investigate the prevalence and differences in voice disorders in older adults, along with the effect of fatigue on their social interactions. Method This is a cross-sectional investigation of a community-dwelling sample of individuals aged 60 years or older. Participants completed the Questionnaire on Vocal Performance, the Social Engagement Index subset “Engagement in Social or Leisure Activities,” and the Fatigue Severity Scale. Results Results indicated 32.5% of the 332 participants reported symptoms of voice problems with no difference found between male and female respondents. A slight increase in report of voice problems was noted with each year of age. Participants who self-reported voice problems indicated less interaction in social activities involving communication than those who did not. Finally, as severity of self-reported voice problems increased, an increase was reported by the same individuals for signs of fatigue. Conclusions Voice problems and resulting decreased social interaction are commonly experienced by older individuals. Voice symptoms in older adults have been found to benefit from evidence-based treatment strategies. It is critical to provide education to encourage older individuals to seek appropriate evaluation and management for voice issues through a speech-language pathologist or medical professional.

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