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1
Voice treatment in Parkinson’s disease: Patient perspectives
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Voice treatment in Parkinson’s disease: Patient perspectives
Abstract: Speech and voice changes are a central feature of the symptom complex of people with Parkinson’s disease (pwPD). Speaking is a social activity involving the pwPD, family, and the wider communicative context. Sensory-motor, cognitive-linguistic, and affective changes in Parkinson’s disease (PD) combine to alter communication, impacting on psycho-social quality-of-life, leading to risks of social withdrawal and increased depression and anxiety. The underlying pathophysiology of speech, voice, and communication difficulties in pwPD is multi-factorial and complex. Sensory-motor changes in the respiratory, phonatory, and articulatory subsystems, underscaling of effort, and central processing problems are further affected by broader cognitive-linguistic difficulties, and non-speech motor deficits. Many studies show that, when pwPD are asked to rate their own voice and how it functions in everyday situations, they show increased voice-related disability and negative impact relative to healthy controls. Voice treatment is integral to improving communication in pwPD. Studies show positive benefits from the perspective of pwPD and carers. Treatment approaches vary from one-to-one to group interventions, a singular focus on increasing loudness to more general voice exercises, and choral singing. The nature and underlying pathophysiology of speech, voice, and communication changes in pwPD are reviewed before exploring the effects of voice treatment programs and pwPD and carer perceptions of their effect. Larger scale, better powered, controlled trials of intervention for voice and speech that measure clinically and socially relevant outcomes are finally underway. Future research should also focus on issues of treatment compliance, practicality (for service delivery and use), and long-term follow-up outcomes. The role of carers in longer-term maintenance represents a further important area of exploration.
URL: https://radar.brookes.ac.uk/radar/file/26b3212d-c624-4acd-a100-82b3b45539f5/1/jprls-180183-voice-treatment-in-parkinson-x2019-s-disease-patient-persp.pdf
https://radar.brookes.ac.uk/radar/items/26b3212d-c624-4acd-a100-82b3b45539f5/1/
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3
Understanding foreign accent syndrome
McWhirter, Laura; Miller, Nick; Campbell, Catriona. - : BMJ Publishing Group Ltd, 2019
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4
Speech therapy for children with dysarthria acquired before three years of age
Parker, Naomi K; Kelly, Helen; Miller, Nick. - : John Wiley & Sons, Ltd, 2016
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5
Speeching:mobile crowdsourced speech assessment to support self-monitoring and management for people with Parkinson's
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6
Intonation patterns in older children with cerebral palsy before and after speech intervention
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7
Speeching: Mobile Crowdsourced Speech Assessment to Support Self-Monitoring and Management for People with Parkinson's
McNaney, Róisín; Othman, Mohammad; Richardson, Dan. - : Association for Computing Machinery, 2016
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8
Association between objective measurement of the speech intelligibility of young people with dysarthria and listener ratings of ease of understanding
In: International journal of speech language pathology. - Abingdon : Informa Healthcare 16 (2014) 4, 408-416
OLC Linguistik
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9
Motor speech disorders : a cross-language perspective
Miller, Nick (Hrsg.). - Bristol [u.a.] : Multilingual Matters, 2014
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UB Frankfurt Linguistik
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10
Motor speech disorders in Chinese
Whitehill, Tara L.; Ma, Joan K-Y. - : Multilingual Matters, 2014
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11
Age of acquisition and naming performance in Frisian-Dutch bilingual speakers with dementia
Veenstra, Wencke S.; Huisman, Mark; Miller, Nick. - : Associação de Neurologia Cognitiva e do Comportamento, 2014
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12
Characterizing intonation in children with cerebral palsy and dysarthria
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13
Measuring up to speech intelligibility
In: International journal of language & communication disorders. - Oxford : Wiley-Blackwell 48 (2013) 6, 601-612
OLC Linguistik
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14
Analysis of voice impairment in aphasia after stroke-underlying neuroanatomical substrates
In: Brain & language. - Orlando, Fla. [u.a.] : Elsevier 123 (2012) 1, 22-29
BLLDB
OLC Linguistik
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15
Prevalence and severity of voice and swallowing difficulties in mitochondrial disease
In: International journal of language & communication disorders. - Oxford : Wiley-Blackwell 47 (2012) 1, 106-111
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OLC Linguistik
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16
Intonation in neurogenic foreign accent syndrome
In: Journal of communication disorders. - New York, NY : Elsevier 45 (2012) 1, 1-11
OLC Linguistik
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17
Intonation in neurogenic foreign accent syndrome
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18
Living with foreign accent syndrome: insider perspectives
In: Aphasiology. - London [u.a.] : Routledge, Taylor & Francis Group 25 (2011) 9, 1053-1068
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OLC Linguistik
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19
Do phonological neighbourhood density and phonotactic probability influence speech output accuracy in acquired speech impairment?
In: Aphasiology. - London [u.a.] : Routledge, Taylor & Francis Group 25 (2011) 2, 176-190
BLLDB
OLC Linguistik
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20
Survey of speech and language therapy provision for people with Parkinson's disease in the United Kingdom: patients' and carers' perspectives
In: International journal of language & communication disorders. - Oxford : Wiley-Blackwell 46 (2011) 2, 179-188
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OLC Linguistik
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