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Treatment of Dysarthria in Parkinson Disease

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Therapy of Movement Disorders

Part of the book series: Current Clinical Neurology ((CCNEU))

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Abstract

Voice and speech disorders occur in up to 89% of people with Parkinson disease (PD). The most common perceptual characteristics include reduced vocal loudness, monotone, hoarse or breathy voice quality, and imprecise articulation. The Lee Silverman Voice Treatment (LSVT LOUDĀ®) is an effective speech therapy to improve vocal loudness and functional communication in people with PD. This case study will illustrate classic voice and speech symptoms in a person with moderate PD and the positive outcomes following LSVT LOUD treatment. The rationale and efficacy data of this treatment approach will be discussed.

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  • Dumer AI, Oster H, McCabe D, Rabin LA, Spielman JL, Ramig L, Borod JC. Effects of the Lee Silverman voice treatment on facial expressivity in Parkinsonā€™s disease. J Int Neuropsychol Soc. 2014;20(3):302ā€“12.

    ArticleĀ  Google ScholarĀ 

  • El-Sharkawi A, Ramig L, Logemann J, Pauloski B, Rademaker A, Smith C, Pawlas A, Baum S, Werner C. Swallowing and voice effects of lee Silverman voice treatment: a pilot study. J Neurol Neuropsychiatry Psychiatry. 2002;72(1):31ā€“6.

    ArticleĀ  CASĀ  Google ScholarĀ 

  • Fox C, Ramig L, Ciucci M, Sapir S, McFarland DH, Farley B. Science and practice of LSVT/LOUD: neural plasticity-principled approach to treating individuals with Parkinson disease and other neurological disorders. Semin Speech Lang. 2006;27:283ā€“99.

    ArticleĀ  Google ScholarĀ 

  • Halpern A, Ramig L, Matos C, Petska-Cable J, Spielman J, Pogoda J, Gilley P, Sapir S, Bennett J, McFarland D. Innovative technology for the assisted delivery of intensive voice treatment (LSVTĀ®LOUD) for Parkinson disease. Am J Speech Lang Pathol. 2012;21(4):354ā€“67.

    ArticleĀ  Google ScholarĀ 

  • Mahler LA, Ramig LO, Fox C. Evidence-based treatment of voice and speech disorders in Parkinson disease. Curr Opin Otolaryngol Head Neck Surg. 2015;23(3):209ā€“15.

    ArticleĀ  Google ScholarĀ 

  • Narayana S, Fox PT, Zhang W, Franklin C, Robin DA, Vogel D, Ramig L. Neural correlates of efficacy of voice therapy in Parkinsonā€™s disease identified by performance-correlation analysis. Hum Brain Mapp. 2010;31:222ā€“36.

    PubMedĀ  PubMed CentralĀ  Google ScholarĀ 

  • Ramig L, Halpern A, Spielman J, Fox C, Freeman K. Speech treatment in Parkinsonā€™s Disease: Randomized Controlled Trial (RCT). Mov Disord. In Press.

    Google ScholarĀ 

  • Ramig L, Countryman S, Thompson L, Horii Y. A comparison of two forms of intensive speech treatment for Parkinson disease. J Speech Hearing Res. 1995;38:1232ā€“51.

    ArticleĀ  CASĀ  Google ScholarĀ 

  • Ramig L, Dromey C. Aerodynamic mechanisms underlying treatment related changes in SPL in patients with Parkinson disease. J Speech Hear Res. 1996;39:798ā€“807.

    ArticleĀ  CASĀ  Google ScholarĀ 

  • Ramig L, Fox C, Sapir S. Speech and voice disorders in Parkinson disease. In: Olanow W, Stocchi W, Lang A, editors. The Non-motor and non-dopaminergic Features of Parkinson disease. Oxford, UK: Blackwell Publishing; 2011. p. 348ā€“62.

    Google ScholarĀ 

  • Ramig L, Sapir S, Countryman S, Pawlas A, Oā€™Brien C, Hoehn M, Thompson L. Intensive voice treatment for individuals with Parkinson disease: a two-year follow-up. J Neurol Neurosurg Psychiatry. 2001a;71:493ā€“8.

    ArticleĀ  CASĀ  Google ScholarĀ 

  • Ramig L, Sapir S, Fox C, Countryman S. Changes in vocal intensity following intensive voice treatment (LSVT) in individuals with Parkinson disease: a comparison with untreated patients and normal age-matched controls. Mov Disord. 2001b;16:79ā€“83.

    ArticleĀ  CASĀ  Google ScholarĀ 

  • Sapir S, Spielman J, Ramig L, Story B, Fox C. Effects of intensive voice treatment (LSVTĀ®) on vowel articulation in dysarthric individuals with idiopathic Parkinsonā€™s disease: acoustic and perceptual findings. J Speech Language Hearing Res. 2007;50:899ā€“912.

    ArticleĀ  Google ScholarĀ 

  • Smith ME, Ramig L, Dromey C, Perez KS, Samandari R. Intensive voice treatment in Parkinsonā€™s disease: Laryngostroboscopic findings. J Voice. 1995;9:453ā€“9.

    ArticleĀ  CASĀ  Google ScholarĀ 

  • Spielman J, Mahler L, Halpern A, Gilley P, Klepitskaya O, Ramig L. Intensive voice treatment (LSVTĀ®LOUD) for Parkinsonā€™s disease following deep brain stimulation of the subthalamic nucleus. J Commun Disord. 2011;44:688ā€“700.

    ArticleĀ  Google ScholarĀ 

  • Theodoros DG, Hill AJ, Russell TG. Clinical and quality of life outcomes of speech treatment for Parkinsonā€™s disease delivered to the home via Telerehabilitation: a noninferiority randomized controlled trial. Am J Speech Lang Pathol. 2016;25(2):214ā€“32.

    ArticleĀ  Google ScholarĀ 

  • Theodoros D, Ramig L. Communication and swallowing in Parkinsonā€™s disease. San Diego: Plural Publishing; 2011.

    Google ScholarĀ 

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Correspondence to Lorraine A. Ramig PhD, CCC-SLP .

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Ramig, L.A., Fox, C.M. (2019). Treatment of Dysarthria in Parkinson Disease. In: Reich, S., Factor, S. (eds) Therapy of Movement Disorders. Current Clinical Neurology. Humana, Cham. https://doi.org/10.1007/978-3-319-97897-0_9

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  • DOI: https://doi.org/10.1007/978-3-319-97897-0_9

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  • Publisher Name: Humana, Cham

  • Print ISBN: 978-3-319-97896-3

  • Online ISBN: 978-3-319-97897-0

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