Neurological Sciences

, Volume 37, Issue 2, pp 293–296 | Cite as

Speech changes after coordinative training in patients with cerebellar ataxia: a pilot study

  • Tereza Tykalova
  • Mariana Pospisilova
  • Roman Cmejla
  • Jaroslav Jerabek
  • Pavel Mares
  • Jan Rusz
Brief Communication


Although rehabilitative training is a necessary adjunct in the management of gait ataxia, it remains unknown whether the possible beneficial effect of intensive coordinative training may translate to activities of daily living, which are closely connected with postural alignment. The aim of the present study was to examine the effectiveness of a 2-week intensive coordinative motor training on speech production. Speech and motor performances in a cohort of ten individuals with cerebellar degeneration were examined three times; before the introduction of training, directly and 4 weeks after the last training session. Each patient was instructed to perform a speaking task of fast syllable repetition and monologue. Objective acoustic analyses were used to investigate six key aspects of speech production disturbed in ataxic dysarthria including accuracy of consonant articulation, accuracy of vowel articulation, irregular alternating motion rates, prolonged phonemes, slow alternating motion rates and inappropriate segmentation. We found that coordinative training had a mild beneficial effect on speech in cerebellar patients. Immediately after the last training session, slight speech improvements were evident in all ten patients. Furthermore, follow-up assessment performed 4 weeks later revealed that 90 % of the patients showed better speech performance than before initiation of the therapy. The present study supports evidence that the intensive rehabilitative training may positively affect fine-motor movements such as speech in patients with cerebellar ataxia.


Spinocerebellar ataxia Rehabilitation Physiotherapy Ataxic dysarthria Postural alignment Acoustic analysis 

Supplementary material

10072_2015_2379_MOESM1_ESM.docx (41 kb)
Supplementary material 1 (docx 41 kb)


  1. 1.
    Ilg W, Synofzik M, Brotz D et al (2009) Intensive coordinative training improves motor performance in degenerative cerebellar disease. Neurology 73:1823–1830CrossRefPubMedGoogle Scholar
  2. 2.
    Ilg W, Brotz D, Burkard S et al (2010) Long-term effects of coordinative training in degenerative cerebellar disease. Mov Disord 25:2239–2246CrossRefPubMedGoogle Scholar
  3. 3.
    Miyai I, Ito M, Hattori N et al (2012) Cerebellar ataxia rehabilitation trail in degenerative cerebellar diseases. Neurorehab Neural Re 26:515–522CrossRefGoogle Scholar
  4. 4.
    Novotny M, Rusz J, Cmejla R, Ruzicka E (2014) Automatic evaluation of articulatory disorders in Parkinson’s disease. IEEE/ACM Trans Audio Speech Lang Process 22:1366–1378CrossRefGoogle Scholar
  5. 5.
    Steffen T, Seney M (2008) Test-retest reliability and minimal detectable change on balance and ambulation tests, the 36-item short-form health survey, and the Unified Parkinson’s Disease Rating Scale in people with parkinsonism. Phys Ther 88:733–746CrossRefPubMedGoogle Scholar
  6. 6.
    Staes FF, Jansen L, Vilette A et al (2011) Physical therapy as a means to optimize posture and voice parameters in student classical singers: a case report. J Voice 25:e91–e101CrossRefPubMedGoogle Scholar
  7. 7.
    Nacci A, Fattori B, Mancini V et al (2011) Posturographic analysis in patients with dysfunctional dysphonia before and after speech therapy/rehabilitation treatment. Acta Otorhinolaryngol 32:115–121Google Scholar
  8. 8.
    Ludlow CL, Hoit J, Kent R et al (2008) Translating principles of neural plasticity into research on speech motor control recovery and rehabilitation. J Speech Lang Hear R 51:S240–S258CrossRefGoogle Scholar
  9. 9.
    Sharkawi AE, Ramig L, Logemann J et al (2002) Swallowing and voice effects of Lee Silverman Voice Treatment (LSVT®): a pilot study. J Neurol Neurosur PS 72:31–36CrossRefGoogle Scholar
  10. 10.
    Peacock WJ, Arens LJ (1982) Selective posterior rhizotomy for the relief of spasticity in cerebral palsy. S Afr Med J 62:119–212PubMedGoogle Scholar

Copyright information

© Springer-Verlag Italia 2015

Authors and Affiliations

  • Tereza Tykalova
    • 1
  • Mariana Pospisilova
    • 2
  • Roman Cmejla
    • 1
  • Jaroslav Jerabek
    • 3
  • Pavel Mares
    • 4
  • Jan Rusz
    • 1
  1. 1.Department of Circuit Theory, Faculty of Electrical EngineeringCzech Technical University in PraguePrague 6Czech Republic
  2. 2.Department of Rehabilitation and Sports Medicine, 2nd Faculty of MedicineCharles University in Prague and Motol University HospitalPrague 5Czech Republic
  3. 3.Department of Neurology, 2nd Faculty of MedicineCharles University in Prague and Motol University HospitalPrague 5Czech Republic
  4. 4.Institute of PhysiologyAcademy of Sciences of the Czech RepublicPrague 4Czech Republic

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