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Aerodynamic findings and Voice Handicap Index in Parkinson’s disease

  • Laryngology
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

Objective

To verify possible relations between vocal disability and aerodynamic measures in selected Parkinson’s disease (PD) patients with low/moderate-grade dysphonia.

Methods

Fifteen idiopathic dysphonic PD male patients were examined and compared with 15 euphonic subjects. Testing included the following measures: Voice Handicap Index (VHI), maximum phonation time (MPT), mean estimated subglottal pressure (MESGP), mean sound pressure level (MSPL), mean phonatory power (MPP), mean phonatory efficiency (MPE) and mean phonatory resistance (MPR).

Results

Statistical analysis showed: a significant reduction in MPR and MSPL in PD subjects compared to the healthy ones; a significant positive correlation between VHI score and MSPL, MPR, MPP, MESGP and a significant negative correlation between VHI and MTP within PD subjects. Test for multiple linear regression showed a significant correlation between VHI score, MPT, MPR and MSPL.

Conclusions

A relationship between VHI and aerodynamic measures was shown in the present study. Compensatory mechanisms may aggravate vocal disability in PD subjects.

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Acknowledgements

No funds were received in support of this study.

Author information

Authors and Affiliations

  1. Voice and Speech Rehabilitation Unit, Neurosciences Department, University of Naples “Federico II”, Via P. Stazio, 8, 80123, Naples, Italy

    Sergio Motta & Ugo Cesari

  2. Department of Advanced Biomedical Sciences, University of Naples “Federico II”, Via Sergio Pansini 5, Naples, Italy

    Mariano Paternoster

  3. University of Naples “Luigi Vanvitelli”, Via Alessandro Manzoni 186, Naples, Italy

    Giovanni Motta

  4. Parkinson’s Disease and Movement Disorders Unit, Neurosciences Department, University of Naples “Federico II”, Via Sergio Pansini 5, Naples, Italy

    Giuseppe Orefice

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  1. Sergio Motta
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  4. Giovanni Motta
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Contributions

All authors state that they all have participated in the conception and design of the work, in the analysis of the data and in writing the manuscript to take public responsibility of it.

Corresponding author

Correspondence to Sergio Motta.

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Ethical approval (in case animals were involved)

This article does not contain any studies with animals performed by any of the authors.

Ethical approval (in case humans were involved)

All procedures contributing to this work involving human participants comply with the ethical standards of the Institutional Review Board and Institutional Guidelines on human experimentation and with the 2013 revision of the Helsinki Declaration of 1964. The study on which the paper has been based has received full ethical approval by an appropriate Research Ethics Committee. The protocol of the present study has been approved by the Institutional Review Board.

Informed consent

Informed consent was obtained from all individual participants included in the study.

Conflict of interest

This research received no specific grant from any funding agency, commercial or not-for-profit sectors. The authors have no conflict of interest to report.

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Motta, S., Cesari, U., Paternoster, M. et al. Aerodynamic findings and Voice Handicap Index in Parkinson’s disease. Eur Arch Otorhinolaryngol 275, 1569–1577 (2018). https://doi.org/10.1007/s00405-018-4967-7

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  • DOI: https://doi.org/10.1007/s00405-018-4967-7

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