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Speech Disorders in Parkinsonism

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Objective. To study the clinical and neurophysiological features of speech impairments in Parkinson’s disease (PD), multiple system atrophy (MSA), and progressive supranuclear palsy (PSP). Materials and methods. A total of 31 patients with PD and 14 patients with MSA and PSP were studied. Studies were carried out using the Unified Parkinson’s Disease Rating Scale of the International Movement Disorder Society (MDS-UPDRS) and a neurophysiological method of analysis of speech disorders using acoustic spectral voice and speech analysis by the Rusz et al. method. Results and conclusions. Disease progression in patients with PD was associated with parallel increases in the severity of axial motor disorders (hypomimia, gait impairment, postural disorders) and speech disorders. Patients with multiple system neurodegeneration such as MSA and PSP differed not only from those with PD but also from each other in terms of clinical manifestations (motor, autonomic, cognitive) and the features of speech dysfunction. The clinical-neurophysiological features of speech disorders identified in patients with different variants of parkinsonism may be of value in the differential diagnosis of these diseases and the development of approaches to rehabilitating patients.

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Authors and Affiliations

  1. Russian Medical Academy of Continuing Professional Education, Russian Ministry of Health, Moscow, Russia

    N. A. Skripkina & A. P. Arefyeva

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  1. N. A. Skripkina
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  2. A. P. Arefyeva
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Correspondence to N. A. Skripkina or A. P. Arefyeva.

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Translated from Zhurnal Nevrologii i Psikhiatrii imeni S. S. Korsakova, Vol. 120, No. 10, Iss. 2, Neurology and Psychiatry in the Elderly, pp. 61–66, October, 2020.

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Skripkina, N.A., Arefyeva, A.P. Speech Disorders in Parkinsonism. Neurosci Behav Physi 51, 850–855 (2021). https://doi.org/10.1007/s11055-021-01143-w

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  • DOI: https://doi.org/10.1007/s11055-021-01143-w

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