• Mov. Disord. · Nov 2011

    Comparative Study

    Treatment of dysarthria following subthalamic nucleus deep brain stimulation for Parkinson's disease.

    • Elina Tripoliti, Laura Strong, Freya Hickey, Tom Foltynie, Ludvic Zrinzo, Joseph Candelario, Marwan Hariz, and Patricia Limousin.
    • Sobell Department, Unit of Functional Neurosurgery, UCL, Institute of Neurology, Queen Square, London, United Kingdom. e.tripoliti@ion.ucl.ac.uk
    • Mov. Disord. 2011 Nov 1;26(13):2434-6.

    BackgroundDeep brain stimulation of the subthalamic nucleus (STN-DBS) is an established treatment for patients with Parkinson's disease (PD). Speech impairment is a frequent side effect of the surgery. This study examined the efficacy of an intensive speech treatment, the Lee Silverman Voice Treatment (LSVT) on dysarthria after STN-DBS.MethodsThe LSVT was administered to 10 patients with STN-DBS (surgical group) and 10 patients without (medical group). Patients were assessed before, immediately after, and 6 months following the speech treatment using sustained phonation, a speech intelligibility scale, and monologue. Vocal loudness, speech intelligibility, and perceptual ratings were the primary outcome measures.ResultsVocal loudness and perceptual scores improved significantly across tasks for the medical group only. Speech intelligibility did not significantly change for either group. Results in the surgical group were variable, with some patients deteriorating.ConclusionsTreatment of dysarthria following STN-DBS needs further investigation because of the variable response to LSVT.Copyright © 2011 Movement Disorder Society.

      Pubmed     Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…