Hybrid SPEAK OUT! protocol improves aerodynamic measurements and PROMs in Parkinson's disease

IF 1.5 3区医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

International Journal of Language & Communication Disorders Pub Date : 2024-06-19 DOI:10.1111/1460-6984.13077

Yarden Ashkenazi, Nava Stainer, Lyle Tadmor, Lilach Yaakov, Inbal Friedman, Roni Rips, Oshrat Sella Weiss

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引用次数: 0

Abstract

Background

SPEAK OUT! has been shown to enhance various aspects of voice such as intensity, prosody, voice quality and perception of voice. However, their impacts on expiration and communication effectiveness have not yet been evaluated. This study aimed to evaluate the effectiveness of the Hybrid SPEAK OUT! method on aerodynamic measurements and patient-reported outcome measures (PROMs) in individuals with Parkinson's disease (PD).

Methods

This study included 157 participants with PD who underwent an intensive 8-week multidisciplinary treatment program. The Hybrid SPEAK OUT! method consisted of three sessions per week, including two group sessions and one individual treatment session. Voice-related aerodynamic measures included maximum phonation time (MPT), vocal cord function using the S/Z ratio, and expiratory flow measures including peak expiratory flow (PEF) and peak cough flow (PCF). Two PROMs were included: the Hebrew version of the voice handicap index-10 and communication effectiveness questionnaire.

Results

The results of 111 participants were analysed. MPT duration increased, PEF and PCF increased, and better scores were found in PROMs.

Conclusion

These findings would appear to support the effectiveness of the Hybrid SPEAK OUT! methods improving function, activity and participation in individuals with PD. However, further research is needed.

WHAT THIS PAPER ADDS

What is already known on the subject

Prior research has demonstrated the effectiveness of behavioral therapies, including the SPEAK OUT! program, in managing speech symptoms in individuals with Parkinson's disease (PD). These therapies have shown improvements in voice intensity, fundamental frequency, voice quality, and voice perception. However, the impact on aerodynamic measures, expiratory flow, and patient-reported outcome measures has not been extensively studied.

What this paper adds to existing knowledge

This study adds to the existing knowledge by demonstrating that a Hybrid SPEAK OUT! approach, can lead to improvements in aerodynamic measures, including maximum phonation time (MPT), expiratory and cough peak flow. In terms of motor learning, we found that two non-speech exhalation-related tasks that were not directly trained improved following the intensive speech training protocol. Furthermore, it shows positive changes in patient-reported outcome measures, with reduced voice-related disability and improved communication efficiency.

What are the potential or actual clinical implications of this work?

The findings of this study have important clinical implications for the management of speech symptoms in individuals with PD. The Hybrid SPEAK OUT! program, which combines group and individual sessions, can effectively improve voice, aerodynamic measurements and patient-reported outcome measures (PROMs), ultimately enhancing the overall quality of life for patients. These findings support the effectiveness of the Hybrid SPEAK OUT! methods for improving function, activity, and participation in individuals with PD.

查看原文本刊更多论文

混合 SPEAK OUT！方案改进了帕金森病患者的空气动力学测量和 PROMs。

背景：事实证明，SPEAK OUT! 可增强语音的各个方面，如强度、拟声、语音质量和语音感知。然而，它们对呼气和交流效果的影响尚未得到评估。本研究旨在评估混合 "SPEAK OUT！"方法对帕金森病（PD）患者的空气动力学测量和患者报告结果测量（PROMs）的有效性：这项研究包括157名帕金森病患者，他们接受了为期8周的多学科强化治疗项目。混合 "SPEAK OUT！"方法每周进行三次治疗，包括两次集体治疗和一次个人治疗。与嗓音相关的空气动力学测量包括最大发音时间（MPT）、使用 S/Z 比值的声带功能以及呼气流量测量，包括呼气峰值流量（PEF）和咳嗽峰值流量（PCF）。研究还包括两个 PROMs：希伯来语版嗓音障碍指数-10 和交流效率问卷：对 111 名参与者的结果进行了分析。结果：对 111 名参与者的结果进行了分析，发现 MPT 持续时间延长，PEF 和 PCF 增加，PROM 得分提高：这些发现似乎证明了混合 "大声说出来！"方法在改善帕金森病患者的功能、活动和参与方面的有效性。然而，还需要进一步的研究：先前的研究已经证明了行为疗法（包括 SPEAK OUT！计划）在控制帕金森病（PD）患者言语症状方面的有效性。这些疗法改善了语音强度、基频、语音质量和语音感知。然而，这些疗法对空气动力学指标、呼气流量和患者报告结果指标的影响尚未得到广泛研究。本文对现有知识的补充本研究通过证明混合 "大声说出来！"方法可以改善空气动力学指标，包括最大发音时间（MPT）、呼气流量和咳嗽峰值流量，对现有知识进行了补充。在运动学习方面，我们发现在强化言语训练方案后，两项与呼气无关的非直接训练任务得到了改善。此外，患者报告的结果指标也显示出积极的变化，与嗓音相关的残疾减少了，沟通效率提高了。这项工作有哪些潜在或实际的临床意义？这项研究的结果对于治疗帕金森病患者的言语症状具有重要的临床意义。混合 "SPEAK OUT！"计划结合了小组和个人课程，可以有效改善嗓音、空气动力学测量和患者报告结果测量（PROMs），最终提高患者的整体生活质量。这些研究结果表明，混合 SPEAK OUT！方法能有效改善帕金森病患者的功能、活动和参与。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Language & Communication Disorders AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY-REHABILITATION

CiteScore

3.30

自引率

12.50%

发文量

116

审稿时长

6-12 weeks

期刊介绍： The International Journal of Language & Communication Disorders (IJLCD) is the official journal of the Royal College of Speech & Language Therapists. The Journal welcomes submissions on all aspects of speech, language, communication disorders and speech and language therapy. It provides a forum for the exchange of information and discussion of issues of clinical or theoretical relevance in the above areas.