Voice telerehabilitation in Parkinson's disease.

doi:10.1590/2317-1782/20162015161

Paper

Voice telerehabilitation in Parkinson's disease.

Published Apr 1, 2016 · A. E. Dias, J. C. Limongi, E. Barbosa

CoDAS

Q2 SJR score

41

Citations

2

Influential Citations

PDF

Semantic Scholar

Abstract

UNLABELLED Parkinson's disease (PD) is a neurodegenerative condition associated with motor, neuropsychological, sensorial, and vocal symptoms. It has been suggested that eventual obstacles faced by many patients to reach speech therapy rehabilitation centers could be overcome with the use of synchronous telerehabilitation (real time) approach employing communication technologies. PURPOSE To investigate the efficacy of vocal telerehabilitation in PD patients. METHODS Twenty patients diagnosed with PD and with vocal complaints participated in this study. Patients were evaluated by videoconference (Adobe Connect 8) before and after treatment. Evaluation method consisted of perceptual analysis of vocal quality measured by the GRBASI scale. Treatment was conducted following the extended version of Lee Silverman method (LSVT-X). At the end of treatment all patients were requested to fill a questionnaire to assess their experience with telerehabilitation. RESULTS Analysis revealed decrease in magnitude of voice quality changes after the intervention, indicating improvement of vocal pattern. All patients reported satisfaction and preference for telerehabilitation compared to face-to-face rehabilitation, as well as positive perception of audio and video. Some technological adversities have been identified but did not prevent the approaches to assessment and treatment. CONCLUSION Present results suggest that telerehabilitation methods can be considered as an effective treatment for speech symptoms associated with PD and can be indicated to patients presenting limited access to speech therapy centers and technological readiness.

Non-RCT

Study Snapshot

Key takeawayVoice telerehabilitation is an effective treatment for speech symptoms in Parkinson's disease patients, with satisfaction and preference compared to face-to-face rehabilitation.

PopulationOlder adults (50-71 years)

Sample size24

MethodsObservational

OutcomesBody Mass Index projections

ResultsSocial networks mitigate obesity in older groups.

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Voice telerehabilitation in Parkinson's disease.

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References

Citations

Efficacy of LSVT LOUD® on Phonatory Control and Voice Quality in Patients with Primary Progressive Apraxia of Speech: Case Studies

LSVT LOUD® therapy is feasible and may improve voice quality, intensity, and control in some patients with primary progressive apraxia of speech.

Behavioral Management of Respiratory/Phonatory Dysfunction for Dysarthria Associated With Neurodegenerative Disease: A Systematic Review.

The Lee Silverman Voice Treatment Program (LSVT LOUD) shows strong evidence for improving respiratory/phonatory dysfunction in people with neurodegenerative diseases, but other approaches and populations need further research.

Remote Delivery of Allied Health Therapies in Parkinson’s Disease

Remote delivery of physical, occupational, and speech therapies for Parkinson's disease has significantly increased since the COVID-19 pandemic, offering benefits and challenges.

Mapping of the characteristics in the CoDAS journal publications in the voice area: a scoping review

The number of CoDAS journal publications in the voice segment has gradually increased, with heterogeneous characteristics, such as cross-sectional delineation and single-session-only effects.

Rehabilitation After Total Laryngectomy: An Integrated Protocol Remotely Delivered During COVID-19

Telerehabilitation is effective for laryngectomized patients, providing voice acquisition, preventing anxiety and depression, and promoting a good quality of life.

Otolaryngology Patient Satisfaction with In-Office Appointments and Virtual Visits Due to COVID-19

Telehealth visits during COVID-19 were similarly satisfying to in-office visits, but satisfaction levels may vary depending on the specialty.

Acceptability of Telerehabilitation for Magnification Devices for the Visually Impaired Using Various Approaches to Facilitate Accessibility

Telerehabilitation for magnification devices for visually impaired patients is a feasible, acceptable, and valuable option when supported by accessible videoconferencing technology.