An investigation of the effects of subthalamic nucleus stimulation on acoustic measures of voice
Identifieur interne : 000C08 ( PascalFrancis/Checkpoint ); précédent : 000C07; suivant : 000C09An investigation of the effects of subthalamic nucleus stimulation on acoustic measures of voice
Auteurs : Christopher Dromey [Canada] ; Rajeev Kumar [Canada] ; Anthony E. Lang [Canada] ; Andres M. Lozano [Canada]Source :
- Movement disorders [ 0885-3185 ] ; 2000.
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Abstract
Seven patients with Parkinson's disease were implanted with deep brain stimulators to provide chronic electrical stimulation to the subthalamic nucleus bilaterally. Acoustic recordings and neurologic assessments were undertaken before surgery in the medication-off and medication-on conditions and after surgery with and without electrical stimulation in the medication-off and medication-on conditions. The data showed significant improvements in limb motor performance in response to medication before surgery and when the subthalamic nucleus was stimulated after surgery. Six months after surgery, there were small but statistically significant increases in sound pressure level and fundamental frequency variability in response to stimulation in the medication-on condition. No other statistically significant speech changes were measured. These findings are consistent with several other studies that have reported disparity between limb and speech improvements after neurosurgical intervention for Parkinson's disease.
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Lozano</name><affiliation wicri:level="1"><inist:fA14 i1="05"><s1>Department of Surgery, Toronto Western Hospital</s1><s2>Toronto, Ontario</s2><s3>CAN</s3><sZ>4 aut.</sZ></inist:fA14><country>Canada</country><wicri:noRegion>Toronto, Ontario</wicri:noRegion></affiliation><affiliation wicri:level="4"><inist:fA14 i1="06"><s1>Division of Neurosurgery, Faculty of Medicine, The University of Toronto</s1><s2>Toronto, Ontario</s2><s3>CAN</s3><sZ>4 aut.</sZ></inist:fA14><country>Canada</country><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName><orgName type="university">Université de Toronto</orgName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">01-0015551</idno><date when="2000">2000</date><idno type="stanalyst">PASCAL 01-0015551 INIST</idno><idno type="RBID">Pascal:01-0015551</idno><idno type="wicri:Area/PascalFrancis/Corpus">000C58</idno><idno type="wicri:Area/PascalFrancis/Curation">000065</idno><idno type="wicri:Area/PascalFrancis/Checkpoint">000C08</idno><idno type="wicri:explorRef" wicri:stream="PascalFrancis" wicri:step="Checkpoint">000C08</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">An investigation of the effects of subthalamic nucleus stimulation on acoustic measures of voice</title><author><name sortKey="Dromey, Christopher" sort="Dromey, Christopher" uniqKey="Dromey C" first="Christopher" last="Dromey">Christopher Dromey</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Speech-Language Pathology, Toronto Western Hospital</s1><s2>Toronto, Ontario</s2><s3>CAN</s3><sZ>1 aut.</sZ></inist:fA14><country>Canada</country><wicri:noRegion>Toronto, Ontario</wicri:noRegion></affiliation><affiliation wicri:level="4"><inist:fA14 i1="02"><s1>Department of Speech-Language Pathology, Faculty of Medicine, The University of Toronto</s1><s2>Toronto, Ontario</s2><s3>CAN</s3><sZ>1 aut.</sZ></inist:fA14><country>Canada</country><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName><orgName type="university">Université de Toronto</orgName></affiliation></author><author><name sortKey="Kumar, Rajeev" sort="Kumar, Rajeev" uniqKey="Kumar R" first="Rajeev" last="Kumar">Rajeev Kumar</name><affiliation wicri:level="4"><inist:fA14 i1="03"><s1>Division of Neurology, Faculty of Medicine, The University of Toronto</s1><s2>Toronto, Ontario</s2><s3>CAN</s3><sZ>2 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>Canada</country><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName><orgName type="university">Université de Toronto</orgName></affiliation></author><author><name sortKey="Lang, Anthony E" sort="Lang, Anthony E" uniqKey="Lang A" first="Anthony E." last="Lang">Anthony E. Lang</name><affiliation wicri:level="4"><inist:fA14 i1="03"><s1>Division of Neurology, Faculty of Medicine, The University of Toronto</s1><s2>Toronto, Ontario</s2><s3>CAN</s3><sZ>2 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>Canada</country><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName><orgName type="university">Université de Toronto</orgName></affiliation><affiliation wicri:level="1"><inist:fA14 i1="04"><s1>Department of Medicine, Toronto Western Hospital</s1><s2>Toronto, Ontario</s2><s3>CAN</s3><sZ>3 aut.</sZ></inist:fA14><country>Canada</country><wicri:noRegion>Toronto, Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Lozano, Andres M" sort="Lozano, Andres M" uniqKey="Lozano A" first="Andres M." last="Lozano">Andres M. Lozano</name><affiliation wicri:level="1"><inist:fA14 i1="05"><s1>Department of Surgery, Toronto Western Hospital</s1><s2>Toronto, Ontario</s2><s3>CAN</s3><sZ>4 aut.</sZ></inist:fA14><country>Canada</country><wicri:noRegion>Toronto, Ontario</wicri:noRegion></affiliation><affiliation wicri:level="4"><inist:fA14 i1="06"><s1>Division of Neurosurgery, Faculty of Medicine, The University of Toronto</s1><s2>Toronto, Ontario</s2><s3>CAN</s3><sZ>4 aut.</sZ></inist:fA14><country>Canada</country><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName><orgName type="university">Université de Toronto</orgName></affiliation></author></analytic><series><title level="j" type="main">Movement disorders</title><title level="j" type="abbreviated">Mov. disord.</title><idno type="ISSN">0885-3185</idno><imprint><date when="2000">2000</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Movement disorders</title><title level="j" type="abbreviated">Mov. disord.</title><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Acoustic measurement</term><term>Adult</term><term>Bilateral</term><term>Electrical stimulus</term><term>Instrumentation therapy</term><term>Parkinson disease</term><term>Performance evaluation</term><term>Speaking voice</term><term>Speech</term><term>Speech analysis</term><term>Subthalamic nucleus</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Parkinson maladie</term><term>Stimulus électrique</term><term>Noyau sousthalamique</term><term>Bilatéral</term><term>Parole</term><term>Analyse parole</term><term>Mesure acoustique</term><term>Voix parlée</term><term>Traitement instrumental</term><term>Evaluation performance</term><term>Adulte</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Adulte</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Seven patients with Parkinson's disease were implanted with deep brain stimulators to provide chronic electrical stimulation to the subthalamic nucleus bilaterally. Acoustic recordings and neurologic assessments were undertaken before surgery in the medication-off and medication-on conditions and after surgery with and without electrical stimulation in the medication-off and medication-on conditions. The data showed significant improvements in limb motor performance in response to medication before surgery and when the subthalamic nucleus was stimulated after surgery. Six months after surgery, there were small but statistically significant increases in sound pressure level and fundamental frequency variability in response to stimulation in the medication-on condition. No other statistically significant speech changes were measured. These findings are consistent with several other studies that have reported disparity between limb and speech improvements after neurosurgical intervention for Parkinson's disease.</div></front></TEI><inist><standard h6="B"><pA><fA01 i1="01" i2="1"><s0>0885-3185</s0></fA01><fA03 i2="1"><s0>Mov. disord.</s0></fA03><fA05><s2>15</s2></fA05><fA06><s2>6</s2></fA06><fA08 i1="01" i2="1" l="ENG"><s1>An investigation of the effects of subthalamic nucleus stimulation on acoustic measures of voice</s1></fA08><fA11 i1="01" i2="1"><s1>DROMEY (Christopher)</s1></fA11><fA11 i1="02" i2="1"><s1>KUMAR (Rajeev)</s1></fA11><fA11 i1="03" i2="1"><s1>LANG (Anthony E.)</s1></fA11><fA11 i1="04" i2="1"><s1>LOZANO (Andres M.)</s1></fA11><fA14 i1="01"><s1>Department of Speech-Language Pathology, Toronto Western Hospital</s1><s2>Toronto, Ontario</s2><s3>CAN</s3><sZ>1 aut.</sZ></fA14><fA14 i1="02"><s1>Department of Speech-Language Pathology, Faculty of Medicine, The University of Toronto</s1><s2>Toronto, Ontario</s2><s3>CAN</s3><sZ>1 aut.</sZ></fA14><fA14 i1="03"><s1>Division of Neurology, Faculty of Medicine, The University of Toronto</s1><s2>Toronto, Ontario</s2><s3>CAN</s3><sZ>2 aut.</sZ><sZ>3 aut.</sZ></fA14><fA14 i1="04"><s1>Department of Medicine, Toronto Western Hospital</s1><s2>Toronto, Ontario</s2><s3>CAN</s3><sZ>3 aut.</sZ></fA14><fA14 i1="05"><s1>Department of Surgery, Toronto Western Hospital</s1><s2>Toronto, Ontario</s2><s3>CAN</s3><sZ>4 aut.</sZ></fA14><fA14 i1="06"><s1>Division of Neurosurgery, Faculty of Medicine, The University of Toronto</s1><s2>Toronto, Ontario</s2><s3>CAN</s3><sZ>4 aut.</sZ></fA14><fA20><s1>1132-1138</s1></fA20><fA21><s1>2000</s1></fA21><fA23 i1="01"><s0>ENG</s0></fA23><fA43 i1="01"><s1>INIST</s1><s2>20953</s2><s5>354000092814950110</s5></fA43><fA44><s0>0000</s0><s1>© 2001 INIST-CNRS. All rights reserved.</s1></fA44><fA45><s0>31 ref.</s0></fA45><fA47 i1="01" i2="1"><s0>01-0015551</s0></fA47><fA60><s1>P</s1></fA60><fA61><s0>A</s0></fA61><fA64 i1="01" i2="1"><s0>Movement disorders</s0></fA64><fA66 i1="01"><s0>USA</s0></fA66><fC01 i1="01" l="ENG"><s0>Seven patients with Parkinson's disease were implanted with deep brain stimulators to provide chronic electrical stimulation to the subthalamic nucleus bilaterally. Acoustic recordings and neurologic assessments were undertaken before surgery in the medication-off and medication-on conditions and after surgery with and without electrical stimulation in the medication-off and medication-on conditions. The data showed significant improvements in limb motor performance in response to medication before surgery and when the subthalamic nucleus was stimulated after surgery. Six months after surgery, there were small but statistically significant increases in sound pressure level and fundamental frequency variability in response to stimulation in the medication-on condition. No other statistically significant speech changes were measured. These findings are consistent with several other studies that have reported disparity between limb and speech improvements after neurosurgical intervention for Parkinson's disease.</s0></fC01><fC02 i1="01" i2="X"><s0>002B26I</s0></fC02><fC03 i1="01" i2="X" l="FRE"><s0>Parkinson maladie</s0><s5>01</s5></fC03><fC03 i1="01" i2="X" l="ENG"><s0>Parkinson disease</s0><s5>01</s5></fC03><fC03 i1="01" i2="X" l="SPA"><s0>Parkinson enfermedad</s0><s5>01</s5></fC03><fC03 i1="02" i2="X" l="FRE"><s0>Stimulus électrique</s0><s5>04</s5></fC03><fC03 i1="02" i2="X" l="ENG"><s0>Electrical stimulus</s0><s5>04</s5></fC03><fC03 i1="02" i2="X" l="SPA"><s0>Estímulo eléctrico</s0><s5>04</s5></fC03><fC03 i1="03" i2="X" l="FRE"><s0>Noyau sousthalamique</s0><s5>05</s5></fC03><fC03 i1="03" i2="X" l="ENG"><s0>Subthalamic nucleus</s0><s5>05</s5></fC03><fC03 i1="03" i2="X" l="SPA"><s0>Núcleo subtalámico</s0><s5>05</s5></fC03><fC03 i1="04" i2="X" l="FRE"><s0>Bilatéral</s0><s5>06</s5></fC03><fC03 i1="04" i2="X" l="ENG"><s0>Bilateral</s0><s5>06</s5></fC03><fC03 i1="04" i2="X" l="SPA"><s0>Bilateral</s0><s5>06</s5></fC03><fC03 i1="05" i2="X" l="FRE"><s0>Parole</s0><s5>07</s5></fC03><fC03 i1="05" i2="X" l="ENG"><s0>Speech</s0><s5>07</s5></fC03><fC03 i1="05" i2="X" l="SPA"><s0>Habla</s0><s5>07</s5></fC03><fC03 i1="06" i2="X" l="FRE"><s0>Analyse parole</s0><s5>08</s5></fC03><fC03 i1="06" i2="X" l="ENG"><s0>Speech analysis</s0><s5>08</s5></fC03><fC03 i1="06" i2="X" l="SPA"><s0>Análisis palabra</s0><s5>08</s5></fC03><fC03 i1="07" i2="X" l="FRE"><s0>Mesure acoustique</s0><s5>10</s5></fC03><fC03 i1="07" i2="X" l="ENG"><s0>Acoustic measurement</s0><s5>10</s5></fC03><fC03 i1="07" i2="X" l="SPA"><s0>Medida acústica</s0><s5>10</s5></fC03><fC03 i1="08" i2="X" l="FRE"><s0>Voix parlée</s0><s5>11</s5></fC03><fC03 i1="08" i2="X" l="ENG"><s0>Speaking voice</s0><s5>11</s5></fC03><fC03 i1="08" i2="X" l="SPA"><s0>Voz hablada</s0><s5>11</s5></fC03><fC03 i1="09" i2="X" l="FRE"><s0>Traitement instrumental</s0><s5>17</s5></fC03><fC03 i1="09" i2="X" l="ENG"><s0>Instrumentation therapy</s0><s5>17</s5></fC03><fC03 i1="09" i2="X" l="SPA"><s0>Tratamiento instrumental</s0><s5>17</s5></fC03><fC03 i1="10" i2="X" l="FRE"><s0>Evaluation performance</s0><s5>18</s5></fC03><fC03 i1="10" i2="X" l="ENG"><s0>Performance evaluation</s0><s5>18</s5></fC03><fC03 i1="10" i2="X" l="SPA"><s0>Evaluación prestación</s0><s5>18</s5></fC03><fC03 i1="11" i2="X" l="FRE"><s0>Adulte</s0><s5>20</s5></fC03><fC03 i1="11" i2="X" l="ENG"><s0>Adult</s0><s5>20</s5></fC03><fC03 i1="11" i2="X" l="SPA"><s0>Adulto</s0><s5>20</s5></fC03><fC07 i1="01" i2="X" l="FRE"><s0>Homme</s0></fC07><fC07 i1="01" i2="X" l="ENG"><s0>Human</s0></fC07><fC07 i1="01" i2="X" l="SPA"><s0>Hombre</s0></fC07><fC07 i1="02" i2="X" l="FRE"><s0>Système nerveux pathologie</s0><s5>37</s5></fC07><fC07 i1="02" i2="X" l="ENG"><s0>Nervous system diseases</s0><s5>37</s5></fC07><fC07 i1="02" i2="X" l="SPA"><s0>Sistema nervioso patología</s0><s5>37</s5></fC07><fC07 i1="03" i2="X" l="FRE"><s0>Système nerveux central pathologie</s0><s5>38</s5></fC07><fC07 i1="03" i2="X" l="ENG"><s0>Central nervous system disease</s0><s5>38</s5></fC07><fC07 i1="03" i2="X" l="SPA"><s0>Sistema nervosio central patología</s0><s5>38</s5></fC07><fC07 i1="04" i2="X" l="FRE"><s0>Encéphale pathologie</s0><s5>39</s5></fC07><fC07 i1="04" i2="X" l="ENG"><s0>Cerebral disorder</s0><s5>39</s5></fC07><fC07 i1="04" i2="X" l="SPA"><s0>Encéfalo patología</s0><s5>39</s5></fC07><fC07 i1="05" i2="X" l="FRE"><s0>Extrapyramidal syndrome</s0><s5>40</s5></fC07><fC07 i1="05" i2="X" l="ENG"><s0>Extrapyramidal syndrome</s0><s5>40</s5></fC07><fC07 i1="05" i2="X" l="SPA"><s0>Extrapiramidal síndrome</s0><s5>40</s5></fC07><fC07 i1="06" i2="X" l="FRE"><s0>Maladie dégénérative</s0><s5>41</s5></fC07><fC07 i1="06" i2="X" l="ENG"><s0>Degenerative disease</s0><s5>41</s5></fC07><fC07 i1="06" i2="X" l="SPA"><s0>Enfermedad degenerativa</s0><s5>41</s5></fC07><fC07 i1="07" i2="X" l="FRE"><s0>Stimulation instrumentale</s0><s5>45</s5></fC07><fC07 i1="07" i2="X" l="ENG"><s0>Instrumental stimulation</s0><s5>45</s5></fC07><fC07 i1="07" i2="X" l="SPA"><s0>Estimulación instrumental</s0><s5>45</s5></fC07><fN21><s1>008</s1></fN21></pA></standard></inist><affiliations><list><country><li>Canada</li></country><region><li>Ontario</li></region><settlement><li>Toronto</li></settlement><orgName><li>Université de Toronto</li></orgName></list><tree><country name="Canada"><noRegion><name sortKey="Dromey, Christopher" sort="Dromey, Christopher" uniqKey="Dromey C" first="Christopher" last="Dromey">Christopher Dromey</name></noRegion><name sortKey="Dromey, Christopher" sort="Dromey, Christopher" uniqKey="Dromey C" first="Christopher" last="Dromey">Christopher Dromey</name><name sortKey="Kumar, Rajeev" sort="Kumar, Rajeev" uniqKey="Kumar R" first="Rajeev" last="Kumar">Rajeev Kumar</name><name sortKey="Lang, Anthony E" sort="Lang, Anthony E" uniqKey="Lang A" first="Anthony E." last="Lang">Anthony E. Lang</name><name sortKey="Lang, Anthony E" sort="Lang, Anthony E" uniqKey="Lang A" first="Anthony E." last="Lang">Anthony E. Lang</name><name sortKey="Lozano, Andres M" sort="Lozano, Andres M" uniqKey="Lozano A" first="Andres M." last="Lozano">Andres M. Lozano</name><name sortKey="Lozano, Andres M" sort="Lozano, Andres M" uniqKey="Lozano A" first="Andres M." last="Lozano">Andres M. Lozano</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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