Movement Disorders (revue)

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Modulation of Dysarthropneumophonia by Low-Frequency STN DBS in Advanced Parkinson's Disease

Identifieur interne : 001A97 ( Main/Merge ); précédent : 001A96; suivant : 001A98

Modulation of Dysarthropneumophonia by Low-Frequency STN DBS in Advanced Parkinson's Disease

Auteurs : Caroline Moreau [France] ; Odile Pennel-Ployart [France] ; Serge Pinto [France] ; Audrey Plachez [France] ; Agnes Annic [France] ; François Viallet [France] ; Alain Destée [France] ; Luc Defebvre [France]

Source :

RBID : Pascal:11-0228395

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English descriptors

Abstract

Background: Parkinsonian dysarthria (as typically characterized by hypophonia, monotony of pitch, and rhythm abnormalities) is often accompanied by gait disturbances. The long-term effect of subthalamic nucleus deep brain stimulation (STN DBS) on dysarthria remains unclear. Methods: Given STN DBS's known improvement of gait disorders, we analyzed speech intelligibility and aerodynamic and acoustic parameters in 11 advanced PD patients in three double-blind, randomized conditions: "defined Off," 60 Hz STN DBS and 130 Hz STN DBS. Results: An improvement in aerodynamic speech parameters during 60 Hz STN DBS was accompanied by significant clinical benefit. Conclusions: Chronic treatment with low-frequency STN DBS may have a beneficial impact on dysarthropneumophonia, even in advanced PD patients.

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Pascal:11-0228395

Le document en format XML

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<term>Advanced stage</term>
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<term>Modulation</term>
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<term>Maladie de Parkinson</term>
<term>Dysarthrie</term>
<term>Pathologie du système nerveux</term>
<term>Modulation</term>
<term>Basse fréquence</term>
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<div type="abstract" xml:lang="en">Background: Parkinsonian dysarthria (as typically characterized by hypophonia, monotony of pitch, and rhythm abnormalities) is often accompanied by gait disturbances. The long-term effect of subthalamic nucleus deep brain stimulation (STN DBS) on dysarthria remains unclear. Methods: Given STN DBS's known improvement of gait disorders, we analyzed speech intelligibility and aerodynamic and acoustic parameters in 11 advanced PD patients in three double-blind, randomized conditions: "defined Off," 60 Hz STN DBS and 130 Hz STN DBS. Results: An improvement in aerodynamic speech parameters during 60 Hz STN DBS was accompanied by significant clinical benefit. Conclusions: Chronic treatment with low-frequency STN DBS may have a beneficial impact on dysarthropneumophonia, even in advanced PD patients.</div>
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