Effects of Loudness Cues on Respiration in Individuals with Parkinson’s disease
Identifieur interne : 000457 ( Pmc/Checkpoint ); précédent : 000456; suivant : 000458Effects of Loudness Cues on Respiration in Individuals with Parkinson’s disease
Auteurs : Neeraja Sadagopan ; Jessica E. HuberSource :
- Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 2007.
Abstract
Individuals with Parkinson’s disease (PD) demonstrate low vocal intensity (hypophonia) which results in reduced speech intelligibility. We examined the effects of three cues to increase loudness on respiratory support in individuals with PD. Kinematic data from the rib cage and abdomen were collected using respiratory plethysmography while participants read a short passage. Individuals with PD and normal age- and sex-matched controls (OC) increased sound pressure level (SPL) to a similar extent. As compared to OC, individuals with PD used larger rib cage volume excursions in all conditions. Further, they did not slow their rate of speech in noise as OC speakers did. Respiratory strategies used to support increased loudness varied with the cue, but the two groups did not differ in the strategies used. When asked to target a specific loudness, both groups used more abdominal effort than at comfortable loudness. Speaking in background noise resulted in the largest increase in SPL with the most efficient respiratory patterns, suggesting natural or implicit cues may be best when treating hypophonia in individuals with PD. Data demonstrate the possibility that both vocal loudness and speech rate are impacted by cognitive mechanisms (attention or self-perception) in individuals with PD.
Url:
DOI: 10.1002/mds.21375
PubMed: 17266087
PubMed Central: 3441060
Affiliations:
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<front><div type="abstract" xml:lang="en"><p id="P1">Individuals with Parkinson’s disease (PD) demonstrate low vocal intensity (hypophonia) which results in reduced speech intelligibility. We examined the effects of three cues to increase loudness on respiratory support in individuals with PD. Kinematic data from the rib cage and abdomen were collected using respiratory plethysmography while participants read a short passage. Individuals with PD and normal age- and sex-matched controls (OC) increased sound pressure level (SPL) to a similar extent. As compared to OC, individuals with PD used larger rib cage volume excursions in all conditions. Further, they did not slow their rate of speech in noise as OC speakers did. Respiratory strategies used to support increased loudness varied with the cue, but the two groups did not differ in the strategies used. When asked to target a specific loudness, both groups used more abdominal effort than at comfortable loudness. Speaking in background noise resulted in the largest increase in SPL with the most efficient respiratory patterns, suggesting natural or implicit cues may be best when treating hypophonia in individuals with PD. Data demonstrate the possibility that both vocal loudness and speech rate are impacted by cognitive mechanisms (attention or self-perception) in individuals with PD.</p>
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<aff id="A1">Purdue University, Department of Speech, Language, and Hearing Research, West Lafayette, IN</aff>
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<author-notes><corresp id="FN1">Corresponding Author: Jessica E. Huber, Ph.D., Purdue University, Department of Speech, Language, and Hearing Sciences, 1353 Heavilon Hall, 500 Oval Drive, West Lafayette, IN 47907-2038, Phone: (765) 494-3796, Fax: (765) 494-0771, <email>jhuber@purdue.edu</email>
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<abstract><p id="P1">Individuals with Parkinson’s disease (PD) demonstrate low vocal intensity (hypophonia) which results in reduced speech intelligibility. We examined the effects of three cues to increase loudness on respiratory support in individuals with PD. Kinematic data from the rib cage and abdomen were collected using respiratory plethysmography while participants read a short passage. Individuals with PD and normal age- and sex-matched controls (OC) increased sound pressure level (SPL) to a similar extent. As compared to OC, individuals with PD used larger rib cage volume excursions in all conditions. Further, they did not slow their rate of speech in noise as OC speakers did. Respiratory strategies used to support increased loudness varied with the cue, but the two groups did not differ in the strategies used. When asked to target a specific loudness, both groups used more abdominal effort than at comfortable loudness. Speaking in background noise resulted in the largest increase in SPL with the most efficient respiratory patterns, suggesting natural or implicit cues may be best when treating hypophonia in individuals with PD. Data demonstrate the possibility that both vocal loudness and speech rate are impacted by cognitive mechanisms (attention or self-perception) in individuals with PD.</p>
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<kwd-group><kwd>Parkinson’s disease</kwd>
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<kwd>respiratory kinematics</kwd>
<kwd>increasing vocal loudness</kwd>
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<funding-group><award-group><funding-source country="United States">National Institute on Deafness and Other Communication Disorders : NIDCD</funding-source>
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