Treating disordered speech and voice in Parkinson's disease online: a randomized controlled non‐inferiority trial
Identifieur interne : 000B92 ( Main/Corpus ); précédent : 000B91; suivant : 000B93Treating disordered speech and voice in Parkinson's disease online: a randomized controlled non‐inferiority trial
Auteurs : Gabriella Constantinescu ; Deborah Theodoros ; Trevor Russell ; Elizabeth Ward ; Stephen Wilson ; Richard WoottonSource :
- International Journal of Language & Communication Disorders [ 1368-2822 ] ; 2011-01.
English descriptors
- KwdEn :
Abstract
Background: Telerehabilitation may be a feasible solution to the current problems faced by people with Parkinson's disease in accessing speech pathology services. Aim: To investigate the validity and reliability of online delivery of the Lee Silverman Voice Treatment (LSVT®) for the speech and voice disorder associated with Parkinson's disease. Method & Procedures: Thirty‐four participants with Parkinson's disease and mild‐to‐moderate hypokinetic dysarthria took part in the randomized controlled non‐inferiority laboratory trial and received the LSVT® in either the online or the face‐to‐face environment. Online sessions were conducted via two personal computer‐based videoconferencing systems with real‐time and store‐and‐forward capabilities operating on a 128 kbit/s Internet connection. Participants were assessed pre‐ and post‐treatment on acoustic measures of mean vocal sound pressure level, phonation time, maximum fundamental frequency range, and perceptual measures of voice, articulatory precision and speech intelligibility. Outcomes & Results: Non‐inferiority of the online LSVT® modality was confirmed for the primary outcome measure of mean change in sound pressure level on a monologue task. Additionally, non‐significant main effects for the LSVT® environment, dysarthria severity, and interaction effects were obtained for all outcomes measures. Significant improvements following the LSVT® were also noted on the majority of measures. The LSVT® was successfully delivered online, although some networking difficulties were encountered on a few occasions. High participant satisfaction was reported overall. Conclusions & Implications: Online treatment for hypokinetic dysarthria associated with Parkinson's disease appears to be clinically valid and reliable. Suggestions for future research are outlined.
Url:
DOI: 10.3109/13682822.2010.484848
Links to Exploration step
ISTEX:94E55E6835E734D95FCB94C5F445B1F949DB3303Le document en format XML
<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">Treating disordered speech and voice in Parkinson's disease online: a randomized controlled non‐inferiority trial</title><author><name sortKey="Constantinescu, Gabriella" sort="Constantinescu, Gabriella" uniqKey="Constantinescu G" first="Gabriella" last="Constantinescu">Gabriella Constantinescu</name><affiliation><mods:affiliation>School of Health and Rehabilitation Sciences University of Queensland, Brisbane, Australia</mods:affiliation></affiliation></author><author><name sortKey="Theodoros, Deborah" sort="Theodoros, Deborah" uniqKey="Theodoros D" first="Deborah" last="Theodoros">Deborah Theodoros</name><affiliation><mods:affiliation>School of Health and Rehabilitation Sciences University of Queensland, Brisbane, Australia</mods:affiliation></affiliation></author><author><name sortKey="Russell, Trevor" sort="Russell, Trevor" uniqKey="Russell T" first="Trevor" last="Russell">Trevor Russell</name><affiliation><mods:affiliation>School of Health and Rehabilitation Sciences University of Queensland, Brisbane, Australia</mods:affiliation></affiliation></author><author><name sortKey="Ward, Elizabeth" sort="Ward, Elizabeth" uniqKey="Ward E" first="Elizabeth" last="Ward">Elizabeth Ward</name><affiliation><mods:affiliation>School of Health and Rehabilitation Sciences University of Queensland, Brisbane, Australia</mods:affiliation></affiliation></author><author><name sortKey="Wilson, Stephen" sort="Wilson, Stephen" uniqKey="Wilson S" first="Stephen" last="Wilson">Stephen Wilson</name><affiliation><mods:affiliation>School of Information Technology and Electrical Engineering, University of Queensland, Brisbane, Australia</mods:affiliation></affiliation></author><author><name sortKey="Wootton, Richard" sort="Wootton, Richard" uniqKey="Wootton R" first="Richard" last="Wootton">Richard Wootton</name><affiliation><mods:affiliation>Scottish Centre for Telehealth, Aberdeen, UK</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:94E55E6835E734D95FCB94C5F445B1F949DB3303</idno><date when="2011" year="2011">2011</date><idno type="doi">10.3109/13682822.2010.484848</idno><idno type="url">https://api.istex.fr/document/94E55E6835E734D95FCB94C5F445B1F949DB3303/fulltext/pdf</idno><idno type="wicri:Area/Main/Corpus">000B92</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Treating disordered speech and voice in Parkinson's disease online: a randomized controlled non‐inferiority trial</title><author><name sortKey="Constantinescu, Gabriella" sort="Constantinescu, Gabriella" uniqKey="Constantinescu G" first="Gabriella" last="Constantinescu">Gabriella Constantinescu</name><affiliation><mods:affiliation>School of Health and Rehabilitation Sciences University of Queensland, Brisbane, Australia</mods:affiliation></affiliation></author><author><name sortKey="Theodoros, Deborah" sort="Theodoros, Deborah" uniqKey="Theodoros D" first="Deborah" last="Theodoros">Deborah Theodoros</name><affiliation><mods:affiliation>School of Health and Rehabilitation Sciences University of Queensland, Brisbane, Australia</mods:affiliation></affiliation></author><author><name sortKey="Russell, Trevor" sort="Russell, Trevor" uniqKey="Russell T" first="Trevor" last="Russell">Trevor Russell</name><affiliation><mods:affiliation>School of Health and Rehabilitation Sciences University of Queensland, Brisbane, Australia</mods:affiliation></affiliation></author><author><name sortKey="Ward, Elizabeth" sort="Ward, Elizabeth" uniqKey="Ward E" first="Elizabeth" last="Ward">Elizabeth Ward</name><affiliation><mods:affiliation>School of Health and Rehabilitation Sciences University of Queensland, Brisbane, Australia</mods:affiliation></affiliation></author><author><name sortKey="Wilson, Stephen" sort="Wilson, Stephen" uniqKey="Wilson S" first="Stephen" last="Wilson">Stephen Wilson</name><affiliation><mods:affiliation>School of Information Technology and Electrical Engineering, University of Queensland, Brisbane, Australia</mods:affiliation></affiliation></author><author><name sortKey="Wootton, Richard" sort="Wootton, Richard" uniqKey="Wootton R" first="Richard" last="Wootton">Richard Wootton</name><affiliation><mods:affiliation>Scottish Centre for Telehealth, Aberdeen, UK</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j">International Journal of Language & Communication Disorders</title><idno type="ISSN">1368-2822</idno><idno type="eISSN">1460-6984</idno><imprint><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2011-01">2011-01</date><biblScope unit="volume">46</biblScope><biblScope unit="issue">1</biblScope><biblScope unit="page" from="1">1</biblScope><biblScope unit="page" to="16">16</biblScope></imprint><idno type="ISSN">1368-2822</idno></series><idno type="istex">94E55E6835E734D95FCB94C5F445B1F949DB3303</idno><idno type="DOI">10.3109/13682822.2010.484848</idno><idno type="ArticleID">JLCD26</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1368-2822</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Internet‐based treatment</term><term>Lee Silverman Voice Treatment (LSVT®)</term><term>Parkinson's disease</term><term>telerehabilitation</term><term>voice therapy</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Background: Telerehabilitation may be a feasible solution to the current problems faced by people with Parkinson's disease in accessing speech pathology services. Aim: To investigate the validity and reliability of online delivery of the Lee Silverman Voice Treatment (LSVT®) for the speech and voice disorder associated with Parkinson's disease. Method & Procedures: Thirty‐four participants with Parkinson's disease and mild‐to‐moderate hypokinetic dysarthria took part in the randomized controlled non‐inferiority laboratory trial and received the LSVT® in either the online or the face‐to‐face environment. Online sessions were conducted via two personal computer‐based videoconferencing systems with real‐time and store‐and‐forward capabilities operating on a 128 kbit/s Internet connection. Participants were assessed pre‐ and post‐treatment on acoustic measures of mean vocal sound pressure level, phonation time, maximum fundamental frequency range, and perceptual measures of voice, articulatory precision and speech intelligibility. Outcomes & Results: Non‐inferiority of the online LSVT® modality was confirmed for the primary outcome measure of mean change in sound pressure level on a monologue task. Additionally, non‐significant main effects for the LSVT® environment, dysarthria severity, and interaction effects were obtained for all outcomes measures. Significant improvements following the LSVT® were also noted on the majority of measures. The LSVT® was successfully delivered online, although some networking difficulties were encountered on a few occasions. High participant satisfaction was reported overall. Conclusions & Implications: Online treatment for hypokinetic dysarthria associated with Parkinson's disease appears to be clinically valid and reliable. Suggestions for future research are outlined.</div></front></TEI><istex><corpusName>wiley</corpusName><author><json:item><name>Gabriella Constantinescu</name><affiliations><json:string>School of Health and Rehabilitation Sciences University of Queensland, Brisbane, Australia</json:string></affiliations></json:item><json:item><name>Deborah Theodoros</name><affiliations><json:string>School of Health and Rehabilitation Sciences University of Queensland, Brisbane, Australia</json:string></affiliations></json:item><json:item><name>Trevor Russell</name><affiliations><json:string>School of Health and Rehabilitation Sciences University of Queensland, Brisbane, Australia</json:string></affiliations></json:item><json:item><name>Elizabeth Ward</name><affiliations><json:string>School of Health and Rehabilitation Sciences University of Queensland, Brisbane, Australia</json:string></affiliations></json:item><json:item><name>Stephen Wilson</name><affiliations><json:string>School of Information Technology and Electrical Engineering, University of Queensland, Brisbane, Australia</json:string></affiliations></json:item><json:item><name>Richard Wootton</name><affiliations><json:string>Scottish Centre for Telehealth, Aberdeen, UK</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>Parkinson's disease</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>telerehabilitation</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Internet‐based treatment</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Lee Silverman Voice Treatment (LSVT®)</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>voice therapy</value></json:item></subject><articleId><json:string>JLCD26</json:string></articleId><language><json:string>eng</json:string></language><abstract>Background: Telerehabilitation may be a feasible solution to the current problems faced by people with Parkinson's disease in accessing speech pathology services. Aim: To investigate the validity and reliability of online delivery of the Lee Silverman Voice Treatment (LSVT®) for the speech and voice disorder associated with Parkinson's disease. Method & Procedures: Thirty‐four participants with Parkinson's disease and mild‐to‐moderate hypokinetic dysarthria took part in the randomized controlled non‐inferiority laboratory trial and received the LSVT® in either the online or the face‐to‐face environment. Online sessions were conducted via two personal computer‐based videoconferencing systems with real‐time and store‐and‐forward capabilities operating on a 128 kbit/s Internet connection. Participants were assessed pre‐ and post‐treatment on acoustic measures of mean vocal sound pressure level, phonation time, maximum fundamental frequency range, and perceptual measures of voice, articulatory precision and speech intelligibility. Outcomes & Results: Non‐inferiority of the online LSVT® modality was confirmed for the primary outcome measure of mean change in sound pressure level on a monologue task. Additionally, non‐significant main effects for the LSVT® environment, dysarthria severity, and interaction effects were obtained for all outcomes measures. Significant improvements following the LSVT® were also noted on the majority of measures. The LSVT® was successfully delivered online, although some networking difficulties were encountered on a few occasions. High participant satisfaction was reported overall. Conclusions & Implications: Online treatment for hypokinetic dysarthria associated with Parkinson's disease appears to be clinically valid and reliable. Suggestions for future research are outlined.</abstract><qualityIndicators><score>8.392</score><pdfVersion>1.4</pdfVersion><pdfPageSize>595.274 x 782.286 pts</pdfPageSize><refBibsNative>true</refBibsNative><keywordCount>5</keywordCount><abstractCharCount>1830</abstractCharCount><pdfWordCount>8966</pdfWordCount><pdfCharCount>60168</pdfCharCount><pdfPageCount>16</pdfPageCount><abstractWordCount>241</abstractWordCount></qualityIndicators><title>Treating disordered speech and voice in Parkinson's disease online: a randomized controlled non‐inferiority trial</title><genre><json:string>article</json:string></genre><host><volume>46</volume><publisherId><json:string>JLCD</json:string></publisherId><pages><total>16</total><last>16</last><first>1</first></pages><issn><json:string>1368-2822</json:string></issn><issue>1</issue><subject><json:item><value>Research Report</value></json:item></subject><genre><json:string>Journal</json:string></genre><language><json:string>unknown</json:string></language><eissn><json:string>1460-6984</json:string></eissn><title>International Journal of Language & Communication Disorders</title><doi><json:string>10.1111/(ISSN)1460-6984</json:string></doi></host><publicationDate>2011</publicationDate><copyrightDate>2011</copyrightDate><doi><json:string>10.3109/13682822.2010.484848</json:string></doi><id>94E55E6835E734D95FCB94C5F445B1F949DB3303</id><fulltext><json:item><original>true</original><mimetype>application/pdf</mimetype><extension>pdf</extension><uri>https://api.istex.fr/document/94E55E6835E734D95FCB94C5F445B1F949DB3303/fulltext/pdf</uri></json:item><json:item><original>false</original><mimetype>application/zip</mimetype><extension>zip</extension><uri>https://api.istex.fr/document/94E55E6835E734D95FCB94C5F445B1F949DB3303/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/document/94E55E6835E734D95FCB94C5F445B1F949DB3303/fulltext/tei"><teiHeader><fileDesc><titleStmt><title level="a" type="main" xml:lang="en">Treating disordered speech and voice in Parkinson's disease online: a randomized controlled non‐inferiority trial</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><availability><p>WILEY</p></availability><date>2011</date></publicationStmt><sourceDesc><biblStruct type="inbook"><analytic><title level="a" type="main" xml:lang="en">Treating disordered speech and voice in Parkinson's disease online: a randomized controlled non‐inferiority trial</title><author><persName><forename type="first">Gabriella</forename><surname>Constantinescu</surname></persName><affiliation>School of Health and Rehabilitation Sciences University of Queensland, Brisbane, Australia</affiliation></author><author><persName><forename type="first">Deborah</forename><surname>Theodoros</surname></persName><affiliation>School of Health and Rehabilitation Sciences University of Queensland, Brisbane, Australia</affiliation></author><author><persName><forename type="first">Trevor</forename><surname>Russell</surname></persName><affiliation>School of Health and Rehabilitation Sciences University of Queensland, Brisbane, Australia</affiliation></author><author><persName><forename type="first">Elizabeth</forename><surname>Ward</surname></persName><affiliation>School of Health and Rehabilitation Sciences University of Queensland, Brisbane, Australia</affiliation></author><author><persName><forename type="first">Stephen</forename><surname>Wilson</surname></persName><affiliation>School of Information Technology and Electrical Engineering, University of Queensland, Brisbane, Australia</affiliation></author><author><persName><forename type="first">Richard</forename><surname>Wootton</surname></persName><affiliation>Scottish Centre for Telehealth, Aberdeen, UK</affiliation></author></analytic><monogr><title level="j">International Journal of Language & Communication Disorders</title><idno type="pISSN">1368-2822</idno><idno type="eISSN">1460-6984</idno><idno type="DOI">10.1111/(ISSN)1460-6984</idno><imprint><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2011-01"></date><biblScope unit="volume">46</biblScope><biblScope unit="issue">1</biblScope><biblScope unit="page" from="1">1</biblScope><biblScope unit="page" to="16">16</biblScope></imprint></monogr><idno type="istex">94E55E6835E734D95FCB94C5F445B1F949DB3303</idno><idno type="DOI">10.3109/13682822.2010.484848</idno><idno type="ArticleID">JLCD26</idno></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>2011</date></creation><langUsage><language ident="en">en</language></langUsage><abstract xml:lang="en"><p>Background: Telerehabilitation may be a feasible solution to the current problems faced by people with Parkinson's disease in accessing speech pathology services. Aim: To investigate the validity and reliability of online delivery of the Lee Silverman Voice Treatment (LSVT®) for the speech and voice disorder associated with Parkinson's disease. Method & Procedures: Thirty‐four participants with Parkinson's disease and mild‐to‐moderate hypokinetic dysarthria took part in the randomized controlled non‐inferiority laboratory trial and received the LSVT® in either the online or the face‐to‐face environment. Online sessions were conducted via two personal computer‐based videoconferencing systems with real‐time and store‐and‐forward capabilities operating on a 128 kbit/s Internet connection. Participants were assessed pre‐ and post‐treatment on acoustic measures of mean vocal sound pressure level, phonation time, maximum fundamental frequency range, and perceptual measures of voice, articulatory precision and speech intelligibility. Outcomes & Results: Non‐inferiority of the online LSVT® modality was confirmed for the primary outcome measure of mean change in sound pressure level on a monologue task. Additionally, non‐significant main effects for the LSVT® environment, dysarthria severity, and interaction effects were obtained for all outcomes measures. Significant improvements following the LSVT® were also noted on the majority of measures. The LSVT® was successfully delivered online, although some networking difficulties were encountered on a few occasions. High participant satisfaction was reported overall. Conclusions & Implications: Online treatment for hypokinetic dysarthria associated with Parkinson's disease appears to be clinically valid and reliable. Suggestions for future research are outlined.</p></abstract><textClass xml:lang="en"><keywords scheme="keyword"><list><head>Keywords</head><item><term>Parkinson's disease</term></item><item><term>telerehabilitation</term></item><item><term>Internet‐based treatment</term></item><item><term>Lee Silverman Voice Treatment (LSVT®)</term></item><item><term>voice therapy</term></item></list></keywords></textClass><textClass><keywords scheme="Journal Subject"><list><head>article category</head><item><term>Research Report</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="2011-01">Published</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><original>false</original><mimetype>text/plain</mimetype><extension>txt</extension><uri>https://api.istex.fr/document/94E55E6835E734D95FCB94C5F445B1F949DB3303/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Blackwell Publishing Ltd</publisherName><publisherLoc>Oxford, UK</publisherLoc></publisherInfo><doi origin="wiley" registered="yes">10.1111/(ISSN)1460-6984</doi><issn type="print">1368-2822</issn><issn type="electronic">1460-6984</issn><idGroup><id type="product" value="JLCD"></id><id type="publisherDivision" value="ST"></id></idGroup><titleGroup><title type="main" sort="INTERNATIONAL JOURNAL OF LANGUAGE AND COMMUNICATION DISORDERS">International Journal of Language & Communication Disorders</title></titleGroup></publicationMeta><publicationMeta level="part" position="01101"><doi origin="wiley">10.1111/jlcd.2011.46.issue-1</doi><numberingGroup><numbering type="journalVolume" number="46">46</numbering><numbering type="journalIssue" number="1">1</numbering></numberingGroup><coverDate startDate="2011-01">January‐February 2011</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="1" status="forIssue"><doi origin="wiley">10.3109/13682822.2010.484848</doi><idGroup><id type="unit" value="JLCD26"></id></idGroup><countGroup><count type="pageTotal" number="16"></count></countGroup><titleGroup><title type="tocHeading1">Research Reports</title><title type="articleCategory">Research Report</title></titleGroup><copyright>© 2010 Royal College of Speech & Language Therapists</copyright><eventGroup><event type="xmlConverted" agent="Converter:BPG_TO_WML3G version:2.4.4 mode:FullText" date="2011-01-25"></event><event type="firstOnline" date="2011-01-25"></event><event type="publishedOnlineFinalForm" date="2011-01-25"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.8.8" date="2014-01-31"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.1.7 mode:FullText,remove_FC" date="2014-10-23"></event></eventGroup><numberingGroup><numbering type="pageFirst" number="1">1</numbering><numbering type="pageLast" number="16">16</numbering></numberingGroup><correspondenceTo>Address correspondence to: Gabriella Constantinescu, School of Health and Rehabilitation Sciences, University of Queensland, Brisbane 4072, Australia; e‐mail: <email>gabriella@hearandsaycentre.com.au</email></correspondenceTo><objectNameGroup><objectName elementName="appendix">Appendix</objectName></objectNameGroup><linkGroup><link type="toTypesetVersion" href="file:JLCD.JLCD26.pdf"></link></linkGroup></publicationMeta><contentMeta><unparsedEditorialHistory>Received 28 September 2009; accepted 8 April 2010</unparsedEditorialHistory><countGroup><count type="figureTotal" number="4"></count><count type="tableTotal" number="3"></count><count type="formulaTotal" number="0"></count><count type="referenceTotal" number="37"></count><count type="linksCrossRef" number="96"></count></countGroup><titleGroup><title type="main">Treating disordered speech and voice in Parkinson's disease online: a randomized controlled non‐inferiority trial</title><title type="shortAuthors"><i>Gabriella Constantinescu</i> et al.</title><title type="short"><i>Online voice treatment of Parkinson's disease</i></title></titleGroup><creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#a1"><personName><givenNames>Gabriella</givenNames><familyName>Constantinescu</familyName></personName></creator><creator creatorRole="author" xml:id="cr2" affiliationRef="#a1"><personName><givenNames>Deborah</givenNames><familyName>Theodoros</familyName></personName></creator><creator creatorRole="author" xml:id="cr3" affiliationRef="#a1"><personName><givenNames>Trevor</givenNames><familyName>Russell</familyName></personName></creator><creator creatorRole="author" xml:id="cr4" affiliationRef="#a1"><personName><givenNames>Elizabeth</givenNames><familyName>Ward</familyName></personName></creator><creator creatorRole="author" xml:id="cr5" affiliationRef="#a2"><personName><givenNames>Stephen</givenNames><familyName>Wilson</familyName></personName></creator><creator creatorRole="author" xml:id="cr6" affiliationRef="#a3"><personName><givenNames>Richard</givenNames><familyName>Wootton</familyName></personName></creator></creators><affiliationGroup><affiliation xml:id="a1" countryCode="AU"><unparsedAffiliation>School of Health and Rehabilitation Sciences University of Queensland, Brisbane, Australia</unparsedAffiliation></affiliation><affiliation xml:id="a2" countryCode="AU"><unparsedAffiliation>School of Information Technology and Electrical Engineering, University of Queensland, Brisbane, Australia</unparsedAffiliation></affiliation><affiliation xml:id="a3" countryCode="GB"><unparsedAffiliation>Scottish Centre for Telehealth, Aberdeen, UK</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en"><keyword xml:id="k1">Parkinson's disease</keyword><keyword xml:id="k2">telerehabilitation</keyword><keyword xml:id="k3">Internet‐based treatment</keyword><keyword xml:id="k4">Lee Silverman Voice Treatment (LSVT<sup>®</sup>)</keyword><keyword xml:id="k5">voice therapy</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><title type="main">Abstract</title><p> <i>Background:</i> Telerehabilitation may be a feasible solution to the current problems faced by people with Parkinson's disease in accessing speech pathology services.</p><p> <i>Aim</i>: To investigate the validity and reliability of online delivery of the Lee Silverman Voice Treatment (LSVT<sup>®</sup>) for the speech and voice disorder associated with Parkinson's disease.</p><p> <i>Method & Procedures</i>: Thirty‐four participants with Parkinson's disease and mild‐to‐moderate hypokinetic dysarthria took part in the randomized controlled non‐inferiority laboratory trial and received the LSVT<sup>®</sup> in either the online or the face‐to‐face environment. Online sessions were conducted via two personal computer‐based videoconferencing systems with real‐time and store‐and‐forward capabilities operating on a 128 kbit/s Internet connection. Participants were assessed pre‐ and post‐treatment on acoustic measures of mean vocal sound pressure level, phonation time, maximum fundamental frequency range, and perceptual measures of voice, articulatory precision and speech intelligibility.</p><p> <i>Outcomes & Results</i>: Non‐inferiority of the online LSVT<sup>®</sup> modality was confirmed for the primary outcome measure of mean change in sound pressure level on a monologue task. Additionally, non‐significant main effects for the LSVT<sup>®</sup> environment, dysarthria severity, and interaction effects were obtained for all outcomes measures. Significant improvements following the LSVT<sup>®</sup> were also noted on the majority of measures. The LSVT<sup>®</sup> was successfully delivered online, although some networking difficulties were encountered on a few occasions. High participant satisfaction was reported overall.</p><p> <i>Conclusions & Implications</i>: Online treatment for hypokinetic dysarthria associated with Parkinson's disease appears to be clinically valid and reliable. Suggestions for future research are outlined.</p></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Treating disordered speech and voice in Parkinson's disease online: a randomized controlled non‐inferiority trial</title></titleInfo><titleInfo type="abbreviated"><title>Online voice treatment of Parkinson's disease</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Treating disordered speech and voice in Parkinson's disease online: a randomized controlled non‐inferiority trial</title></titleInfo><name type="personal"><namePart type="given">Gabriella</namePart><namePart type="family">Constantinescu</namePart><affiliation>School of Health and Rehabilitation Sciences University of Queensland, Brisbane, Australia</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Deborah</namePart><namePart type="family">Theodoros</namePart><affiliation>School of Health and Rehabilitation Sciences University of Queensland, Brisbane, Australia</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Trevor</namePart><namePart type="family">Russell</namePart><affiliation>School of Health and Rehabilitation Sciences University of Queensland, Brisbane, Australia</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Elizabeth</namePart><namePart type="family">Ward</namePart><affiliation>School of Health and Rehabilitation Sciences University of Queensland, Brisbane, Australia</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Stephen</namePart><namePart type="family">Wilson</namePart><affiliation>School of Information Technology and Electrical Engineering, University of Queensland, Brisbane, Australia</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Richard</namePart><namePart type="family">Wootton</namePart><affiliation>Scottish Centre for Telehealth, Aberdeen, UK</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article"></genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><place><placeTerm type="text">Oxford, UK</placeTerm></place><dateIssued encoding="w3cdtf">2011-01</dateIssued><edition>Received 28 September 2009; accepted 8 April 2010</edition><copyrightDate encoding="w3cdtf">2011</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType><extent unit="figures">4</extent><extent unit="tables">3</extent><extent unit="references">37</extent></physicalDescription><abstract lang="en">Background: Telerehabilitation may be a feasible solution to the current problems faced by people with Parkinson's disease in accessing speech pathology services. Aim: To investigate the validity and reliability of online delivery of the Lee Silverman Voice Treatment (LSVT®) for the speech and voice disorder associated with Parkinson's disease. Method & Procedures: Thirty‐four participants with Parkinson's disease and mild‐to‐moderate hypokinetic dysarthria took part in the randomized controlled non‐inferiority laboratory trial and received the LSVT® in either the online or the face‐to‐face environment. Online sessions were conducted via two personal computer‐based videoconferencing systems with real‐time and store‐and‐forward capabilities operating on a 128 kbit/s Internet connection. Participants were assessed pre‐ and post‐treatment on acoustic measures of mean vocal sound pressure level, phonation time, maximum fundamental frequency range, and perceptual measures of voice, articulatory precision and speech intelligibility. Outcomes & Results: Non‐inferiority of the online LSVT® modality was confirmed for the primary outcome measure of mean change in sound pressure level on a monologue task. Additionally, non‐significant main effects for the LSVT® environment, dysarthria severity, and interaction effects were obtained for all outcomes measures. Significant improvements following the LSVT® were also noted on the majority of measures. The LSVT® was successfully delivered online, although some networking difficulties were encountered on a few occasions. High participant satisfaction was reported overall. Conclusions & Implications: Online treatment for hypokinetic dysarthria associated with Parkinson's disease appears to be clinically valid and reliable. Suggestions for future research are outlined.</abstract><subject lang="en"><genre>Keywords</genre><topic>Parkinson's disease</topic><topic>telerehabilitation</topic><topic>Internet‐based treatment</topic><topic>Lee Silverman Voice Treatment (LSVT®)</topic><topic>voice therapy</topic></subject><relatedItem type="host"><titleInfo><title>International Journal of Language & Communication Disorders</title></titleInfo><genre type="Journal">journal</genre><subject><genre>article category</genre><topic>Research Report</topic></subject><identifier type="ISSN">1368-2822</identifier><identifier type="eISSN">1460-6984</identifier><identifier type="DOI">10.1111/(ISSN)1460-6984</identifier><identifier type="PublisherID">JLCD</identifier><part><date>2011</date><detail type="volume"><caption>vol.</caption><number>46</number></detail><detail type="issue"><caption>no.</caption><number>1</number></detail><extent unit="pages"><start>1</start><end>16</end><total>16</total></extent></part></relatedItem><identifier type="istex">94E55E6835E734D95FCB94C5F445B1F949DB3303</identifier><identifier type="DOI">10.3109/13682822.2010.484848</identifier><identifier type="ArticleID">JLCD26</identifier><accessCondition type="use and reproduction" contentType="copyright">© 2010 Royal College of Speech & Language Therapists</accessCondition><recordInfo><recordContentSource>WILEY</recordContentSource><recordOrigin>Blackwell Publishing Ltd</recordOrigin></recordInfo></mods></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/ParkinsonV1/Data/Main/Corpus
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000B92 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Corpus/biblio.hfd -nk 000B92 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Sante
|area= ParkinsonV1
|flux= Main
|étape= Corpus
|type= RBID
|clé= ISTEX:94E55E6835E734D95FCB94C5F445B1F949DB3303
|texte= Treating disordered speech and voice in Parkinson's disease online: a randomized controlled non‐inferiority trial
}}
| This area was generated with Dilib version V0.6.23. |  |