Assessing disordered speech and voice in Parkinson's disease: a telerehabilitation application
Identifieur interne : 000807 ( Main/Exploration ); précédent : 000806; suivant : 000808Assessing disordered speech and voice in Parkinson's disease: a telerehabilitation application
Auteurs : Gabriella Constantinescu [Australie] ; Deborah Theodoros [Australie] ; Trevor Russell [Australie] ; Elizabeth Ward [Australie] ; Stephen Wilson [Australie] ; Richard Wootton [Royaume-Uni]Source :
- International Journal of Language & Communication Disorders [ 1368-2822 ] ; 2010-11-12.
English descriptors
- KwdEn :
Abstract
Background: Patients with Parkinson's disease face numerous access barriers to speech pathology services for appropriate assessment and treatment. Telerehabilitation is a possible solution to this problem, whereby rehabilitation services may be delivered to the patient at a distance, via telecommunication and information technologies. A number of studies have demonstrated the capacity of telerehabilitation to provide reliable and valid assessments of speech, voice and language. However, no studies have specifically focused on assessing patients with Parkinson's disease. Aims: To investigate the validity and reliability of a telerehabilitation application for assessing the speech and voice disorder associated with Parkinson's disease. Methods & Procedures: Sixty‐one participants with Parkinson's disease and hypokinetic dysarthria were simultaneously assessed in an online and face‐to‐face environment by two speech–language pathologists. The assessment protocol included perceptual measures of voice and oromotor function, articulatory precision, speech intelligibility, and acoustic measures of vocal sound pressure level, phonation time and pitch range. Online assessments were conducted via a personal computer‐based videoconferencing system with store‐and‐forward capabilities, operating on a 128 kbit/s Internet connection. The level of agreement between the online and face‐to‐face ratings was determined using several different analyses, depending on the parameter. These included per cent close agreement, quadratic weighted Kappa, and the Bland and Altman limits of agreement. Outcomes & Results: Per cent close agreement between the two environments was within a predetermined clinical criterion of 80% agreement for all voice and oromotor parameters, articulatory precision and speech intelligibility in conversation. Levels of agreement between the environments, based on quadratic weighted Kappa, ranged from poor to good for vocal parameters and from fair to very good for oromotor parameters. Bland and Altman limits of agreement analyses revealed comparability between online and face‐to‐face environments for vocal sound pressure level, phonation time, pitch range, sentence intelligibility and communication efficiency in reading. Intra‐ and inter‐rater reliability scores for all tasks were comparable between the online and face‐to‐face environments. Conclusions & Implications: For the majority of parameters, comparable levels of agreement were achieved between the two environments. Online assessment of disordered speech and voice in Parkinson's disease appears to be valid and reliable. The telerehabilitation application described in this study provides evidence for the delivery of online assessment for the dysarthric speech disorder associated with Parkinson's disease.
Url:
DOI: 10.3109/13682820903470569
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">Assessing disordered speech and voice in Parkinson's disease: a telerehabilitation application</title>
<author><name sortKey="Constantinescu, Gabriella" sort="Constantinescu, Gabriella" uniqKey="Constantinescu G" first="Gabriella" last="Constantinescu">Gabriella Constantinescu</name>
</author>
<author><name sortKey="Theodoros, Deborah" sort="Theodoros, Deborah" uniqKey="Theodoros D" first="Deborah" last="Theodoros">Deborah Theodoros</name>
</author>
<author><name sortKey="Russell, Trevor" sort="Russell, Trevor" uniqKey="Russell T" first="Trevor" last="Russell">Trevor Russell</name>
</author>
<author><name sortKey="Ward, Elizabeth" sort="Ward, Elizabeth" uniqKey="Ward E" first="Elizabeth" last="Ward">Elizabeth Ward</name>
</author>
<author><name sortKey="Wilson, Stephen" sort="Wilson, Stephen" uniqKey="Wilson S" first="Stephen" last="Wilson">Stephen Wilson</name>
</author>
<author><name sortKey="Wootton, Richard" sort="Wootton, Richard" uniqKey="Wootton R" first="Richard" last="Wootton">Richard Wootton</name>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">ISTEX</idno>
<idno type="RBID">ISTEX:7F307C2D3180F0DCE83807CD2278EC9649D251AE</idno>
<date when="2010" year="2010">2010</date>
<idno type="doi">10.3109/13682820903470569</idno>
<idno type="url">https://api.istex.fr/document/7F307C2D3180F0DCE83807CD2278EC9649D251AE/fulltext/pdf</idno>
<idno type="wicri:Area/Main/Corpus">001E52</idno>
<idno type="wicri:Area/Main/Curation">001B65</idno>
<idno type="wicri:Area/Main/Exploration">000807</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Assessing disordered speech and voice in Parkinson's disease: a telerehabilitation application</title>
<author><name sortKey="Constantinescu, Gabriella" sort="Constantinescu, Gabriella" uniqKey="Constantinescu G" first="Gabriella" last="Constantinescu">Gabriella Constantinescu</name>
<affiliation wicri:level="1"><country xml:lang="fr">Australie</country>
<wicri:regionArea>Division of Speech Pathology, University of Queensland, St Lucia, Brisbane, QLD</wicri:regionArea>
<wicri:noRegion>QLD</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Theodoros, Deborah" sort="Theodoros, Deborah" uniqKey="Theodoros D" first="Deborah" last="Theodoros">Deborah Theodoros</name>
<affiliation wicri:level="1"><country xml:lang="fr">Australie</country>
<wicri:regionArea>Division of Speech Pathology, University of Queensland, St Lucia, Brisbane, QLD</wicri:regionArea>
<wicri:noRegion>QLD</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Russell, Trevor" sort="Russell, Trevor" uniqKey="Russell T" first="Trevor" last="Russell">Trevor Russell</name>
<affiliation wicri:level="1"><country xml:lang="fr">Australie</country>
<wicri:regionArea>Division of Physiotherapy, University of Queensland, St Lucia, Brisbane, QLD</wicri:regionArea>
<wicri:noRegion>QLD</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Ward, Elizabeth" sort="Ward, Elizabeth" uniqKey="Ward E" first="Elizabeth" last="Ward">Elizabeth Ward</name>
<affiliation wicri:level="1"><country xml:lang="fr">Australie</country>
<wicri:regionArea>Division of Speech Pathology, University of Queensland, St Lucia, Brisbane, QLD</wicri:regionArea>
<wicri:noRegion>QLD</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Wilson, Stephen" sort="Wilson, Stephen" uniqKey="Wilson S" first="Stephen" last="Wilson">Stephen Wilson</name>
<affiliation wicri:level="1"><country xml:lang="fr">Australie</country>
<wicri:regionArea>School of Information Technology and Electrical Engineering, University of Queensland, St Lucia, §Brisbane, QLD</wicri:regionArea>
<wicri:noRegion>QLD</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Wootton, Richard" sort="Wootton, Richard" uniqKey="Wootton R" first="Richard" last="Wootton">Richard Wootton</name>
<affiliation wicri:level="1"><country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Scottish Centre for Telehealth, Aberdeen</wicri:regionArea>
<wicri:noRegion>Aberdeen</wicri:noRegion>
</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="2010-11-12">2010-11-12</date>
<biblScope unit="volume">45</biblScope>
<biblScope unit="issue">6</biblScope>
<biblScope unit="page" from="630">630</biblScope>
<biblScope unit="page" to="644">644</biblScope>
</imprint>
<idno type="ISSN">1368-2822</idno>
</series>
<idno type="istex">7F307C2D3180F0DCE83807CD2278EC9649D251AE</idno>
<idno type="DOI">10.3109/13682820903470569</idno>
<idno type="ArticleID">JLCD766</idno>
</biblStruct>
</sourceDesc>
<seriesStmt><idno type="ISSN">1368-2822</idno>
</seriesStmt>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Internet‐based assessment</term>
<term>Parkinson's disease</term>
<term>speech and voice disorder</term>
<term>telerehabilitation</term>
</keywords>
</textClass>
<langUsage><language ident="en">en</language>
</langUsage>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">Background: Patients with Parkinson's disease face numerous access barriers to speech pathology services for appropriate assessment and treatment. Telerehabilitation is a possible solution to this problem, whereby rehabilitation services may be delivered to the patient at a distance, via telecommunication and information technologies. A number of studies have demonstrated the capacity of telerehabilitation to provide reliable and valid assessments of speech, voice and language. However, no studies have specifically focused on assessing patients with Parkinson's disease. Aims: To investigate the validity and reliability of a telerehabilitation application for assessing the speech and voice disorder associated with Parkinson's disease. Methods & Procedures: Sixty‐one participants with Parkinson's disease and hypokinetic dysarthria were simultaneously assessed in an online and face‐to‐face environment by two speech–language pathologists. The assessment protocol included perceptual measures of voice and oromotor function, articulatory precision, speech intelligibility, and acoustic measures of vocal sound pressure level, phonation time and pitch range. Online assessments were conducted via a personal computer‐based videoconferencing system with store‐and‐forward capabilities, operating on a 128 kbit/s Internet connection. The level of agreement between the online and face‐to‐face ratings was determined using several different analyses, depending on the parameter. These included per cent close agreement, quadratic weighted Kappa, and the Bland and Altman limits of agreement. Outcomes & Results: Per cent close agreement between the two environments was within a predetermined clinical criterion of 80% agreement for all voice and oromotor parameters, articulatory precision and speech intelligibility in conversation. Levels of agreement between the environments, based on quadratic weighted Kappa, ranged from poor to good for vocal parameters and from fair to very good for oromotor parameters. Bland and Altman limits of agreement analyses revealed comparability between online and face‐to‐face environments for vocal sound pressure level, phonation time, pitch range, sentence intelligibility and communication efficiency in reading. Intra‐ and inter‐rater reliability scores for all tasks were comparable between the online and face‐to‐face environments. Conclusions & Implications: For the majority of parameters, comparable levels of agreement were achieved between the two environments. Online assessment of disordered speech and voice in Parkinson's disease appears to be valid and reliable. The telerehabilitation application described in this study provides evidence for the delivery of online assessment for the dysarthric speech disorder associated with Parkinson's disease.</div>
</front>
</TEI>
<affiliations><list><country><li>Australie</li>
<li>Royaume-Uni</li>
</country>
</list>
<tree><country name="Australie"><noRegion><name sortKey="Constantinescu, Gabriella" sort="Constantinescu, Gabriella" uniqKey="Constantinescu G" first="Gabriella" last="Constantinescu">Gabriella Constantinescu</name>
</noRegion>
<name sortKey="Russell, Trevor" sort="Russell, Trevor" uniqKey="Russell T" first="Trevor" last="Russell">Trevor Russell</name>
<name sortKey="Theodoros, Deborah" sort="Theodoros, Deborah" uniqKey="Theodoros D" first="Deborah" last="Theodoros">Deborah Theodoros</name>
<name sortKey="Ward, Elizabeth" sort="Ward, Elizabeth" uniqKey="Ward E" first="Elizabeth" last="Ward">Elizabeth Ward</name>
<name sortKey="Wilson, Stephen" sort="Wilson, Stephen" uniqKey="Wilson S" first="Stephen" last="Wilson">Stephen Wilson</name>
</country>
<country name="Royaume-Uni"><noRegion><name sortKey="Wootton, Richard" sort="Wootton, Richard" uniqKey="Wootton R" first="Richard" last="Wootton">Richard Wootton</name>
</noRegion>
</country>
</tree>
</affiliations>
</record>
Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/ParkinsonV1/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000807 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 000807 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien |wiki= Wicri/Sante |area= ParkinsonV1 |flux= Main |étape= Exploration |type= RBID |clé= ISTEX:7F307C2D3180F0DCE83807CD2278EC9649D251AE |texte= Assessing disordered speech and voice in Parkinson's disease: a telerehabilitation application }}
This area was generated with Dilib version V0.6.23. |