Ramig and colleagues (2001) performed a study to examine the long-term effects of using Lee Silverman Voice Treatment (LSVT) to improve vocal function in individuals with Parkinson’s Disease (PD). Ramig and colleagues (2001) compared LSVT to received respiratory therapy (RET) to control for extraneous variables. Subjects were recruited from a variety of sources which helped to reduce recruitment bias (Ramig et al., 2001). Individuals with any laryngeal pathology unrelated to PD were excluded from the study (Ramig et al., 2001). All 33 subjects were stratified based on: age, time post-diagnosis, stage of disease, score on the unified Parkinson’s disease rating scale, and clinical ratings on speech and voice severity (Ramig et al., 2001). Subjects were then randomly divided into 2 groups and received either LSVT or RET provided in four one-hour weekly sessions for four weeks (Ramig et al., 2001). …show more content…
Evaluation of vocal function was determined by acoustically analyzing vocal loudness (recorded as sound pressure level) and inflection (recorded as semitone standard deviation). The average sound pressure level (SPL) and semitones standard deviation (STSD) of each group on all tasks were obtained and the differences between the means were statistically analyzed using a two-factor repeated measures ANOVA (Ramig et al., 2001). Data was collected by a primary investigator that did not administer treatment and was blind to which treatment group each subject was in (Ramig et al., 2001). In order to determine measurement reliability, 20% of the data obtained were reanalyzed and it was found that “repeated measures of SPL and STSD data yielded correlation coefficients greater than 0.97” (Ramig et al., 2001, p.
Each year more than 60,000 Americans are diagnosed with Parkinson’s disease (PDF, 2014). That sixty thousand does not include the many thousand cases that go undetected each year. Parkinson’s is a progressive disorder that occurs in the nervous system. This disease affects a person’s movement. Parkinson’s disease develops progressively. The most common first sign of Parkinson’s is slight shaking of a body part. In the initial phase of Parkinson’s a person will experience slurring of speech and an expressionless face (Mayo Clinic, 2014). With time, the symptoms of Parkinson’s exacerbate. This disease is most frequently seen in people over the age of 50 (PDF, 2014). Parkinson’s disease is generated by a great number of reasons.
The group leader facilitated the discussion that way, which seemed to flow appropriately. Steps 6-7, application and summary, also seemed to be completed simultaneously as well. The wrap-up included a recap of the session and helpful strategies shared. For the Parkinson’s group, there was no specific activity done during the session. The format of the group was an open group discussion where members were encouraged to participate. If anything, members needed the cognitive ability and working memory to engage in conversation. Also, adequate communication and social skills were required. There were many main ideas presented during the Parkinson’s discussion, but the two that were significant to the group were medications, and losing the ability to drive. The most common coping strategy amongst the group was exercise. Many of the members also expressed their medication concerns and side effects specifically. The most common coping strategy was exercise and being outdoors. Many of the members also expressed how they have become more grateful for the support of their spouses and or
SPLP 635 - Voice Disorders. Voice Disorders is part of the core curriculum in the master’s degree program in speech-language pathology, approved by the American Speech-Language and Hearing Association (ASHA), and the accrediting body for professional training programs in speech-language pathology, CAA-CSD. This graduate level course is designed to provide students with knowledge of normal voice including the vocal parameters of pitch, intensity, quality, resonance and flexibility. Various idiopathic, structural, resonance, neuropathologic, and congenital disorders of voice are addressed in terms of symptomatology, perceptual features, diagnosis, prevention, and intervention. The course provides a survey of voice disorders that students
When people hear the words Parkinson’s disease they think, “Isn’t that what Michael J. Fox has?” For those who are asking, “Who is Michael J. Fox?” He was the character Marty McFly in the “Back to the Future” movie and played on many TV shows. After being diagnosed with Parkinson’s disease, he set up an organization to research Parkinsonism. What the Michael J. Fox Foundation found was that 40 percent of the people living with Parkinson’s disease experience dystonia as an early symptom or a complication of treatment. This is the only blurb you see on the website about dystonia. In fact, it is so much like the other disorders out there that many people have never heard of it. The purpose of this paper is to inform
The National Parkinson Foundation located on the website www.parkinson.org, was designed to help people who are affected by parkinson’s disease and to be more aware of the disease through education, treatment options and expert care research. The mission of the non-profit organization states “We make life better for people with Parkinson 's through expert care and research. Everything we do helps people actively enjoy life with their friends, families, children and grandchildren until there is a tomorrow without Parkinson 's” (National Parkinson Foundation). The National Parkinson Foundation targeted audiences includes people who suffer from
Parkinson’s is a progressive neurodegenerative disease, primarily affecting voluntary, precise, and controlled movement. Parkinson’s occurs when cells in a part of the brain called the substantia nigra die off. These cells are responsible for producing dopamine. With less and less dopamine, a person has less and less ability to regulate their movements, body and emotions. The terms "familial Parkinson's disease" and "sporadic Parkinson's disease" are used to differentiate genetic from truly idiopathic forms of the disease.
CAPE-V is an auditory method of evaluating voice quality. The CAPE-V was created to provide a consistent scale and consistent parameters for professionals evaluating the voice while also allowing clinicians to identity differences among a client’s voice (Nagle, 2016, 47). Clinicians determine if a person has a voice disorder or if a person has a normal voice. Six voice qualities are specifically examined when a CAPE-V is used; however, the evaluation includes blank lines to allow a clinician to write additional voice features he or she perceives that are not originally listed on the CAPE-V form. Qualities examined by a professional utilizing a CAPE-V are overall severity, roughness, breathiness, pitch, and loudness. A tick mark is placed on a visual analog scale to denote the severity of each vocal quality; the left portion of the scale signifies a normal vocal quality, while the right portion of the scale represents an extreme deviance in voice parameters. The assessment requires the client sustain vowels /a/ and /i/, read six sentences, and speak in a conversational manner to the statement, “Tell me about your voice.” Prolonged vowels enable a clinical to hear a client’s voice with no articulatory influences, speaking the sentences permits a professional to evaluate specific voice qualities, and conversational speech allows a clinician to further assess a client’s voice for abnormalities (Kempster et al., 2009, pp. 126-127). Clinicians agree that
Parkinson's disease is a progressive degenerative disorder of the central nervous system that affects the motor system. It is marked by tremor at rest, muscular rigidity, postural instability, and slow, imprecise movement. The most obvious symptoms are movement related, which include; shaking, rigidity, slowness of movement, difficult with walking, balance, and gait. Other motor symptoms include: posture disturbances, such as a decrease in arm swing, a forward flexed posture, and the use of small steps when walking. Speech and swallowing disturbances are also common motor problems that can appear as well to a patient with Parkinson's disease. Young adults rarely experience Parkinson's disease because it is more common to affect
Parkinson’s Disease is a long-term progressive neurodegenerative disease consisting of motor system impairment, neuropsychiatric, and nonmotor features. The disease is characterized by the following key clinical features: bradykinesia, resting tremor, postural instability, and rigidity. These symptoms are due to the diminishing of dopamine in the nigrostriatal pathway and substantia nigra, which causes inhibition of the thalamus decreasing excitatory input to the motor cortex.1 Along with the key manifestations an individual with Parkinson’s Disease will experience problems associated with the disease or the antiparkinson medications. These co-occurring problems are hallucinations, dementia, daytime sleepiness, fatigue, depression, and pyschosis.2 Psychosis is a common problem in Parkinson’s Disease, and is characterized by paranoid delusions and hallucinations that are visual in nature.2 Risk factors for psychosis consists of advancing age, dementia, sleep disorders, and high doses of antiparkinson drugs.1
This paper is limited to Parkinson’s Disease. Parkinson’s Disease was thoroughly researched and will be described in depth including: physiology, etiology, signs and symptoms, diagnostic testing, therapeutic measures, and short vs. long term effects.
This study was designed to determine a) how psychosocial factors affected subjective and objective measures of vocal fatigue, b) if and how these outcome measures changed pre-post vocal exertion evaluated through the adapted LingWAVES protocol, and c) if there was an effect of education or employment on some of these variables.
New discoveries on the treatment of Parkinson’s disease show that dopamine neurons can treat Parkinson’s disease. Parkinson’s disease is a disorder of the nervous system, which is a progressive disease. Parkinson’s disease is marked by tremors, muscular stiffness. It mainly affects people who are either elderly or middle aged. Although Parkinson’s disease cannot be cure lab grown dopamine can assist in being able to manage the disease in an enhanced way. Although Parkinson’s disease is not curable but can be treatable it still needs more work in order to make a cure in the future. Dopamine helps regulate movement and when there is a deficiency in dopamine that results in Parkinson’s disease.
Parkinson’s disease is defined as “a progressive, chronic, neurodegenerative disease” (Medscape, 2014). Parkinson’s disease affects the movement of the body and develops gradually, starting from a slight tremor and can progress into loss of autonomic movements to speech changes and writing changes. In this paper the author will discuss ethical and legal concepts related to Parkinson’s disease and how certain treatments like stem cell transplants can help but also be a major risk factors and have ethical problems. Also the author will discuss the management of care for Parkinson’s disease and how to advocate for your patients, teach them how to deal with their ever changing body and lastly how developing research can help to find a cure or even a better treatment for this progressive neurological disease. Parkinson’s disease has no cure and it is important as a health care professional to understand the state of mind that your patient is in in order to provide the best quality of life so that they can live comfortably and happy as their disease progresses through their bodies.
Parkinson’s Disease is a very common disorder these days. Over 10 million people live daily with Parkinson worldwide. Parkinson’s Disease was named after an English surgeon James Parkinson who wrote a detailed description essay called Shaking Palsy in 1817. The average age for Parkinson’s Disease is between 45 to 70 years old but you can also have juvenile or young onset as well. Most common symptoms of Parkinson are tremors, bradykinesia or akinesia, or rigidity or stiffness, and balance disorder. Parkinson’s Disease doesn’t have a cure and the cause is unknown it could be a number of things genetics, environmental triggers, age, or gender. Parkinson’s Disease happens because the dopaminergic neuron dies and
The last option is surgical voice restoration which was introduced by Singer & Blom in 1980(Blom,1995) Not all patients are suitable for this however, It involves a tracheoesophageal speaking valve, a small fistula is surgically created through the tracheal wall into the oesophagus. A small, one way valve is inserted into the fistula and it allows air to be shunted from the trachea to the oesophagus and up through the pharyngo-oesophageal segment creating an acoustic wave form and voice. A longer flow of voice can be achieved as pulmonary air is used as the initiator for voice.