Comparison of The Effect of Speech Therapy , Music-therapy and Combined Speech and Music Therapy on the Vocal Characteristics of People With PD by Using Telerehabilitation
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 33
- 试验地点
- 1
- 主要终点
- loudness
研究概览
简要总结
Speech and voice disorders are observed in almost 90% of patients with PD during their course of illness. Reduced voice pitch inflections or monotone speech, reduced vocal loudness, prosody disorders, the imprecise articulation of the consonants, hoarseness, and breathy voice is also observed in patients with PD; these symptoms often lead to reduced speech intelligibility. The aim of this study will to investigate the possible changes in the voice and speech features in people with PD after a combined speech and music therapy using Telerehabilitation.
详细描述
the investigators of this study propose to conduct a pilot randomized, controlled trial in patients with PD to assess the potential effectiveness of a Telerehabilitation intervention that encourage a higher level of speech performance. The investigators hypothesize that patients in the combined treatment group will have more and better improve in the study outcome measures after treatment and 3 month follow up, as compared with patients in speech therapy group and music therapy group.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 40 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Patients with idiopathic Parkinson's disease (IPD)
- •Patients who are in stages 1-3 according to Hoehn & Yahr test
- •Native language is persian
- •The patient or family complains about the person's speech condition
- •Adequate vision and hearing
- •No history of stroke, head injury, brain surgery, laryngeal diseases such as vocal cord nodules
- •No other neurological disorders other than IPD
- •Do not use treatment other than medication (such as deep brain stimulation surgery (DBS)
- •informed consent
排除标准
- •If a patient develops a stroke or other neurological complication during treatment, they are excluded from the treatment
- •Lack of cooperation
结局指标
主要结局
loudness
时间窗: Change from Baseline in loudness at 4 weeks and 3 month follow up
Change in loudness over the period of the study which will be based on analysis of acoustic recordings. Loudness of voice will be measured in produce the vowel /a /, reading and spontaneous speech. Data will be analyzed using Praat, freeware program for the analysis and reconstruction of acoustic speech signals.
次要结局
- northwest dysphagia patient check sheet (NDPCS)(Change from Baseline in NDPCS at 4 weeks and 3 month follow up)
- Voice Handicap Index (VHI)(Change from Baseline in VHI at 4 weeks and 3 month follow up)
- maximum phonation time (MPT)(Change from Baseline in MPT at 4 weeks and 3 month follow up)
- Swallowing Disturbance Questionnaire (SDQ)(Change from Baseline in SDQ at 4 weeks and 3 month follow up)
- Dysphagia handicap index (DHI)(Change from Baseline in DHI at 4 weeks and 3 month follow up)
- shimmer(Change from Baseline in shimmer at 4 weeks and 3 month follow up)
- highest and lowest frequency(Change from highest and lowest frequency at 4 weeks and 3 month follow up)
- Speech Intelligibility(Change from Baseline in Speech Intelligibility at 4 weeks and 3 month follow up)
- Geriatric Depressive Scale (GDS)(Change from Baseline in GDS at 4 weeks and 3 month follow up)
- jitter(Change from Baseline in jitter at 4 weeks and 3 month follow up)
- quality of life (QoL)(Change from Baseline in QOL at 4 weeks and 3 month follow up)