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Changes in Speech Characters of Patients With Parkinson's Disease After Bilateral Subthalamic Nucleus Stimulation

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机构: [1]Department of Physiology, Key Laboratory for Neurodegenerative Disorders of the Ministry of Education, Capital Medical University, Beijing, PR China [2]Beijing Institute of Functional Neurosurgery, Department of Functional Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, PR China [3]Department of Neurology,Xuanwu Hospital, Capital Medical University, Beijing, PR China.
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关键词: Parkinson's disease Dysarthria Subthalamic nucleus (STN) Deep brain stimulation (DBS)

摘要:
Objective. To investigate the effects of bilateral subthalamic nucleus deep brain stimulation (STN-DBS) on acoustic characteristics of speech in Chinese patients with Parkinson's disease (PD). Methods. Eleven patients (five men and six women) diagnosed with PD participated in this study. Motor disabilities and speech samples were evaluated and recorded under six different conditions according to the states of medication and stimulation. Motor disabilities were evaluated with the Unified Parkinson's Disease Rating Scale (UPDRS). Acoustic signals were recorded from the subjects during production of sustained vowels /a/, /i/, and/u/; repetitions of /pataka/; and sentence production tasks. Acoustic analysis was performed with the Multidimensional Voice Program (MDVP), the Motor Speech Profile (MSP), and Computerized Speech Lab (CSL) (Kay Elemetrics, Lincoln Park, NJ). Results. Based on the UPDRS III scores, the motor ability of the patients improved. There was almost no change in the speech score, which was also supported by the instrumental analysis of PD speech. This indicated that bilateral STN-DBS was associated with a significant improvement in the patients' motor disabilities but did not have much influence on speech performance during the short time after the stimulation switch was turned on. Furthermore, gender-related differences for speech performance were demonstrated, with the vowel /i/ being more sensitive. Conclusion. These results are consistent with previous studies that have reported disparity between limb and speech improvements after neurosurgical intervention for PD, such as STN-DBS. The long-term effects of STN-DBS on Parkinsonian speech of Chinese patients should be studied further.

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基金编号: 2006CB500706 30472245 kz200510025014

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出版当年[2010]版:
大类 | 4 区 医学
小类 | 3 区 耳鼻喉科学
最新[2023]版:
大类 | 4 区 医学
小类 | 3 区 耳鼻喉科学 4 区 听力学与言语病理学
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出版当年[2009]版:
Q2 OTORHINOLARYNGOLOGY
最新[2023]版:
Q1 OTORHINOLARYNGOLOGY Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2009版] 出版当年五年平均 出版前一年[2008版] 出版后一年[2010版]

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第一作者机构: [1]Department of Physiology, Key Laboratory for Neurodegenerative Disorders of the Ministry of Education, Capital Medical University, Beijing, PR China
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通讯机构: [*1]Department of Physiology, Capital Medical University, No. 10 Xitoutiao, You An Men, Beijing, 100069, PR
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