Parkinson's
A neurodegenerative disorder that affects dopamine-producing neurons in a specific area of the brain called the substantia nigra
What is Parkinson's Disease?
- reduced volume
- hoarse vocal quality
- frequent throat clearing
- varying vocal quality
- reduced intensity at the end of sentences
What are voice difficulties associated with Parkinson's Disease?
A five step program that includes a voice evaluation, information sessions, an individual therapy portion, a follow-up, and a group maintenance therapy portion
Twice a week for six weeks
What is the time commitment for SPEAK OUT?
- Tremor
- Bradykinesia
-Limb rigidity
- Gait and balance problems
What are symptoms of Parkinson's Disease?
The earlier the better
When is the best time to seek speech therapy for patient's with Parkinson's Disease?
Same muscles used for speaking and swallowing. Early intervention may minimize future difficulties
Used to obtain baseline audio and video recording to assess speech and voice characteristics such as volume, breath support, vocal quality, articulation, and prosody. Stimulability testing may also be conducted to determine if the patient would benefit from the program.
What is the speech evaluation?
Speaking and living with intent
The goal of the Parkinson Voice Project
The rate at which symptoms generally progress
What is two years?
When we speak with intent, we use a different part of the brain that is less dependent on dopamine
The individualized portion of the Parkinson Voice Project where the patient completes vocal warm-ups, reading exercises, and cognitive exercises
What is SPEAK OUT?
- workbook
-decibel meter
- visual aids for intensity if needed
The number of stages of Parkinson's Disease
What is five?
Stage 1: mild symptoms that do not interfere with daily life, tremor on one side of the body, changes in posture, walking and facial expressions
Stage 2: tremor and rigidity on both sides of the body, apparent walking and postural issues, lengthy and difficult daily tasks
Stage 3: loss of balance, slowness of movement, falls are common, impaired ability to eat and dress independently
Stage 4: may require a walker, unable to live alone, requires help for daily living tasks
Stage 5: stiff legs make it impossible to walk or stand, wheelchair or bedridden, around-the-clock nursing care, may experience hallucinations or delusions
Dopamine facilitates automatic movements such as swallowing and speaking.
What is the cause of speech and swallowing issues with Parkinson's Disease?
What is the six-week follow-up?
The percent of patients with Parkinson's disease who are at risk of developing a weak voice that may result in severe speech and swallowing difficulties
What is 90%?
A maintenance group used for accountability and education for patients who have completed the SPEAK OUT program. May also promote relationships and act as a support group
What is THE LOUD CROWD?