The Effect of Combined Speech and Music-therapy on the Speech Characteristics of People With Parkinson's Disease (PD)

Iran University of Medical Sciences

Status: Completed

Conditions: Voice Disorders; Speech Disorders; Parkinson Disease

Treatments: Behavioral: music therapy; Behavioral: combined speech and music therapy; Behavioral: speech therapy

Study type: Interventional

Funder types: Other

Identifiers

NCT04966689

1

Details and patient eligibility

About

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.

Full description

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.

Enrollment: 33 patients

Sex: All

Ages: 40+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• 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

Exclusion criteria

• If a patient develops a stroke or other neurological complication during treatment, they are excluded from the treatment
• Lack of cooperation

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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33 participants in 3 patient groups

combined speech and music therapy

Experimental group

Description:

the telerehabilitation intervention that include both speech therapy and music therapy at the same time

Treatment:

Behavioral: combined speech and music therapy

speech therapy

Active Comparator group

Description:

A behavioural speech therapy program including breathing exercises, loudness, pitch, and intelligibility which are adapted from Lee Silverman Voice Treatment (LSVT) and voice exercises Which is delivered through telerehabilitation

Treatment:

Behavioral: speech therapy

music therapy

Active Comparator group

Description:

music exercises Will be designed based on the music therapy protocols of previous studies Which is delivered through telerehabilitation

Treatment:

Behavioral: music therapy