¿Notas La Diferencia? [Do You Hear the Difference?]: Perceptual Consequences of Intensive Voice Treatment in Spanish Speakers With Parkinson's Disease.

Autor: Moya-Galé G; Teachers College, Columbia University, New York City, NY., Hernández JD; Universidad de La Laguna, Tenerife, Spain., Goudarzi A; GitHub, Tokyo, Japan., Walsh SJ; Utah State University, Logan.
Jazyk: angličtina
Zdroj: Journal of speech, language, and hearing research : JSLHR [J Speech Lang Hear Res] 2024 Sep 12; Vol. 67 (9), pp. 2872-2892. Date of Electronic Publication: 2024 Mar 21.
DOI: 10.1044/2023_JSLHR-23-00379
Abstrakt: Purpose: The primary objective of this study was to explore the effects of intensive voice-focused treatment on speech parameters in Spanish speakers with dysarthria associated with Parkinson's disease (PD) as perceived by naïve listeners.
Method: Fifteen Spanish speakers with dysarthria associated with PD received the Lee Silverman Voice Treatment (LSVT LOUD) for a month. Voice and speech recordings were conducted pretreatment, posttreatment, and at a 1-month follow-up. Thirty naïve adult listeners rated the perceptual dimensions of ease of understanding (EoU), resonance, articulatory precision, prosody, and voice quality from sentences extracted from an emotional monologue on a visual analogue scale.
Results: EoU, resonance, articulatory precision, and voice quality significantly improved pre- to posttreatment, but gains were not maintained at follow-up. Speech severity was a significant source of variance in mean listener response for all perceptual dimensions, although the interaction between speech severity and time was only significant for resonance and voice quality.
Conclusions: LSVT LOUD may be beneficial to improve perceptual speech domains affected by PD in Spanish speakers with dysarthria. Its impact on the different speech subsystems may reflect a universal distribution of effects when directly targeting the glottal source. Language-specific contributions of each perceptual domain to speech intelligibility should be explored in further research to determine linguistically sensitive treatment targets.
Databáze: MEDLINE