Effects of loudness cues on respiration in individuals with Parkinson's disease
Open accessAbstract
Individuals with Parkinson's disease (PD) demonstrate low vocal intensity (hypophonia) which results in reduced speech intelligibility. We examined the effects of three cues to increase loudness on respiratory support in individuals with PD. Kinematic data from the rib cage and abdomen were collected using respiratory plethysmography while participants read a short passage. Individuals with PD and normal age‐ and sex‐matched controls (OC) increased sound pressure level (SPL) to a similar extent. As compared to OC, individuals with PD used larger rib cage volume excursions in all conditions. Further, they did not slow their rate of speech in noise as OC speakers did. Respiratory strategies used to support increased loudness varied with the cue, but the two groups did not differ in the strategies used. When asked to target a specific loudness, both groups used more abdominal effort than at comfortable loudness. Speaking in background noise resulted in the largest increase in SPL with the most efficient respiratory patterns, suggesting that natural or implicit cues may be best when treating hypophonia in individuals with PD. Data demonstrate the possibility that both vocal loudness and speech rate are impacted by cognitive mechanisms (attention or self‐perception) in individuals with PD. © 2007 Movement Disorder Society
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Sadagopan and Huber (2007) reported that the respiratory patterns of 14 individuals with Parkinson's disease approached the patterns of neurotypical age- and sex-matched controls when an external cue, multitalker background noise, was used to elicit increased vocal intensity, as compared to the respiratory patterns observed in response to an internal cue.
“Sadagopan and Huber (2007) reported that the respiratory patterns of 14 individuals with PD approached the patterns of neurotypical age- and sex-matched controls when an external cue, multitalker background noise, was used to elicit increased vocal intensity, as compared to the respiratory patterns observed in response to an internal cue (e.g., speak at twice your comfortable loudness).”
From Respiratory Responses to Two Voice Interventions for Parkinson's Disease (2022) · cites this paper as Sadagopan and Huber (2007)
The present respiratory kinematic data are in accordance with prior studies reporting aberrations in speech breathing for persons with PD.
“The present respiratory kinematic data are in accordance with prior studies reporting aberrations in speech breathing for persons with PD (Sadagopan & Huber, 2007; Solomon & Hixon, 1993; Stathopoulos et al., 2014).”
From Respiratory Responses to Two Voice Interventions for Parkinson's Disease (2022) · cites this paper as Sadagopan & Huber, 2007
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Covert, R., Snyder, S., Lambert, A., Spremulli, M., Blandford, B., Dwenger, K., Malandraki, G. A., McDonough, M., Brosseau-Lapre, F., & Huber, J. E. (2025) · medRxiv · doi:10.1101/2025.01.16.25320611
Self-citationBreathe, Eat, Talk: Three Essential Ingredients to Quality‐of‐Life Outcomes in Movement Disorders
Dean, J. M., O’Flynn, L. C., Ciucci, M. R., Fox, C., Huber, J. E., Anand, S., Olchik, M. R., Usman, J. S., Vogel, A. P., Aguiar, B., et al. (2026) · Movement Disorders Clinical Practice · doi:10.1002/mdc3.70758
Self-citationCharacterizing the Speech Breathing Kinematics of Older Adults With Presbyphonia
Saccente‐Kennedy, B., Huber, J. E., Desjardins, M., Wiegand, M., Maddocks, M. M., & Govender, R. (2026) · Journal of Speech Language and Hearing Research · doi:10.1044/2026_jslhr-26-00117
Self-citation- Self-citation
- Authors
- Sadagopan, N., & Huber, J. E.
- Affiliations
- Purdue University West Lafayette (US)
- Corresponding author
- Huber, Jessica E.
- ORCID
- Huber, Jessica E.
- Venue
- Movement Disorders
- Publisher
- Wiley
- Published
- 2007-04-15
- Volume
- 22
- Issue
- 5
- Pages
- 651-659
- ISSN
- 0885-3185 (ISSN-L)
- 1531-8257
- PMC
- PMC3441060
- OpenAlex
- W2006407278
- Cited by
- 58
- References
- 51
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 7 · 2023: 1 · 2022: 7 · 2021: 4 · 2020: 3 · 2019: 4 · 2018: 3 · 2017: 7 · 2016: 2 · 2015: 2 · 2014: 3 · 2012: 4
- FWCI
- 0.89
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Movement Disorders (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Deafness and Other Communication Disorders (1R03DC05731-01, R03DC005731)
- Topics
- Health Sciences › Medicine › Physiology › Voice and Speech Disorders
- Health Sciences › Medicine › Neurology › Parkinson's Disease Mechanisms and Treatments
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Phonetics and Phonology Research
- Keywords
- Parkinson's disease, hypophonia, respiratory support, sound pressure level, speech rate, speech perception in noise, speech intelligibility
- MeSH terms
- Aged, Aged, 80 and over, Biomechanical Phenomena, Cues, Female, Humans, Loudness Perception, Male, Middle Aged, Parkinson Disease, Plethysmography, Sound Spectrography, Speech Acoustics, Speech Intelligibility, Work of Breathing, Abdominal Wall
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