Cited by 58Voice and Speech DisordersParkinson's Disease Mechanisms and TreatmentsPhonetics and Phonology Research

Effects of loudness cues on respiration in individuals with Parkinson's disease

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Sadagopan, Neeraja, Huber, Jessica E.·2007·Movement Disorders

Abstract

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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Research works printed but not linked: 2

  1. [11]Huber JE, Stathopoulos ET, Ramig LO, Lancaster SL. Respiratory function and variability in individuals with Parkinson disease: Pre- and post-Lee Silverman Voice Treatment. J Med Speech-Lang Path. 2003;11:185–201. [Google Scholar]
  2. [36]Boersma P, Weenink D. Praat. 4.1. Amsterdam: Institute of Phonetic Sciences; 2003. [Google Scholar]

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Authors
Sadagopan, N., & Huber, J. E.
Affiliations
Purdue University West Lafayette (US)
Corresponding author
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
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
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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