Quantitative assessment of motor speech abnormalities in idiopathic rapid eye movement sleep behaviour disorder
Abstract
Objective Patients with idiopathic rapid eye movement sleep behaviour disorder (RBD) are at substantial risk for developing Parkinson's disease (PD) or related neurodegenerative disorders. Speech is an important indicator of motor function and movement coordination, and therefore may be an extremely sensitive early marker of changes due to prodromal neurodegeneration.Methods Speech data were acquired from 16 RBD subjects and 16 age- and sex-matched healthy control subjects. Objective acoustic assessment of 15 speech dimensions representing various phonatory, articulatory, and prosodic deviations was performed. Statistical models were applied to characterise speech disorders in RBD and to estimate sensitivity and specificity in differentiating between RBD and control subjects.Results Some form of speech impairment was revealed in 88% of RBD subjects. Articulatory deficits were the most prominent findings in RBD. In comparison to controls, the RBD group showed significant alterations in irregular alternating motion rates (p = 0.009) and articulatory decay (p = 0.01). The combination of four distinctive speech dimensions, including aperiodicity, irregular alternating motion rates, articulatory decay, and dysfluency, led to 96% sensitivity and 79% specificity in discriminating between RBD and control subjects. Speech impairment was significantly more pronounced in RBD subjects with the motor score of the Unified Parkinson's Disease Rating Scale greater than 4 points when compared to other RBD individuals.Conclusion Simple quantitative speech motor measures may be suitable for the reliable detection of prodromal neurodegeneration in subjects with RBD, and therefore may provide important outcomes for future therapy trials.
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Some of these linguistic deficits may occur preclinically in each of these neurodegenerative disorders.
“Some of these deficits may actually occur preclini cally in each of these disorders. 3,33-36”
From Speech and language markers of neurodegeneration: a call for global equity (2023) · cites this paper as [34]
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- Authors
- Rusz, J., Hlavnička, J., Tykalová, T., Bušková, J., Ulmanová, O., Růžička, E., & Šonka, K.
- Affiliations
- Charles University (CZ)
- Czech Technical University in Prague (CZ)
- Corresponding author
- Rusz, Jan
- Venue
- Sleep Medicine
- Publisher
- Elsevier BV
- Published
- 2016-03
- Volume
- 19
- Pages
- 141-147
- ISSN
- 1389-9457 (ISSN-L)
- OpenAlex
- W1431429584
- Cited by
- 94
- References
- 34
- Citations by year
- 2026: 5 · 2025: 12 · 2024: 6 · 2023: 10 · 2022: 10 · 2021: 16 · 2020: 7 · 2019: 8 · 2018: 13 · 2017: 6 · 2015: 1
- FWCI
- 4.91
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Sleep Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Ministry of Health of the Czech Republic (MZ ČR 15-28038A)
- Topics
- Health Sciences › Medicine › Physiology › Voice and Speech Disorders
- Health Sciences › Medicine › Neurology › Parkinson's Disease Mechanisms and Treatments
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Keywords
- rapid eye movement sleep behavior disorder, speech disorders, speech acoustics, prodromal Parkinson's disease, disfluency, aperiodicity
- MeSH terms
- Aged, Articulation Disorders, Female, Humans, Male, Middle Aged, Parkinson Disease, Severity of Illness Index, REM Sleep Behavior Disorder
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