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Cited by 13Voice and Speech DisordersPhonetics and Phonology ResearchParkinson's Disease Mechanisms and Treatments

Longitudinal Effects of Parkinson's Disease on Speech Breathing During an Extemporaneous Connected Speech Task

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Darling-White, Meghan, Anspach, Zeina, Huber, Jessica E.·2022·Journal of Speech, Language, and Hearing Research
DOI 10.1044/2022_jslhr-21-00485PMC PMC9499370
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Abstract

PURPOSE: A critical component to the development of any type of intervention to improve speech production in individuals with Parkinson's disease (PD) is a complete understanding of the speech impairments present at each stage of the disease and how these impairments change with disease progression. The purpose of this longitudinal study was to examine the impact of disease on speech production and speech breathing during an extemporaneous speech task in individuals with PD over the course of approximately 3.5 years. METHOD: Eight individuals with PD and eight age- and sex-matched control participants produced an extemporaneous connected speech task on two occasions (Time 1 and Time 2) an average of 3 years 7 months apart. Dependent variables included sound pressure level; utterance length; speech rate; lung volume initiation, termination, and excursion; and percent vital capacity per syllable. RESULTS: From Time 1 to Time 2, individuals with PD demonstrated decreased utterance length and lung volume initiation, termination, and excursion and increased speech rate. Control participants demonstrated decreased utterance length and lung volume termination and increased lung volume excursion and percent vital capacity per syllable from Time 1 to Time 2. CONCLUSIONS: Changes in speech production and speech breathing variables experienced by individuals with PD over the course of several years are related to their disease process and not typical aging. Changes to speech breathing highlight the need to provide intervention focused on increasing efficient respiratory patterning for speech production.

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  • Longitudinal studies suggest that increased lung volume initiation and lung volume termination is more common earlier in Parkinson's disease, and decreased lung volume initiation and lung volume termination is more common as the disease progresses.

    “Longitudinal studies of changes in speech breathing in persons with PD suggest that the pattern of increased lung volume initiation (LVI) and lung volume termination (LVT) is more common earlier in the disease state, and the pattern of decreased LVI and LVT is more common as the disease progresses (Darling-White et al., 2022; Huber & Darling-White, 2017).”

    From Respiratory Responses to Two Voice Interventions for Parkinson's Disease (2022) · cites this paper as Darling-White et al., 2022

    The Results report that participants with Parkinson’s disease generally initiated and terminated speech at lower lung volumes at Time 2 than at Time 1, supporting a downward shift over time. They do not establish that an increased-LVI-and-LVT pattern is common earlier in the disease, or compare how common the two patterns are across disease stages. (LLM, conf=0.85)

    Experimental — accuracy not yet measured

  • The utterance length means reported in Table 3 are congruent with prior data reported for individuals with PD, which provides further evidence of decreased utterance length in persons with PD compared to previously published normative data.

    “The utterance length means reported in Table 3 are congruent with prior data reported for individuals with PD (Darling-White et al., 2022; Huber & Darling, 2011), which provides further evidence of decreased utterance length in persons with PD, as compared to previously published normative data (Darling-White et al., 2022; Huber & Darling, 2011).”

    From Respiratory Responses to Two Voice Interventions for Parkinson's Disease (2022) · cites this paper as Darling-White et al., 2022

    The Results (Table 4; page unavailable) report utterance-length means for participants with Parkinson’s disease, so the source provides prior data for the comparison. The Results also report no significant group effect: utterance length decreased over time in both the PD and control groups. The paper therefore does not establish the claimed decrease relative to previously published normative data. (LLM, conf=0.86)

    Experimental — accuracy not yet measured

  • Other studies have shown that speakers with Parkinson's disease initiate and terminate speech at lower-than-normal lung volumes.

    “In contrast, other studies have shown that speakers with PD initiate and terminate speech at lower-than-normal lung volumes (Bunton, 2005; Darling-White et al., 2022; Huber & Darling-White, 2017).”

    From Respiratory Responses to Two Voice Interventions for Parkinson's Disease (2022) · cites this paper as Darling-White et al., 2022

  • Longitudinal data in Parkinson's disease show that lung volume initiation (LVI) and lung volume termination (LVT) decline as the disease progresses.

    “This is consistent with the longitudinal data in PD showing that LVI and LVT decline as the disease progresses (Darling-White et al., 2022; Huber & Darling, 2017).”

    From Respiratory Responses to Two Voice Interventions for Parkinson's Disease (2022) · cites this paper as Darling-White et al., 2022

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Authors
Darling-White, M., Anspach, Z., & Huber, J. E.
Affiliations
  • University of Arizona (US)
  • Purdue University West Lafayette (US)
ORCID
Venue
Journal of Speech, Language, and Hearing Research
Publisher
American Speech Language Hearing Association
Published
2022-04-04
Volume
65
Issue
4
Pages
1402-1415
ISSN
  • 1092-4388 (ISSN-L)
  • 1558-9102
DOI
10.1044/2022_jslhr-21-00485
PMC
PMC9499370
OpenAlex
W4221057377
Cited by
13
References
49
Citations by year
2026: 5 · 2025: 6 · 2024: 1 · 2022: 1
FWCI
1.24
Type
journal article
Language
en
Open access
Locations
  • Journal of Speech Language and Hearing Research (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • UA Campus Repository (The University of Arizona) (acceptedVersion)
Funders
National Institute on Deafness and Other Communication Disorders (R03DC005731, T32DC000030)
Topics
  • Health Sciences › Medicine › Physiology › Voice and Speech Disorders
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Phonetics and Phonology Research
  • Health Sciences › Medicine › Neurology › Parkinson's Disease Mechanisms and Treatments
Keywords
Parkinson's disease, speech breathing, speech production, disease progression, vital capacity, speech rate, utterance length, longitudinal change
MeSH terms
Humans, Longitudinal Studies, Parkinson Disease, Respiration, Speech, Speech Disorders, Speech Production Measurement

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