Home-based speech treatment for Parkinson's disease delivered remotely: a case report
Abstract
We investigated the validity and feasibility of online delivery of the Lee Silverman Voice Treatment (LSVT) for the treatment of the speech disorder of a patient with idiopathic Parkinson's disease. The treatment was delivered in 16 sessions to the participant's home, 90 km from the speech language pathologist. A PC-based videoconferencing system was used, operating at 128 kbit/s over the public telecommunications network. The patient achieved substantial improvements in vocal sound pressure levels during sustained vowel phonation (6.13 dB), reading (12.28 dB) and conversational monologue (11.32 dB). There were improvements in the duration of sustained vowel phonation (4 s). Improvements were also perceived in the degree of breathiness and roughness in the voice, and in overall speech intelligibility in conversation. The patient was very satisfied with the audio and video quality of the conferencing, and with the online treatment overall. He reported a preference for online sessions for the future management of his condition, rather than face-to-face treatment. Remote LSVT delivery was found to be feasible and effective.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Video-conference-delivered Lee Silverman Voice Treatment for Parkinson disease-related speech and language difficulties has been well-received by patients.
“and has been well-received by patients”
From Remote delivery of psychological interventions for Parkinson's disease. (2018) · cites this paper as Constantinescu et al., 2010
The success of vocal telerehabilitation programs delivered via video-conferencing for Parkinson disease could provide a guiding framework for clinicians intending to adapt telephone-delivered psychological interventions.
“The success of vocal telerehabilitation programs delivered via VC for PD could provide a guiding framework for clinicians intending to adapt telephone-delivered psychological interventions”
From Remote delivery of psychological interventions for Parkinson's disease. (2018) · cites this paper as Constantinescu et al., 2010
Cited by
Sorted by citations
Speech treatment in Parkinson's disease: Randomized controlled trial (RCT)
Ramig, L., Halpern, A., Spielman, J., Fox, C., & Freeman, K. (2018) · Movement Disorders · doi:10.1002/mds.27460 · Cited by 225 · see citing works
Fox, C., Ebersbach, G., Ramig, L., & Sapir, S. (2012) · Parkinson's Disease · doi:10.1155/2012/391946 · Cited by 178 · see citing works
Theodoros, D. G., Hill, A. J., & Russell, T. G. (2016) · American Journal of Speech-Language Pathology · doi:10.1044/2015_ajslp-15-0005 · Cited by 110 · see citing works
Self-citationTelerehabilitation, Virtual Therapists, and Acquired Neurologic Speech and Language Disorders
Cherney, L., & van Vuuren, S. (2012) · Seminars in Speech and Language · doi:10.1055/s-0032-1320044 · Cited by 117 · see citing works
Remote delivery of psychological interventions for Parkinson's disease.
Swalwell, C., Pachana, N. A., & Dissanayaka, N. N. (2018) · International Psychogeriatrics · doi:10.1017/s1041610218000340 · Cited by 87 · see citing works
“The success of vocal telerehabilitation programs delivered via VC for PD could provide a guiding framework for clinicians intending to adapt telephone-delivered psychological interventions (Constantinescu et al., 2010; 2011; Dias et al., 2016; Theodoros et al., 2016).”
BackgroundMethodTelerehabilitation of anomia in primary progressive aphasia
Meyer, A. M., Getz, H. R., Brennan, D. M., Hu, T. M., & Friedman, R. B. (2016) · Aphasiology · doi:10.1080/02687038.2015.1081142 · Cited by 68 · see citing works
“More recently, telerehabilitation has been shown to be effective in the treatment of speech and language disorders, including voice disorders (Constantinescu et al., 2010; Mashima et al., 2003; Theodoros et al., 2006; Tindall, Huebner, Stemple, & Kleinert, 2008), apraxia of speech (Lasker,…”
BackgroundThe Effect of Telerehabilitation on Missed Appointment Rates
Covert, L. T., Slevin, J. T., & Hatterman, J. (2018) · International Journal of Telerehabilitation · doi:10.5195/ijt.2018.6258 · Cited by 45 · see citing works
Personalized Telemedicine for Depression in Parkinson’s Disease: A Pilot Trial
Dobkin, R. D., Interian, A., Durland, J. L., Gara, M. A., & Menza, M. A. (2018) · Journal of Geriatric Psychiatry and Neurology · doi:10.1177/0891988718783274 · Cited by 39 · see citing works
Griffin, M., Bentley, J., Shanks, J., & Wood, C. (2018) · Journal of Telemedicine and Telecare · doi:10.1177/1357633x17691865 · Cited by 34 · see citing works
Achey, M. A., Beck, C. A., Beran, D. B., Boyd, C. M., Schmidt, P. N., Willis, A. W., Riggare, S. S., Simone, R. B., Biglan, K. M., & Dorsey, E. R. (2014) · Trials · doi:10.1186/1745-6215-15-465 · Cited by 27 · see citing works
Moulaei, K., Dinari, F., Hosseini, M., Almasi, S., Sabet, B., Anabestani, R., & Afrash, M. R. (2025) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2025.105784 · Cited by 8 · see citing works
- Authors
- Constantinescu, G. A., Theodoros, D. G., Russell, T. G., Ward, E. C., Wilson, S. J., & Wootton, R.
- Affiliations
- The University of Queensland (AU)
- Corresponding author
- Constantinescu, Gabriella A
- Venue
- Journal of Telemedicine and Telecare
- Publisher
- SAGE Publications
- Published
- 2009-12-11
- Volume
- 16
- Issue
- 2
- Pages
- 100-104
- ISSN
- 1357-633X (ISSN-L)
- 1758-1109
- OpenAlex
- W2167067457
- Cited by
- 72
- References
- 0
- Citations by year
- 2025: 1 · 2024: 3 · 2023: 4 · 2022: 2 · 2021: 4 · 2020: 4 · 2019: 3 · 2018: 11 · 2017: 8 · 2016: 3 · 2015: 6 · 2014: 5 · 2013: 3 · 2012: 7
- FWCI
- 3.09
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Telemedicine and Telecare (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Voice and Speech Disorders
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Health Sciences › Health Professions › Occupational Therapy › Assistive Technology in Communication and Mobility
- Keywords
- Parkinson's disease, Lee Silverman Voice Treatment, videoconferencing, telepractice, voice disorders, speech intelligibility, treatment feasibility, patient satisfaction
- MeSH terms
- Aged, Computer-Assisted Instruction, Feasibility Studies, Humans, Male, Parkinson Disease, Speech Therapy, Video Recording, Voice Training, Reproducibility of Results, Treatment Outcome, Telemedicine
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
