Cited by 49Voice and Speech DisordersTelemedicine and Telehealth ImplementationAssistive Technology in Communication and Mobility

Telerreabilitação vocal na doença de Parkinson

Open access
Dias, Alice Estevo, Limongi, João Carlos Papaterra, Barbosa, Egberto Reis, Hsing, Wu Tu·2016·CoDAS

Abstract

RESUMO A doença de Parkinson (DP) é uma moléstia neurodegenerativa associada a significantes prejuízos motores, neuropsicológicos e sensoriais. Alterações na qualidade da voz são frequentes durante o curso da doença e os pacientes enfrentam obstáculos no acesso a serviços de reabilitação fonoaudiológica adequada. A telerreabilitação é uma possível solução para esse problema, uma vez que pode ser implementada a distância, com recursos de telemedicina, via tecnologias de comunicação e informação. Objetivo: Investigar a eficiência da telerreabilitação da voz em pacientes com DP. Métodos: Participaram 20 pacientes com DP e queixas de voz. A telerreabilitação síncrona (em tempo real) ocorreu a partir de videoconferência (Adobe Connect 8), os pacientes foram telerreabilitados pela versão estendida do Lee Silverman Voice Treatment (LSVT-X) e avaliados, antes e depois dessa intervenção por meio de análise perceptual da qualidade vocal pela Escala GRBASI. No final da intervenção, todos responderam a questionário estruturado sobre a experiência com a telerreabilitação. Resultados: As análises revelaram diminuição na magnitude das alterações da qualidade da voz após a intervenção, indicando melhoria do padrão vocal. Todos os pacientes relataram satisfação e preferência pela telerreabilitação em comparação com a reabilitação presencial, assim como positiva percepção de áudio e vídeo. Algumas adversidades tecnológicas foram identificadas, mas não impediram as abordagens de avaliação e tratamento. Conclusão: Os resultados sugerem que a telerreabilitação seja uma intervenção eficiente para os sintomas da qualidade da voz associados à DP e pode ser indicada para pacientes com acesso a tecnologias e dificuldades no alcance de profissionais ou centros especializados.

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  • 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 Dias et al., 2016

  • 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 Dias et al., 2016

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Research works printed but not linked: 20

  1. Tanner CM, Ben-Shlomo Y. Epidemiology of Parkinson's disease. Adv Neurol. 1999;80:153-9. PMid:10410715.
  2. Barbosa MT, Caramelli P, Maia DP, Cunningham MC, Guerra HL, Lima-Costa MF, et al. Disease in the elderly: a community-based survey in Brazil (the Bambui study). Mov Disord. 2006;21(6):800-8. http://dx.doi.org/10.1002/ mds.20806. PMid:16482566. · DOI
  3. Rodriguez-Oroz MC, Jahanshahi M, Krack P, Litvan I, Macias R, Bezard E, et al. Initial clinical manifestations of Parkinson's disease: features and pathophysiological mechanisms. Lancet Neurol. 2009;8(12):1128-39. http:// dx.doi.org/10.1016/S1474-4422(09)70293-5. PMid:19909911. · DOI
  4. Ramig LO, Fox C, Sapir S. Speech treatment for Parkinson's disease. Expert Rev Neurother. 2008;8(2):297-309. http://dx.doi.org/10.1586/14737175.8.2.297. PMid:18271714. · DOI
  5. Zarzur AP, Duarte IS, Gonçalves GNH, Martins MA. Laryngeal electromyography and acoustic voice analysis in Parkinson's disease: a comparative study. Braz J Otorhinolaryngol. 2010;76(1):40-3. http://dx.doi.org/10.1590/S1808- 86942010000100008. PMid:20339688. · DOI
  6. Halpern AE, Ramig LO, Matos CE, Petska-Cable JA, Spielman JL, Pogoda JM, et al. Innovative technology for the assisted delivery of intensive voice treatment (LSVT®LOUD) for Parkinson disease. Am J Speech Lang Pathol. 2012;21(4):354-67. http://dx.doi.org/10.1044/1058-0360(2012/11-0125). PMid:23071195. · DOI
  7. Reynolds AL, Vick JL, Haak NJ. Telehealth applications in speech-language pathology: a modified narrative review. J Telemed Telecare. 2009;15(6):310- 6. http://dx.doi.org/10.1258/jtt.2009.081215. PMid:19720769. · DOI
  8. Mahler LA, Ramig LO, Fox C. Evidence-based treatment of voice and speech disorders in Parkinson disease. Curr Opin Otolaryngol Head Neck Surg. 2015;23(3):209-15. http://dx.doi.org/10.1097/MOO.0000000000000151. PMid:25943966. · DOI
  9. Dias AE, Chien HF, Barbosa ER. The Lee Silverman method for rehabilitation of speech in Parkinson's disease. Rev Neurocienc. 2011;19(3):551-7.
  10. Spielman J, Ramig LO, Mahler L, Halpern A, Gavin WJ. Effects of an extended version of the lee silverman voice treatment on voice and speech in Parkinson's disease. Am J Speech Lang Pathol. 2007;16(2):95-107. http:// dx.doi.org/10.1044/1058-0360(2007/014). PMid:17456888. · DOI
  11. Dias AE, Limongi JCP, Hsing WT, Barbosa ER. Digital inclusion for telerehabilitation speech in Parkinson's disease. J Parkinsons Dis. 2013;3(1):141.
  12. Constantinescu G, Theodoros D, Russell T, Ward E, Wilson S, Wootton R. Assessing disordered speech and voice in Parkinson's disease: a telerehabilitation application. Int J Lang Commun Disord. 2010;45(6):630-44. http://dx.doi. org/10.3109/13682820903470569. PMid:20102257. · DOI
  13. Dias AE, Limongi JCP, Hsing WT, Barbosa ER. Tecnologia para reabilitação da fala em idosos com doença de Parkinson. Revista Portal de Divulgação [Internet]. 2013 [cited 2015 June 1];34:28-33. Available from: http://www. portaldoenvelhecimento.org.br/revista
  14. Theodoros D, Ramig L. Telepractice supported delivery of LSVT LOUD. Sem Speech Lang Pathol. 2011;21:107-19.
  15. Hughes AJ, Daniel SE, Ben-Shlomo Y, Lees AJ. The accuracy of diagnosis of parkinsonian syndromes in a specialist movement disorders service. Brain. 2002;125(4):861-70. http://dx.doi.org/10.1093/brain/awf080. PMid:11912118. · DOI
  16. Hoehn MM, Yahr MD. Parkinsonism: onset, progression, and mortality 1967. Neurology. 2001;57(10 Supl 3):S11-26. PMid:11775596.
  17. Dejonckere PH, Remacle M, Fresnel-Elbaz E, Woisard V, Crevier-Buchman L, Millet B. Differentiated perceptual evaluation of pathological voice quality: reliability and correlations with acoustic measurements. Rev Laryngol Otol Rhinol (Bord). 1996;117(3):219-24. PMid:9102729.
  18. Beijer LJ, Rietveld TC, van Beers MM, Slangen RM, van den Heuvel H, Swart BJ. E-learning-based speech therapy: a web apllication for speech training. Telemed J E Health. 2010;16(2):177-80. http://dx.doi.org/10.1089/ tmj.2009.0104. PMid:20184455. · DOI
  19. Hailey D, Roine R, Ohinmaa A, Dennett L. The status of telerehabilitation in neurological applications. J Telemed Telecare. 2013;19(6):307-10. http:// dx.doi.org/10.1177/1357633X13501775. PMid:24163293. · DOI
  20. Choi NG, DiNitto DM. Internet use among older adults: association with health needs, psychological capital, and social capital. J Med Internet Res. 2013;15(5):e97. http://dx.doi.org/10.2196/jmir.2333. PMid:23681083. · DOI

Cited by

Sorted by citations

Authors
Dias, A. E., Limongi, J. C. P., Barbosa, E. R., & Hsing, W. T.
Affiliations
Universidade de São Paulo (BR)
Venue
CoDAS
Published
2016-04
Volume
28
Issue
2
Pages
176-181
ISSN
2317-1782 (ISSN-L)
OpenAlex
W2386246829
Cited by
49
References
5
Citations by year
2026: 1 · 2025: 3 · 2024: 9 · 2023: 8 · 2022: 10 · 2021: 4 · 2020: 5 · 2019: 2 · 2018: 4 · 2017: 2 · 2016: 1
FWCI
2.42
Type
journal article
Language
pt
Open access
Licence
cc-by
Locations
  • CoDAS (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (publishedVersion, other-oa)
  • Americanae (AECID Library) (submittedVersion, cc-by)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
Fundação de Amparo à Pesquisa do Estado de São Paulo
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, telerehabilitation, voice disorders, speech therapy, Lee Silverman Voice Treatment, videoconferencing, patient satisfaction
MeSH terms
Telerehabilitation, Adult, Aged, Female, Humans, Male, Middle Aged, Neuropsychological Tests, Parkinson Disease, Quality of Life, Speech-Language Pathology, Speech Production Measurement, Speech Therapy, Time Factors, Voice Disorders, Voice Quality, Reproducibility of Results, Treatment Outcome, Patient Satisfaction, Statistics, Nonparametric

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