Parkinson's Disease Clinical Trial
Official title:
Effectiveness of High-frequency Specific Speech Therapy on Verbal Fluency Decline and/ or Verbal Apraxia in Patients With Parkinson's Disease With and Without Deep Brain Stimulation (DBS) - a Randomized Controlled Single-blinded Trial
Due to Parkinson's Disease (PD) speech and language (SL) deficits may occur. Further, the
literature reports that PD patients, who have not undergone deep brain stimulation (DBS),
have deficits regarding voice quality (e.g. loudness and intelligibility of their voice),
while PD patients who have undergone DBS suffer from deficits in word retrieval and speech
apraxia symptoms. To-date, therapeutic approaches focusing specifically on SL deficits
observed in PD-DBS patients are yet to be developed and evaluated.
Therefore, this study investigates the short-and longterm effectiveness of specific and
intensive, high-frequency speech-language therapy in terms of reducing SL-deficits compared
to a nonspecific and non-verbal sham treatment (i.e. a rhythmic balance-movement training
(rBMT)) as well as to a 'no-therapy' condition.
In the course of Parkinson's disease (PD) speech and language (SL) deficits may often emerge.
In addition, severe verbal fluency (VF) decline has been repeatedly observed in the context
of deep brain stimulation (DBS) in PD. Interestingly, while PD non-DBS patients have deficits
with respect to loudness and intelligibility of their voice, PD patients who have undergone
DBS (PD-DBS) suffer rather from difficulties in semantic and phonemic word retrieval, and
from speech apraxia symptoms.
However, to-date and to the best of our knowledge, therapeutic approaches focusing
specifically on SL deficits observed in PD-DBS patients are yet to be developed and evaluated
regarding their effectiveness. Thus, this study investigates the short-and longterm
effectiveness of specific and intensive, high-frequency speech-language therapy in terms of
reducing SL-deficits compared to a nonspecific and non-verbal sham treatment (i.e. a rhythmic
balance-movement training (rBMT)) as well as to a 'no-therapy' condition.
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