帕金森病中的低动力性失联症:叙述性综述
Merve Sapmaz Atalar1, Ozlem Oguz2, Gencer Genc3
1Department of Speech and Language Therapy, University of Health Sciences Türkiye, Hamidiye Faculty of Health Sciences, Istanbul, Türkiye.
Sisli Etfal Hastanesi tip bulteni
|October 30, 2023
概括
帕金森病 (PD) 通常会导致低动力性脱节性关节症,影响90%的患者的语音清晰度和大声度. 语音治疗,特别是LSVT LOUD,为沟通挑战提供了显著的改善.
科学领域:
- 神经学 神经学
- 语音语言病理学 语言病理学
背景情况:
- 帕金森病 (PD) 是一种神经退行性疾病,影响运动和非运动功能.
- 低动力性失联症是PD中常见的语言障碍,影响理解能力和沟通能力.
- 大约90%的PD患者患有低动力性关节障碍症,随着疾病的进展而恶化.
研究的目的:
- 审查帕金森病中低动力性脱关节的特征,评估和管理.
- 强调PD患者全面语音评估的重要性.
- 讨论PD相关语音障碍的当前和基于证据的治疗策略.
主要方法:
- 关于PD中低动力性脱节性关节的综合文献综述.
- 语音组件的分析:语音,发音,呼吸,共振,表音.
- 评估方法的评估,包括病史,口腔运动检查,感知和仪器分析.
- 治疗策略的审查:语音治疗,增强型替代性沟通 (AAC) 和特殊计划,如LSVT LOUD.
主要成果:
- 在PD中,低动力性失联症表现为单调的言语,降低了声音的强度,改变了语音质量和不精确的发音.
- 评估需要多方面的方法,包括病史,口腔运动功能和各种语音任务.
- 语音疗法,特别是LSVT LOUD,对大声,可理解性和声音感知有显著的好处.
结论:
- 低动力性脱节性关节炎是帕金森病中普遍和渐进的症状,显著损害了沟通.
- 为了定制有效的语音干预措施,进行彻底的评估至关重要.
- 语音治疗,包括LSVT LOUD,是主要的治疗方法,AAC作为严重病例的选择. 药物和手术干预措施在语音改善方面没有被证明是有效的.
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