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Early detection of speech and voice disorders in Parkinson’s disease patients treated with subthalamic nucleus deep brain stimulation: a 1-year follow-up study
http://hdl.handle.net/2237/27318
http://hdl.handle.net/2237/2731880b3ece9-4b04-4c5d-9662-89f4a687ec08
名前 / ファイル | ライセンス | アクション |
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2018-01-30 | |||||
タイトル | ||||||
タイトル | Early detection of speech and voice disorders in Parkinson’s disease patients treated with subthalamic nucleus deep brain stimulation: a 1-year follow-up study | |||||
言語 | en | |||||
著者 |
Tsuboi, Takashi
× Tsuboi, Takashi× Watanabe, Hirohisa× Tanaka, Yasuhiro× Ohdake, Reiko× Hattori, Makoto× Kawabata, Kazuya× Hara, Kazuhiro× Ito, Mizuki× Fujimoto, Yasushi× Nakatsubo, Daisuke× Maesawa, Satoshi× Kajita, Yasukazu× Katsuno, Masahisa× Sobue, Gen |
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アクセス権 | ||||||
アクセス権 | open access | |||||
アクセス権URI | http://purl.org/coar/access_right/c_abf2 | |||||
権利 | ||||||
言語 | en | |||||
権利情報 | The final publication is available at Springer via http://doi.org/ | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Parkinson’s disease | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Subthalamic nucleus | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Deep brain stimulation | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Speech disorders | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Voice disorders | |||||
抄録 | ||||||
内容記述 | We previously reported that Parkinson’s disease (PD) patients treated with subthalamic nucleus deep brain stimulation (STN-DBS) had distinct phenotypes of speech and voice disorders: hypokinetic dysarthria, stuttering, breathy voice, strained voice, and spastic dysarthria. However, changes over time remain unclear. In the present study, 32 consecutive PD patients were assessed before and up to 1 year after surgery (PD-DBS). Eleven medically treated PD patients were also assessed (PD-Med). Speech, voice, motor, and cognitive functions were evaluated. At baseline, the incidence of hypokinetic dysarthria (63% of PD-DBS vs. 82% of PD-Med), stuttering (50% vs. 45%), breathy voice (66% vs. 73%), and strained voice (3% vs. 9%) was similar between groups. At 1 year, a slight but significant deterioration in speech intelligibility (p < 0.001) and grade of dysphonia (p = 0.001) were observed only in PD-DBS group compared with baseline. During the follow-up, stuttering (9% vs. 18%) and breathy voice (13% vs. 9%) emerged in PD-DBS and PD-Med, but strained voice (28%) and spastic dysarthria (44%) emerged only in PD-DBS. After the stimulation was stopped, strained voice and spastic dysarthria improved in most patients, while stuttering and breathy voice improved in a minority of patients. These findings indicate that the most common DBS-induced speech and voice disorders are strained voice and spastic dysarthria and that STN-DBS potentially aggravates stuttering and breathy voice. An improved understanding of these types of disorders may help detect speech and voice deteriorations during the early phase and lead to appropriate treatments. | |||||
言語 | en | |||||
内容記述タイプ | Abstract | |||||
出版者 | ||||||
言語 | en | |||||
出版者 | Springer | |||||
言語 | ||||||
言語 | eng | |||||
資源タイプ | ||||||
資源タイプresource | http://purl.org/coar/resource_type/c_6501 | |||||
タイプ | journal article | |||||
出版タイプ | ||||||
出版タイプ | AM | |||||
出版タイプResource | http://purl.org/coar/version/c_ab4af688f83e57aa | |||||
DOI | ||||||
関連タイプ | isVersionOf | |||||
識別子タイプ | DOI | |||||
関連識別子 | https://doi.org/10.1007/s00702-017-1804-x | |||||
ISSN | ||||||
収録物識別子タイプ | PISSN | |||||
収録物識別子 | 0300-9564 | |||||
書誌情報 |
en : JOURNAL OF NEURAL TRANSMISSION 巻 124, p. 1547-1556, 発行日 2017-12 |
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著者版フラグ | ||||||
値 | author | |||||
URI | ||||||
識別子 | http://doi.org/10.1007/s00702-017-1804-x | |||||
識別子タイプ | DOI | |||||
URI | ||||||
識別子 | http://hdl.handle.net/2237/27318 | |||||
識別子タイプ | HDL |