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3 results

  • The effects of surface electrical stimulation plus voice therapy in Parkinson's disease

  • M R A van Hooren, L W J Baijens, R Dijkman, B Kremer, E Michou, W Pilz, R Vos
  • Journal:
    The Journal of Laryngology & Otology / Volume 137 / Issue 7 / July 2023
    Published online by Cambridge University Press:
    14 September 2022, pp. 775-781
    Print publication:
    July 2023
    • Article
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  • Objective

    This study aimed to assess the effects of surface electrical stimulation plus voice therapy on voice in dysphonic patients with idiopathic Parkinson's disease.

    Method

    Patients were assigned to 3 treatment groups (n = 28 per group) and received daily treatment for 3 weeks on 5 days a week. All three groups received voice therapy (usual care). In addition, two groups received surface electrical stimulation, either motor-level or sensory-level stimulation. A standardised measurement protocol to evaluate therapeutic effects included the Voice Handicap Index and videolaryngostroboscopy.

    Results

    Voice Handicap Index and videolaryngostroboscopic assessment showed statistically significant differences between baseline and post-treatment across all groups, without any post-treatment differences between the three groups.

    Conclusion

    Intensive voice therapy (usual care) improved idiopathic Parkinson's disease patients' self-assessment of voice impairment and the videolaryngostroboscopic outcome score. However, surface electrical stimulation used as an add-on to usual care did not improve idiopathic Parkinson's disease patients’ self-assessment of voice impairment or the videolaryngostroboscopic outcome scores any further.

  • Conclusion

  • Sonia Massai, King's College London
  • Book:
    Shakespeare's Accents
    Published online:
    07 May 2020
    Print publication:
    09 April 2020, pp 190-206

  • Summary

    The conclusion considers how the principles currently informing the allocation of public funding to theatre are having little impact on encouraging acoustic diversity on the Shakespearean stage, especially in Shakespearean production recently staged by large National Portfolio Organizations (NPOs), such as the Royal Shakespeare Company and the National Theatre. A statistically insignificant amount of public funding is currently invested in supporting smaller companies or independent projects, which seem better placed to diversity the soundscape of Shakespeare in performance.

  • Predictive assessment of vocal efficiency (PAVE). A method for voice therapy outcome measurement

  • M. T. Gordon, L. Pearson, F. Paton, R. Montgomery
  • Journal:
    The Journal of Laryngology & Otology / Volume 111 / Issue 2 / February 1997
    Published online by Cambridge University Press:
    29 June 2007, pp. 129-133
    Print publication:
    February 1997

  • A prospective study was carried out to examine the degree to which a standard voice assessment could discriminate between the potential benefits of two different voice therapy programmes for individual patients. The study encompassed 200 dysphonia subjects who were referred for voice therapy and had completed treatment within a prescribed two-year period. A standard assessment procedure was carried out on first attendance for each patient and guidelines were used to assign patients to different treatment programmes on the basis of the assessment results. The assessment discriminated well between patients requiring voice therapy to change physiological parameters of voice usage and patients able to self adjust voice usage, and provided an objective means of measuring outcomes.