Remote Speech Rehabilitation for Dysarthria in Parkinson's Disease
Recruiting in Palo Alto (17 mi)
Age: 18+
Sex: Any
Travel: May Be Covered
Time Reimbursement: Varies
Trial Phase: Academic
Recruiting
Sponsor: Florida State University
Disqualifiers: Low cognitive score, Other voice disorders, Recent speech therapy, No family support
No Placebo Group
Approved in 3 Jurisdictions
Trial Summary
What is the purpose of this trial?
This study develops and conduct a small-scale clinical trial study in which the linguistic and cultural diversity of the participants is considered. Speech therapy and counseling services are provided to both patients with Parkinson\'s disease and their caregivers.
Will I have to stop taking my current medications?
The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.
What data supports the effectiveness of remote speech rehabilitation for dysarthria in Parkinson's disease?
Research shows that online speech therapy can be as effective as traditional face-to-face therapy for improving speech in people with Parkinson's disease. Studies have found that remote speech treatments can lead to significant improvements in speech clarity and voice quality, and patients often prefer the convenience of online sessions.12345
Is remote speech rehabilitation safe for people with Parkinson's disease?
Remote speech rehabilitation, including online speech therapy and telepractice, has been used safely for people with Parkinson's disease and other neurological conditions. Studies show it is as effective as traditional face-to-face therapy, and patients have reported satisfaction with the treatment.12345
How is remote speech rehabilitation for dysarthria in Parkinson's disease different from other treatments?
Remote speech rehabilitation allows patients to receive speech therapy from their own homes using online communication technologies, making it more accessible and convenient compared to traditional face-to-face therapy. This approach can be just as effective as in-person sessions and helps overcome obstacles like travel difficulties for patients with Parkinson's disease.14567
Eligibility Criteria
This trial is for individuals with dysarthria, a speech disorder often associated with Parkinson's Disease. It aims to help those who face challenges in accessing traditional speech therapy due to linguistic and cultural barriers. Caregivers are also included to receive support.Inclusion Criteria
Native speaker of Korean
I have been diagnosed with Parkinson's disease.
I am between 25 and 85 years old.
See 4 more
Exclusion Criteria
Have no family members to participate in the project.
A score of 23 or below on the Korean Montreal Cognitive Assessment
I have a voice or speech disorder not caused by Parkinson's disease.
See 1 more
Trial Timeline
Screening
Participants are screened for eligibility to participate in the trial
2-4 weeks
Treatment
Participants receive remote speech therapy and counseling, including 16 sessions over four weeks and daily home practice
4 weeks
16 sessions (remote)
Follow-up
Participants are monitored for improvements in speech intelligibility and well-being
6 months
Treatment Details
Interventions
- Remote speech rehabilitation (Behavioral Intervention)
Trial OverviewThe study is testing remote speech rehabilitation services tailored for diverse populations. It focuses on providing accessible speech therapy and counseling that accounts for the participants' language and culture.
Participant Groups
2Treatment groups
Experimental Treatment
Active Control
Group I: Intervention: Behavioral, remote speech rehabilitation and counselingExperimental Treatment1 Intervention
Speech therapy will replicate the dose prescribed by many treatment programs including LSVT LOUD, LSVT ARTIC and Be Clear, consisting of 16 sessions of 50-60 minutes duration delivered over four weeks. Participants will also be set 15 to 20 minutes of daily home practice. Family education/training will take place once a week over 4 weeks, including two components: family counseling (30 min) and family conversation training (30 min). Family counseling aims to increase the PD families' knowledge about PD in general and to identify goals and potential solutions to problems which cause emotional turmoil. Family conversation training which aims to increase the PD families' knowledge about PD-related communication problems and to raise awareness of their communication patterns, and to support the development of functional strategies. All activities will remotely occur (using Zoom).
Group II: No Intervention:Waitlist controlActive Control1 Intervention
No intervention programs (speech therapy, counseling) will be provided.
Remote speech rehabilitation is already approved in United States, European Union, Canada for the following indications:
🇺🇸 Approved in United States as Telepractice for:
- Speech disorders
- Language disorders
- Swallowing disorders
- Parkinson's disease-related speech issues
🇪🇺 Approved in European Union as Telespeech for:
- Speech disorders
- Language disorders
- Swallowing disorders
- Neurological speech impairments
🇨🇦 Approved in Canada as Online Speech Therapy for:
- Speech disorders
- Language disorders
- Swallowing disorders
- Pediatric speech impairments
Find a Clinic Near You
Research Locations NearbySelect from list below to view details:
Florida State UniversityTallahassee, FL
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Who Is Running the Clinical Trial?
Florida State UniversityLead Sponsor
References
E-learning-based speech therapy: a web application for speech training. [2010]Abstract In The Netherlands, a web application for speech training, E-learning-based speech therapy (EST), has been developed for patients with dysarthria, a speech disorder resulting from acquired neurological impairments such as stroke or Parkinson's disease. In this report, the EST infrastructure and its potentials for both therapists and patients are elucidated. EST provides patients with dysarthria the opportunity to engage in intensive speech training in their own environment, in addition to undergoing the traditional face-to-face therapy. Moreover, patients with chronic dysarthria can use EST to independently maintain the quality of their speech once the face-to-face sessions with their speech therapist have been completed. This telerehabilitation application allows therapists to remotely compose speech training programs tailored to suit each individual patient. Moreover, therapists can remotely monitor and evaluate changes in the patient's speech. In addition to its value as a device for composing, monitoring, and carrying out web-based speech training, the EST system compiles a database of dysarthric speech. This database is vital for further scientific research in this area.
Assessment of motor speech disorders online: a pilot study. [2019]We have conducted a preliminary validation of an Internet-based telehealth application for assessing motor speech disorders in adults with acquired neurological impairment. The videoconferencing module used NetMeeting software to provide realtime videoconferencing through a 128 kbit/s Internet link, as well as the transfer of store-and-forward video and audio data from the participant to the clinician. Ten participants with dysarthria following acquired brain injury were included in the study. An assessment of the overall severity of the speech disturbance was made for each participant face to face (FTF) and in the online environment; in addition, a 23-item version of the Frenchay Dysarthria Assessment (FDA) (which measures motor speech function) and the Assessment of Intelligibility of Dysarthric Speech (ASSIDS) (which gives the percentage word and sentence intelligibility, words per minute and a rating of communication efficiency) were administered in both environments. There was a 90% level of agreement between the two assessment environments for the rating of overall severity of dysarthria. A 70-100% level of agreement was achieved for 17 (74%) of the 23 FDA variables. On the ASSIDS there was a significant difference between the FTF and online assessments only for percentage word intelligibility. These findings suggest that Internet-based assessment has potential as a reliable method for assessing motor speech disorders.
Speech-language pathologists' perceptions of the use of telepractice in the delivery of services to people with Parkinson's disease: A national pilot survey. [2021]Purpose: To explore the perceptions, use and interest to use telepractice by speech-language pathologists (SLPs) to deliver services to people with Parkinson's disease (PwPD).Method: A cross-sectional, mixed-methods online survey was conducted. Recruitment of SLPs with an active caseload of PwPD was conducted through non-probability, purposive sampling. Data were analysed using frequency distribution and thematic analysis.Result: A total of 63 SLPs responded. The majority (82.5%) were interested in telepractice, but only 23.1% provided services to PwPD online. Monitoring of motor speech function, and therapy were the primary services delivered online. Of those who did not currently offer online services to PwPD, 77.5% expressed interest to use telepractice. The development of telepractice guidelines and a comprehensive list of available software were the resources most requested to assist clinicians in offering such services. Most perceived telepractice as an appropriate delivery method for speech-language pathology services. However, views regarding the preference for face-to-face delivery were divided.Conclusion: SLPs view telepractice as a viable service delivery model for PwPD, but uptake of the model is variable. Several key barriers and resource limitations must be addressed to facilitate the implementation and sustainability of telepractice in clinical services.
[Home-based telerehabilitation after stroke]. [2018]The use of modern information and telecommunication technologies enables telerehabilitation of neurological deficits in the domestic environment. The current state of studies on rehabilitative teletherapy for improvement of motor function and mobility deficits due to stroke is reviewed. Two neurolinguistic proof of concept studies investigating the efficacy of online interactive telespeech therapy are reported, which compared virtual screen to screen interactive telerehabilitation of aphasia after stroke and dysarthrophonia in Parkinson's disease to conventional face to face rehabilitation. The results of the studies indicate that the neurological rehabilitation of motor and communicative deficits in the domestic environment of patients by means of teletherapy is just as efficient as conventional rehabilitation. Under home-based telerehabilitation patient transfer becomes unnecessary. Rehabilitative Teletherapy is a posthospital component of a cross-sector supply chain for patients with handicaps or impairments due to stroke and other neurological diseases.
Home-based speech treatment for Parkinson's disease delivered remotely: a case report. [2022]We investigated the validity and feasibility of online delivery of the Lee Silverman Voice Treatment (LSVT) for the treatment of the speech disorder of a patient with idiopathic Parkinson's disease. The treatment was delivered in 16 sessions to the participant's home, 90 km from the speech language pathologist. A PC-based videoconferencing system was used, operating at 128 kbit/s over the public telecommunications network. The patient achieved substantial improvements in vocal sound pressure levels during sustained vowel phonation (6.13 dB), reading (12.28 dB) and conversational monologue (11.32 dB). There were improvements in the duration of sustained vowel phonation (4 s). Improvements were also perceived in the degree of breathiness and roughness in the voice, and in overall speech intelligibility in conversation. The patient was very satisfied with the audio and video quality of the conferencing, and with the online treatment overall. He reported a preference for online sessions for the future management of his condition, rather than face-to-face treatment. Remote LSVT delivery was found to be feasible and effective.
Treating disordered speech and voice in Parkinson's disease online: a randomized controlled non-inferiority trial. [2022]Telerehabilitation may be a feasible solution to the current problems faced by people with Parkinson's disease in accessing speech pathology services.
Voice telerehabilitation in Parkinson's disease. [2022]Parkinson's disease (PD) is a neurodegenerative condition associated with motor, neuropsychological, sensorial, and vocal symptoms. It has been suggested that eventual obstacles faced by many patients to reach speech therapy rehabilitation centers could be overcome with the use of synchronous telerehabilitation (real time) approach employing communication technologies.