Parkinson’s Disease. Parkinson's disease
Conditions
Interventions
Intervention 1: Intervention group: Combined speech and music therapy using telerehabilitation.. This group receive speech and music exercises at the same time in each treatment session. Speech exerc
Section 2: Breathing Exercises
Section 3: vocal Exercises
Section 4: Singing Exercises
Section 5: Final Conversation and Homework. The duration of the intervention is 4 weeks and the exercises are performed three times a week by a speech and language pathologist via video call on Whats
Sponsors
Iran University of Medical Sciences
Eligibility
Sex/Gender
All
Age
40 Years to No maximum
Inclusion criteria
Inclusion criteria: People with idiopathic Parkinson's disease (IPD) Patients in terms of disease severity in stages 1-3 based on the Hoehn & Yahr test Patient or family complaints about individual speech Ability to use r telerehabilitation and have a smartphone Adequate vision and hearing Use of drug therapy No history of stroke, head injury, brain surgery and laryngeal diseases such as vocal cord nodules, etc. No other neurological disorders other than idiopathic Parkinson's disease Do not use treatments other than medication (such as deep brain stimulation surgery (DBS))
Exclusion criteria
Exclusion criteria: If a patient develops a stroke or other neurological complication during treatment, they are excluded from the treatment plan. • Lack of cooperation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Voice parameters ( loudness, fundamental frequency , The highest and lowest frequency they can produce, jitter and shimmer). Timepoint: Before the intervention, after the intervention, one month after the intervention. Method of measurement: praat software. | — |
Secondary
| Measure | Time frame |
|---|---|
| Voice Handicap Index. Timepoint: Before the intervention, after the intervention, one month after the intervention. Method of measurement: Persian version of Voice Handicap Index.;Maximum phonation time. Timepoint: Before the intervention, after the intervention, one month after the intervention. Method of measurement: The maximum amount of time a person can sustain phonation of "ah" is timed.;Speech Intelligibility. Timepoint: Before the intervention, after the intervention, one month after the intervention. Method of measurement: seven scale of Fodala rankings.;Swallowing Disturbance Questionnaire. Timepoint: Before the intervention, after the intervention, one month after the intervention. Method of measurement: Persian version of Swallowing Disturbance Questionnaire.;Dysphagia handicap index. Timepoint: Before the intervention, after the intervention, one month after the intervention. Method of measurement: Persian version of Dysphagia handicap index.;Northwest dysphagia patient check sheet. Timepoint: Before the intervention, after the intervention, one month after the intervention. Method of measurement: Persian version of northwest dysphagia patient check sheet.;Quality of life. Timepoint: Before the intervention, after the intervention, one month after the intervention. Method of measurement: Persian version of quality of life test 36 questions.;Geriatric Depressive Scale. Timepoint: Before the intervention, after the intervention, one month after the intervention. Method of measurement: Persian version of Geriatric Depressive Scale. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactReyhaneh Mohammadi
Iran University of Medical Sciences
Outcome results
None listed