综合呼吸训练对老年帕金森病病人运动减少型构音障碍的影响

doi:10.3969/j.issn.1003-9198.2024.08.007

Abstract

Abstract: Objective To observe the effect of comprehensive respiratory training on hypokinetic dysarthria in the elderly patients with Parkinson’s disease. Methods A total of 48 patients with Parkinson’s disease who were enrolled according to inclusion and exclusion criteria were randomly divided into the control group and the treatment group, with 24 patients in each group. The control group received basic articulation training, while the treatment group received comprehensive respiratory training on the basis of the control group. Two groups were treated for four weeks, and the changes in Frenchay Dysarthria Assessment(FDA) score, maximum phonation time(MPT), diadochokinesia rate(DR) of different syllables and maximum inspiratory pressure(MIP) were observed before and after treatment. Results Before treatment, there were no statistical differences in FDA score, MPT, DR of different syllables and MIP between the two groups (P>0.05).After treatment, FDA score, MPT and DR of different syllable in the two groups were significantly higher than those before treatment (P<0.01), and FDA score, MPT, DR of different syllable and MIP levels in the treatment group were higher than those in the control group (P<0.05 or P<0.01). Conclusions Comprehensive respiratory training can promote coordination of breathing and vocalization, and improve hypokinetic dysarthria in the elderly patients with Parkinson’s disease.

Key words: comprehensive respiratory training, basic articulation training, Parkinso's disease, aged, hypokinetic dysarthria

CLC Number:

R742.5

HAO Shijie, ZOU Jianpeng, WEI Chen, LIU Qingjiang. Effect of comprehensive respiratory training on hypokinetic dysarthria in elderly patients with Parkinson’s disease[J]. Practical Geriatrics, 2024, 38(8): 783-787.

References

[1] SIMONET C, SCHRAG A, LEES A J, et al.The motor prodromes of Parkinson’s disease: from bedside observation to large-scale application[J].J Neurol,2021, 268(6):2099-2108.
[2] HAREL B,CANNIZZARO M,SNYDER P J.Variability in fundamental frequency during speech in prodromal and incipient Parkinson’s disease:a longitudinal case study[J]. Brain Cogn, 2004, 56(1): 24-29.
[3] SCHALLING E,JOHANSSON K,HARTELIUS L. Speech and communication changes reported by people with Parkinson’s disease[J]. Folia Phoniatr Logop, 2017, 69(3): 131-141.
[4] YUAN F, GUO X, WEI X, et al. Lee silverman voice treatment for dysarthria in patients with Parkinson’s disease: a systematic review and meta-analysis[J]. Eur J Neurol, 2020, 27(10): 1957-1970.
[5] NARAYANA S,FRANKLIN C,PETERSON E,et al. Immediate and long-term effects of speech treatment targets and intensive dosage on Parkinson’s disease dysphonia and the speech motor network: randomized controlled trial[J].Hum Brain Mapp, 2022, 43(7): 2328-2347.
[6] DASHTIPOUR K,TAFRESHI A,LEE J, et al.Speech disorders in Parkinson’s disease: pathophysiology, medical management and surgical approaches[J]. Neurodegener Dis Manag, 2018, 8(5): 337-348.
[7] 张美美,张玉梅.帕金森病构音障碍研究进展[J].中国医刊,2023,58(2):130-133.
[8] 郝世杰,庄贺,刘西花,等.综合呼吸训练对脑卒中患者运动性构音障碍的影响[J].中国康复,2022,37(5):263-266.
[9] 陈永平,商慧芳.2016中国帕金森病诊断标准解读[J].中国实用内科杂志,2017,37(2):124-126.
[10] 李胜利.言语治疗学[M].北京:华夏出版社,2014:77-97.
[11] 张平,赖红艳,郑丽.引导式健康教育在颅脑创伤后吞咽障碍患者康复治疗中的应用[J].临床心身疾病杂志,2021,27(6):157-160.
[12] 王晓雯,黄昭鸣,钱红,等.高频重复经颅磁刺激双侧M1区联合构音训练对帕金森病人运动不及型构音障碍的影响[J].实用老年医学,2022,36(5):508-511.
[13] SAPIR S. Multiple factors are involved in the dysarthria associated with Parkinson’s disease: a review with implications for clinical practice and research[J].J Speech Lang Hear Res, 2014, 57(4): 1330-1343.
[14] DI PIETRO D A, OLIVARES A, COMINI L, et al.Voice alterations, dysarthria, and respiratory derangements in patients with Parkinson’s disease[J]. J Speech Lang Hear Res, 2022, 65(10): 3749-3757.
[15] VITACCA M, OLIVARES A, COMINI L, et al.Exercise intolerance and oxygen desaturation in patients with Parkinson’s disease: triggers for respiratory rehabilitation?[J].Int J Environ Res Public Health, 2021, 18(23): 12298.
[16] PERIN C,MAZZUCCHELLI M,PISCITELLI D,et al. Feasibility of a standardized protocol for respiratory training with intermitted positive pressure breathing ventilator application in dysphonia and dysarthria[J]. Eur J Phys Rehabil Med, 2022, 58(2): 218-224.
[17] 邓巍巍,周璇,陈晨,等.改良六字诀训练对痉挛型脑性瘫痪言语障碍的疗效研究[J].中国康复医学杂志,2023,38(8):1079-1083.
[18] LI H, LI G, LIU G, et al. Liuzijue Qigong vs traditional breathing training for patients with post-stroke dysarthria complicated with abnormal respiratory control: study protocol of a single center randomized controlled trial[J].Trials, 2018, 19(1): 335.
[19] 陈蜀,谭育华,尹国甫,等.针对性呼吸训练方案治疗脑瘫患儿构音障碍的疗效观察[J].中医临床研究,2020,12(16):118-121.
[20] 刘起山,刘牡凤,陈小芳,等.呼吸训练治疗脑瘫患儿构音障碍的疗效观察[J].中国康复,2018,33(3):227-229.

Effect of comprehensive respiratory training on hypokinetic dysarthria in elderly patients with Parkinson’s disease

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