TY - JOUR
T1 - The impact of expiratory muscle strength training on speech breathing in individuals with parkinson’s disease
T2 - A preliminary study
AU - Darling-White, Meghan
AU - Huber, Jessica E.
N1 - Funding Information:
Research reported in this publication was supported by the National Institute on Deafness and Other Communication Disorders of the National Institutes of Health under grant F31DC012233-02, awarded to Meghan Darling-White, and the Eunice Kennedy Shriver National Institute of Child Health and Human Development of the National Institutes of Health under grants T32HD007489, awarded to Marsha Mailick, and P30HD003352, awarded to the Waisman Center at University of Wisconsin–Madison. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. We would like to thank Christine Sapienza for acting as a consultant to ensure proper implementation of the expiratory muscle strength training program. Thank you to Lisa Goffman, Jeff Haddad, and Elaine Francis for their advice and expertise throughout this project. Thank you to Sandy Snyder for her help with data collection and management of data measurement. Thank you to Nicole Herndon, Ashley Guss, Holly Nelson, Kate Steele, and Heather Bolan for assistance with data collection and measurement.
Publisher Copyright:
© 2017 American Speech-Language-Hearing Association.
PY - 2017/11
Y1 - 2017/11
N2 - Purpose: The purpose of this study was to examine the impact of expiratory muscle strength training on speech breathing and functional speech outcomes in individuals with Parkinson’s disease (PD). Method: Twelve individuals with PD were seen once a week for 8 weeks: 4 pretraining (baseline) sessions followed by a 4-week training period. Posttraining data were collected at the end of the 4th week of training. Maximum expiratory pressure, an indicator of expiratory muscle strength, and lung volume at speech initiation were the primary outcome measures. Secondary outcomes included lung volume at speech termination, lung volume excursion, utterance length, and vocal intensity. Data were collected during a spontaneous speech sample. Individual effect sizes > 1 were considered significant. Results: Maximum expiratory pressure increased in a majority of participants after training. Training resulted in 2 main respiratory patterns: increasing or decreasing lung volume initiation. Lung volume termination and excursion, utterance length, and vocal loudness were not consistently altered by training. Conclusions: Preliminary evidence suggests that the direct physiologic intervention of the respiratory system via expiratory muscle strength training improves speech breathing in individuals with PD, with participants using more typical lung volumes for speech following treatment.
AB - Purpose: The purpose of this study was to examine the impact of expiratory muscle strength training on speech breathing and functional speech outcomes in individuals with Parkinson’s disease (PD). Method: Twelve individuals with PD were seen once a week for 8 weeks: 4 pretraining (baseline) sessions followed by a 4-week training period. Posttraining data were collected at the end of the 4th week of training. Maximum expiratory pressure, an indicator of expiratory muscle strength, and lung volume at speech initiation were the primary outcome measures. Secondary outcomes included lung volume at speech termination, lung volume excursion, utterance length, and vocal intensity. Data were collected during a spontaneous speech sample. Individual effect sizes > 1 were considered significant. Results: Maximum expiratory pressure increased in a majority of participants after training. Training resulted in 2 main respiratory patterns: increasing or decreasing lung volume initiation. Lung volume termination and excursion, utterance length, and vocal loudness were not consistently altered by training. Conclusions: Preliminary evidence suggests that the direct physiologic intervention of the respiratory system via expiratory muscle strength training improves speech breathing in individuals with PD, with participants using more typical lung volumes for speech following treatment.
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U2 - 10.1044/2017_AJSLP-16-0132
DO - 10.1044/2017_AJSLP-16-0132
M3 - Article
C2 - 29114773
AN - SCOPUS:85033432290
SN - 1058-0360
VL - 26
SP - 1159
EP - 1166
JO - American journal of speech-language pathology
JF - American journal of speech-language pathology
IS - 4
ER -