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[使用LSVT(李·西尔弗曼嗓音治疗法)对帕金森病构音障碍进行康复治疗的进展]

[The progress in the rehabilitation of dysarthria in Parkinson disease using LSVT (Lee Silverman Voice Treatment)].

作者信息

Kamińska Ilona, Zebryk-Stopa Anna, Pruszewicz Antoni, Dziubalska-Kołaczyk Katarzyna, Połczyńska-Fiszer Monika, Pietrala Dawid, Przedpelska-Ober Elzbieta

机构信息

Katedra i Klinika Foniatrii i Audiologii Uniwersytetu Medycznego im. Karola Marcinkowskiego w Poznaniu.

出版信息

Otolaryngol Pol. 2007;61(5):713-8. doi: 10.1016/s0030-6657(07)70511-5.

DOI:10.1016/s0030-6657(07)70511-5
PMID:18552005
Abstract

Parkison's disease causes damage to the central nervous system resulting in bradykinesia, muscle rigidity, rest tremor and dysarthric speech. In clinical terms dysarthria denotes the dysfunction of articulation, phonation and respiration. It is brought about by the impairment of neural paths innervating the speech apparatus, thus causing a decreased ability to communicate. The study was conducted by the Center for Speech and Language Processing (CSLP), Adam Mickiewicz University, Poznań and the Chair and Department of Phoniatrics and Audiology, the Medical University, Poznań within the interdisciplinary research project grant called "Speech and Language Virtual Therapist for Individuals with Parkinson's Disease". Apart from traditional voice and speech therapies, one of the ways of treating speech disturbances accompanying Parkinson's disease is an innovative Lee Silverman Voice Treatment (LSVT). The purpose of this innovative method introduced by dr L. Ramig and colleagues in 1987-1988, is to teach the patient to speak loud. As a result of co-operation between CLSP and the Center for Spoken Language Research (CSLR) at the University of Colorado, Boulder, USA, a Polish version of LSVT Virtual Therapist computer programme was created (LSVTVT). The programme is based on the principles of LSVT. The positive outcomes of the therapy give hope to Parkinson's disease patients with dysarthria, as well as to speech therapists.

摘要

帕金森病会损害中枢神经系统,导致运动迟缓、肌肉僵硬、静止性震颤和构音障碍。从临床角度来看,构音障碍指的是发音、发声和呼吸功能障碍。它是由支配言语器官的神经通路受损引起的,从而导致沟通能力下降。该研究由位于波兹南的亚当·密茨凯维奇大学言语与语言处理中心以及波兹南医科大学小儿语音学与听力学系在名为“帕金森病患者的言语和语言虚拟治疗师”的跨学科研究项目资助下开展。除了传统的语音和言语治疗外,治疗帕金森病伴随的言语障碍的方法之一是创新的李氏言语疗法(LSVT)。1987年至1988年,L. 拉米格博士及其同事引入了这种创新方法,其目的是教导患者大声说话。由于美国科罗拉多大学博尔德分校的言语与语言处理中心(CLSP)与口语语言研究中心(CSLR)合作,创建了波兰语版的LSVT虚拟治疗师计算机程序(LSVTVT)。该程序基于LSVT的原理。该疗法的积极成果给患有构音障碍的帕金森病患者以及言语治疗师带来了希望。

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