School of Health and Rehabilitation Sciences, University of Queensland, Brisbane, Australia.
J Telemed Telecare. 2010;16(2):100-4. doi: 10.1258/jtt.2009.090306. Epub 2009 Dec 11.
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.
我们研究了在线提供李·西尔曼语音治疗（LSVT）治疗特发性帕金森病患者语音障碍的有效性和可行性。该治疗以 16 个疗程的形式被提供到患者家中，距离言语治疗师 90 公里。使用基于 PC 的视频会议系统，通过公共电信网络以 128 kbit/s 的速度运行。患者在持续元音发声（6.13 dB）、阅读（12.28 dB）和对话独白（11.32 dB）方面的声音声压级有了显著提高。持续元音发声的时长也有所增加（4 秒）。声音的气息声和粗糙度以及对话中的整体言语可懂度也有所改善。患者对会议的音频和视频质量以及整体在线治疗非常满意。他表示，他更希望将来通过在线治疗来管理自己的病情，而不是面对面治疗。远程 LSVT 治疗被发现是可行且有效的。
