Erro R, Tedeschi M R, Vitale C, Buonocore S, Orefice G
Department of Neurological Science Federico II University of Naples, Naples, Italy -
Eur J Phys Rehabil Med. 2014 Oct;50(5):561-5. Epub 2014 Apr 3.
Freezing of speech (FoS) and other repetitive speech behaviours can frequently occur in parkinsonian syndromes, worsening the efficacy of language functioning, hampering social interactions, and thus reducing quality of life. Pharmacological treatment are ineffective and other interventions have not specifically developed so far.
The aim of this paper was to test the efficacy on a pilot rehabilitation program for freezing of speech based on cueing.
Outpatient clinic.
Single-case.
We developed a pilot rehabilitation program based on visual, auditory and sensory cueing. The patient underwent the protocol for a 6-month period (1-hour sessions, 3 times weekly). Perceptual analyses of his speech were performed before and after the rehabilitation program by to different blinded reviewers.
There has been a reduction of FoS and other iterative speech episodes. Intelligibility also improved according to both the patient and his relatives.
Our preliminary results show that visual, auditory and sensory cueing can be effective to prevent and overcome FoS episodes. Possible underlying mechanisms of the improvement are discussed.
Rehabilitation programs based on cueing should be considered and offered in Parkinsonian patients exhibiting FoS or other iterative speech phenomena.
言语冻结（FoS）及其他重复性言语行为在帕金森综合征中经常出现，会使语言功能的有效性变差，妨碍社交互动，进而降低生活质量。药物治疗无效，且目前尚未专门研发出其他干预措施。
本文的目的是测试一项基于提示的言语冻结试点康复计划的疗效。
门诊诊所。
单病例。
我们制定了一项基于视觉、听觉和感觉提示的试点康复计划。该患者接受了为期6个月的方案（每次1小时，每周3次）。在康复计划前后，由不同的盲法评审员对其言语进行感知分析。
言语冻结及其他重复性言语发作有所减少。患者及其亲属均表示言语清晰度也有所提高。
我们的初步结果表明，视觉、听觉和感觉提示可有效预防和克服言语冻结发作。文中讨论了改善的可能潜在机制。
对于出现言语冻结或其他重复性言语现象的帕金森病患者，应考虑并提供基于提示的康复计划。
