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帕金森病患者存在言语韵律障碍但无音乐“韵律障碍”

Speech dysprosody but no music 'dysprosody' in Parkinson's disease.

作者信息

Harris Robert, Leenders Klaus L, de Jong Bauke M

机构信息

Department of Neurology, University Medical Center Groningen, University of Groningen, P.O. Box 30.001, 9700 RB Groningen, The Netherlands; Prince Claus Conservatoire, Hanze University of Applied Sciences, Veemarktstraat 76, 9724 GA Groningen, The Netherlands.

Department of Neurology, University Medical Center Groningen, University of Groningen, P.O. Box 30.001, 9700 RB Groningen, The Netherlands.

出版信息

Brain Lang. 2016 Dec;163:1-9. doi: 10.1016/j.bandl.2016.08.008. Epub 2016 Sep 12.

Abstract

Parkinson's disease is characterized not only by bradykinesia, rigidity, and tremor, but also by impairments of expressive and receptive linguistic prosody. The facilitating effect of music with a salient beat on patients' gait suggests that it might have a similar effect on vocal behavior, however it is currently unknown whether singing is affected by the disease. In the present study, fifteen Parkinson patients were compared with fifteen healthy controls during the singing of familiar melodies and improvised melodic continuations. While patients' speech could reliably be distinguished from that of healthy controls matched for age and gender, purely on the basis of aural perception, no significant differences in singing were observed, either in pitch, pitch range, pitch variability, and tempo, or in scale tone distribution, interval size or interval variability. The apparent dissociation of speech and singing in Parkinson's disease suggests that music could be used to facilitate expressive linguistic prosody.

摘要

帕金森病不仅以运动迟缓、僵硬和震颤为特征,还存在表达性和感受性语言韵律受损的情况。有明显节拍的音乐对患者步态具有促进作用,这表明其可能对发声行为也有类似影响,然而目前尚不清楚歌唱是否会受该疾病影响。在本研究中,对15名帕金森病患者和15名健康对照者演唱熟悉旋律及即兴旋律延续的情况进行了比较。虽然仅基于听觉感知就能可靠地区分患者与年龄和性别相匹配的健康对照者的言语,但在歌唱方面未观察到显著差异,无论是音高、音高范围、音高变异性和节奏,还是音阶音调分布、音程大小或音程变异性。帕金森病中言语和歌唱的明显分离表明,音乐可用于促进表达性语言韵律。

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