Johnson Julia A
Kings College Hospital NHS Foundation Trust, London, United Kingdom.
Int Rev Neurobiol. 2017;134:1189-1205. doi: 10.1016/bs.irn.2017.04.014. Epub 2017 Jul 6.
Communication changes are an important feature of Parkinson's and include both motor and nonmotor features. This chapter will cover briefly the motor features affecting speech production and voice function before focusing on the nonmotor aspects. A description of the difficulties experienced by people with Parkinson's when trying to communicate effectively is presented along with some of the assessment tools and therapists' treatment options. The idea of clinical heterogeneity of PD and subtyping patients with different communication problems is explored and suggestions are made on how this may influence clinicians' treatment methods and choices so as to provide personalized therapy programmes. The importance of encouraging and supporting people to maintain social networks, employment, and leisure activities is stated as the key to achieving sustainability. Finally looking into the future, the emergence of new technologies is seen as providing further possibilities to support therapists in the goal of helping people with Parkinson's to maintain good communication skills throughout the course of the disease.
沟通变化是帕金森病的一个重要特征，包括运动和非运动特征。本章将先简要介绍影响言语产生和嗓音功能的运动特征，然后重点关注非运动方面。文中描述了帕金森病患者在试图有效沟通时所遇到的困难，同时介绍了一些评估工具和治疗师的治疗选择。探讨了帕金森病临床异质性以及对有不同沟通问题的患者进行亚型分类的观点，并就这可能如何影响临床医生的治疗方法和选择提出了建议，以便提供个性化的治疗方案。文中指出，鼓励和支持人们维持社交网络、就业及休闲活动的重要性是实现可持续性的关键。最后展望未来，新技术的出现被视为为治疗师提供了更多可能性，以帮助帕金森病患者在疾病过程中保持良好的沟通技巧这一目标。
