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22 June 2017

Game-Based Augmented Visual Feedback for Enlarging Speech Movements in Parkinson's Disease

Publication: Journal of Speech, Language, and Hearing Research
Volume 60, Number 6S
Pages 1818-1825

Abstract

Purpose

The purpose of this pilot study was to demonstrate the effect of augmented visual feedback on acquisition and short-term retention of a relatively simple instruction to increase movement amplitude during speaking tasks in patients with dysarthria due to Parkinson's disease (PD).

Method

Nine patients diagnosed with PD, hypokinetic dysarthria, and impaired speech intelligibility participated in a training program aimed at increasing the size of their articulatory (tongue) movements during sentences. Two sessions were conducted: a baseline and training session, followed by a retention session 48 hr later. At baseline, sentences were produced at normal, loud, and clear speaking conditions. Game-based visual feedback regarding the size of the articulatory working space (AWS) was presented during training.

Results

Eight of nine participants benefited from training, increasing their sentence AWS to a greater degree following feedback as compared with the baseline loud and clear conditions. The majority of participants were able to demonstrate the learned skill at the retention session.

Conclusions

This study demonstrated the feasibility of augmented visual feedback via articulatory kinematics for training movement enlargement in patients with hypokinesia due to PD.

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Information & Authors

Information

Published In

Journal of Speech, Language, and Hearing Research
Volume 60Number 6S22 June 2017
Pages: 1818-1825
PubMed: 28655041

History

  • Received: Jun 14, 2016
  • Revised: Nov 3, 2016
  • Accepted: Dec 8, 2016
  • Published in issue: Jun 22, 2017

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Authors

Affiliations

Yana Yunusova
Department of Speech-Language Pathology, University of Toronto, Ontario, Canada
Sunnybrook Research Institute, Hurvitz Brain Sciences Research Program, Toronto, Ontario, Canada
University Health Network: Toronto Rehabilitation Institute, Toronto, Ontario, Canada
Elaine Kearney
Department of Speech-Language Pathology, University of Toronto, Ontario, Canada
University Health Network: Toronto Rehabilitation Institute, Toronto, Ontario, Canada
Madhura Kulkarni
Sunnybrook Research Institute, Hurvitz Brain Sciences Research Program, Toronto, Ontario, Canada
University Health Network: Toronto Rehabilitation Institute, Toronto, Ontario, Canada
Brandon Haworth
University Health Network: Toronto Rehabilitation Institute, Toronto, Ontario, Canada
Department of Electrical Engineering & Computer Science, York University, Toronto, Ontario, Canada
Melanie Baljko
University Health Network: Toronto Rehabilitation Institute, Toronto, Ontario, Canada
Department of Electrical Engineering & Computer Science, York University, Toronto, Ontario, Canada
Petros Faloutsos
University Health Network: Toronto Rehabilitation Institute, Toronto, Ontario, Canada
Department of Electrical Engineering & Computer Science, York University, Toronto, Ontario, Canada

Notes

Disclosure: The authors have declared that no competing interests existed at the time of publication.
Correspondence to Yana Yunusova: [email protected]
Editor: Nancy Solomon
Associate Editor: Kathryn Yorkston

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