The effect of concurrent linguistic and nonlinguistic task on speech motor performance in Parkinson's Disease
Hanna Rakhangi, Dema Herzallah, Olumide Oyebode, Jennifer Peterson, Caroline Menezes
This preliminary study tested the effect of speech therapy on
hypophonia and its potential to counteract micrographia in
people diagnosed with Parkinson’s disease. Data was collected
from 3 subjects undergoing speech diagnostics at University of
Toledo Speech Clinic. Subjects were asked to speak and write
a series of syllables in both a single and dual task paradigm. In
the dual task they were asked to speak in their normal, soft, and
loud voice. Data was recorded before and after an intensive 12
session speech treatment protocol, where they were trained to
speak with intent. Average speech intensity and handwriting
stroke area were calculated. Average speech amplitude
increased from normal dual task to loud dual task before and
after therapy. Following therapy, speech amplitude for soft
voice decreased indicating therapy was helpful in modulating
amplitude. Handwriting did not show facilitation from speech
therapy regarding micrographia. However, variability between
repetitions reduced after therapy, showing some coordination
between speech and hand movements but coordination is
affected by complexity of task and primacy of task.