Speech motor program maintenance, but not switching, is enhanced by left-hemispheric deep brain stimulation in Parkinson's disease.

Speech reaction time (SRT) was measured in a response priming protocol in 12 participants with Parkinson's disease (PD) and hypokinetic dysarthria 'on' and 'off' left-hemispheric deep brain stimulation (DBS). Speech preparation was measured during speech motor programming in two randomly ordered spe...

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Publicado en:International Journal of Speech-Language Pathology Vol. 12; no. 5; pp. 385 - 399
Autores principales: Jones HN, Kendall DL, Okun MS, Wu SS, Velozo C, Fernandez HH, Spencer KA, Rosenbek JC
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Oct2010
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2010
      vid: 12
      iid: 5
      pid: 377
      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        atl: Speech motor program maintenance, but not switching, is enhanced by left-hemispheric deep brain stimulation in Parkinson's disease.
      aug:
        au:
          Jones HN
          Kendall DL
          Okun MS
          Wu SS
          Velozo C
          Fernandez HH
          Spencer KA
          Rosenbek JC
        affil: Duke University, Durham, NC, USA
      sug:
        subj:
          Deep Brain Stimulation
          Left Brain Hemisphere
          Parkinson Disease
          Speech Disorders
          Treatment Outcomes
          Aged
          Brain Physiology
          Cognition
          Comparative Studies
          Cues
          Descriptive Statistics
          Dysarthria, Hypokinetic
          Experimental Studies
          Female
          Human
          Male
          Middle Age
          Motor Skills
          Random Assignment
          Reaction Time
          Speech Intelligibility
          Wilcoxon Rank Sum Test
          Aged: 65+ years
          Middle Aged: 45-64 years
          Female
          Male
      ab: Speech reaction time (SRT) was measured in a response priming protocol in 12 participants with Parkinson's disease (PD) and hypokinetic dysarthria 'on' and 'off' left-hemispheric deep brain stimulation (DBS). Speech preparation was measured during speech motor programming in two randomly ordered speech conditions: speech maintenance and switching. Double blind testing was completed in participants with DBS of globus pallidus pars interna (GPi) (n=5) or subthalamic nucleus (STN) (n=7). SRT was significantly faster in the maintenance vs switch task, regardless of DBS state. SRT was faster in the speech maintenance task 'on' stimulation, while there was no difference in speech switching 'on' and ' off' DBS. These data suggest that left-hemispheric DBS may have differential effects on aspects of speech preparation in PD. It is hypothesized that speech maintenance improvements may result from DBS-induced cortical enhancements, while the lack of difference in switching may be related to inhibition deficits mediated by the right-hemisphere. Alternatively, DBS may have little influence on the higher level motor processes (i.e., motor planning) which it is believed the switch task engaged to a greater extent than the maintenance task.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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