- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04966689
The Effect of Combined Speech and Music-therapy on the Speech Characteristics of People With Parkinson's Disease (PD)
March 31, 2023 updated by: Iran University of Medical Sciences
Comparison of The Effect of Speech Therapy , Music-therapy and Combined Speech and Music Therapy on the Vocal Characteristics of People With PD by Using Telerehabilitation
Speech and voice disorders are observed in almost 90% of patients with PD during their course of illness.
Reduced voice pitch inflections or monotone speech, reduced vocal loudness, prosody disorders, the imprecise articulation of the consonants, hoarseness, and breathy voice is also observed in patients with PD; these symptoms often lead to reduced speech intelligibility.
The aim of this study will to investigate the possible changes in the voice and speech features in people with PD after a combined speech and music therapy using Telerehabilitation.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Detailed Description
the investigators of this study propose to conduct a pilot randomized, controlled trial in patients with PD to assess the potential effectiveness of a Telerehabilitation intervention that encourage a higher level of speech performance.
The investigators hypothesize that patients in the combined treatment group will have more and better improve in the study outcome measures after treatment and 3 month follow up, as compared with patients in speech therapy group and music therapy group.
Study Type
Interventional
Enrollment (Actual)
33
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Zeinab Mohseni
- Phone Number: 0098 9188431500
- Email: zeynab_mohseny@yahoo.com
Study Contact Backup
- Name: Reyhaneh Mohammadi
- Phone Number: 0098 912 525 4951
- Email: mohamadi.re88@gmail.com
Study Locations
-
-
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Tehran, Iran, Islamic Republic of
- Iran University of Medical Sciences
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-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
40 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
Yes
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Patients with idiopathic Parkinson's disease (IPD)
- Patients who are in stages 1-3 according to Hoehn & Yahr test
- Native language is persian
- The patient or family complains about the person's speech condition
- Adequate vision and hearing
- No history of stroke, head injury, brain surgery, laryngeal diseases such as vocal cord nodules
- No other neurological disorders other than IPD
- Do not use treatment other than medication (such as deep brain stimulation surgery (DBS)
- informed consent
Exclusion Criteria:
- If a patient develops a stroke or other neurological complication during treatment, they are excluded from the treatment
- Lack of cooperation
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: combined speech and music therapy
the telerehabilitation intervention that include both speech therapy and music therapy at the same time
|
he telerehabilitation intervention that include both speech therapy and music therapy at the same time
|
Active Comparator: speech therapy
A behavioural speech therapy program including breathing exercises, loudness, pitch, and intelligibility which are adapted from Lee Silverman Voice Treatment (LSVT) and voice exercises Which is delivered through telerehabilitation
|
A behavioural speech therapy program including breathing exercises, loudness, pitch, and intelligibility which are adapted from Lee Silverman Voice Treatment (LSVT) and voice exercises Which is delivered through telerehabilitation
|
Active Comparator: music therapy
music exercises Will be designed based on the music therapy protocols of previous studies Which is delivered through telerehabilitation
|
music exercises Will be designed based on the music therapy protocols of previous studies Which is delivered through telerehabilitation
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
loudness
Time Frame: Change from Baseline in loudness at 4 weeks and 3 month follow up
|
Change in loudness over the period of the study which will be based on analysis of acoustic recordings.
Loudness of voice will be measured in produce the vowel /a /, reading and spontaneous speech.
Data will be analyzed using Praat, freeware program for the analysis and reconstruction of acoustic speech signals.
|
Change from Baseline in loudness at 4 weeks and 3 month follow up
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Voice Handicap Index (VHI)
Time Frame: Change from Baseline in VHI at 4 weeks and 3 month follow up
|
Change in Persian version of Voice Handicap Index (VHI) over the period of the study.
The VHI measures the influence of voice problems on a patient's quality of life.
The VHI is a 30 item scale.
The total scores range is 0-120.
A score 60-120 indicates severe voice problem.
|
Change from Baseline in VHI at 4 weeks and 3 month follow up
|
maximum phonation time (MPT)
Time Frame: Change from Baseline in MPT at 4 weeks and 3 month follow up
|
Change in maximum phonation time (MPT) over the period of the study.
MPT will be measured by asking the subject to produce the long vowel /a/.
This vocalization is measured three times, and the longest MPT is recorded.
|
Change from Baseline in MPT at 4 weeks and 3 month follow up
|
Speech Intelligibility
Time Frame: Change from Baseline in Speech Intelligibility at 4 weeks and 3 month follow up
|
Change in fudalla speech intelligibility rating scale over the period of the study.
This scale consists of 7 rates in which the number 1 indicates Speech is not intelligible and number 7 indicates Speech is totally intelligible.
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Change from Baseline in Speech Intelligibility at 4 weeks and 3 month follow up
|
Swallowing Disturbance Questionnaire (SDQ)
Time Frame: Change from Baseline in SDQ at 4 weeks and 3 month follow up
|
Change in Persian version of Swallowing Disturbance Questionnaire (SDQ) over the period of the study.
The SDQ is a 15 item scale.
The total scores range is 0-45.
A score higher 11 indicates swallowing difficulty.
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Change from Baseline in SDQ at 4 weeks and 3 month follow up
|
Dysphagia handicap index (DHI)
Time Frame: Change from Baseline in DHI at 4 weeks and 3 month follow up
|
Change in Persian version of Dysphagia handicap index (DHI) over the period of the study.
The DHI is one of the instruments used for measuring a dysphagic patient's self-assessment.
it reflects the patient's quality of life.
DHI is a 25 item scale.
The total scores range is 0-100.
A higher score indicates a greater impact of swallowing disorders on quality of life
|
Change from Baseline in DHI at 4 weeks and 3 month follow up
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northwest dysphagia patient check sheet (NDPCS)
Time Frame: Change from Baseline in NDPCS at 4 weeks and 3 month follow up
|
Change in Persian version of northwest dysphagia patient check sheet (NPCS) scores over the period of the study.
The NDPCS has five and 28 items.
Each item is scored as safe or unsafe.
The total score is calculated from the total number of unsafe items.
The more unsafe observations indicates swallowing difficulty.
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Change from Baseline in NDPCS at 4 weeks and 3 month follow up
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Geriatric Depressive Scale (GDS)
Time Frame: Change from Baseline in GDS at 4 weeks and 3 month follow up
|
Change in Persian version of Geriatric Depressive Scale (GDS) scores over the period of the study.
GDS is a 15 item scale.
Each item is scored as yes or no.
More than 5 signs indicate the possibility of depression and more than 10 signs of depression indicate definite depression.
|
Change from Baseline in GDS at 4 weeks and 3 month follow up
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quality of life (QoL)
Time Frame: Change from Baseline in QOL at 4 weeks and 3 month follow up
|
Change in SF-36 questionnaire over the period of the study.
Quality of life will be measured using SF-36 questionnaire.
SF-36 is a 36 item scale.
The total scores range is 0-100.
A higher score indicates a better quality of life.
|
Change from Baseline in QOL at 4 weeks and 3 month follow up
|
jitter
Time Frame: Change from Baseline in jitter at 4 weeks and 3 month follow up
|
Change in jitter over the period of the study, which will be based on analysis of acoustic recordings.
jitter will be measured in produce the vowel /a/.
Data will be analyzed using Praat, freeware program for the analysis and reconstruction of acoustic speech signals.
|
Change from Baseline in jitter at 4 weeks and 3 month follow up
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shimmer
Time Frame: Change from Baseline in shimmer at 4 weeks and 3 month follow up
|
Change in shimmer over the period of the study, which will be based on analysis of acoustic recordings.
shimmer will be measured in produce the vowel /a/.
Data will be analyzed using Praat, freeware program for the analysis and reconstruction of acoustic speech signals.
|
Change from Baseline in shimmer at 4 weeks and 3 month follow up
|
highest and lowest frequency
Time Frame: Change from highest and lowest frequency at 4 weeks and 3 month follow up
|
Change in highest and lowest frequency over the period of the study, which will be based on analysis of acoustic recordings.
highest and lowest frequency will be measured by asking the subject to produce the vowel /a/ as high and low frequency as they can produces.
Data will be analyzed using Praat, freeware program for the analysis and reconstruction of acoustic speech signals.
|
Change from highest and lowest frequency at 4 weeks and 3 month follow up
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Investigators
- Study Director: Reyhaneh Mohammadi, Iran university of medical science
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
July 17, 2021
Primary Completion (Actual)
January 7, 2022
Study Completion (Actual)
January 30, 2022
Study Registration Dates
First Submitted
June 30, 2021
First Submitted That Met QC Criteria
July 10, 2021
First Posted (Actual)
July 19, 2021
Study Record Updates
Last Update Posted (Actual)
April 4, 2023
Last Update Submitted That Met QC Criteria
March 31, 2023
Last Verified
March 1, 2023
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Pathologic Processes
- Brain Diseases
- Central Nervous System Diseases
- Nervous System Diseases
- Respiratory Tract Diseases
- Neurologic Manifestations
- Neurobehavioral Manifestations
- Otorhinolaryngologic Diseases
- Parkinsonian Disorders
- Basal Ganglia Diseases
- Movement Disorders
- Synucleinopathies
- Neurodegenerative Diseases
- Language Disorders
- Communication Disorders
- Laryngeal Diseases
- Disease
- Parkinson Disease
- Speech Disorders
- Voice Disorders
Other Study ID Numbers
- 1
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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