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Yi Jin Jing Tiger Roaring Speech Rehabilitation With Real-Time Feedback Technique for PD

22 augusti 2020 uppdaterad av: Bomin Sun, Ruijin Hospital

Yi Jin Jing Tiger Roaring Speech Rehabilitation With Real-Time Feedback Technique for Treatment of Speech Disorders in Parkinson's Disease: A Perspective Cohort Study

Speech disorders affect more than 90% of patients with Parkinson's disease (PD). Neither of conventional drugs nor surgery can effectively improve speech function. Western speech rehabilitation is effective for speech disorders, but the domestic use of those methods used is limited. Our preliminary results revealed that traditional Chinese Yi jin jing tiger roaring speech rehabilitation is effectively in the treatment of speech disorders in PD, however, high-quality clinical evidence is still scarce. In order to solve this problem, we will conduct a prospective cohort study to explore the effects of Yi Jin Jing tiger roaring speech rehabilitation with real-time feedback technique on speech disorders in PD patients. This study will help to establish a set of Chinese Medicine treatment and objective evaluation methods for PD speech disorders.

Studieöversikt

Status

Har inte rekryterat ännu

Betingelser

Intervention / Behandling

Studietyp

Interventionell

Inskrivning (Förväntat)

20

Fas

  • Inte tillämpbar

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studiekontakt

Studieorter

  • Kina
    • Shanghai
      • Shanghai, Shanghai, Kina, 200025
        • Functional neurosurgery of Shanghai Jiaotong University affiliated Ruijin Hospital

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

45 år till 75 år (Vuxen, Äldre vuxen)

Tar emot friska volontärer

Nej

Kön som är behöriga för studier

Allt

Beskrivning

Inclusion Criteria:

  • Patients with idiopathic Parkinson's disease
  • Native language is Chinese
  • VHI-10 score more than 10
  • informed consent

Exclusion Criteria:

  • Previous or concurrent medical history affecting swallowing function (laryngeal diseases such as vocal nodules, gastroesophageal reflux, and laryngeal cancer).
  • History of serious psychosis
  • Diagnosed by the investigators that patients with severe cardiac, liver and kidney diseases, or other serious health conditions
  • Dementia (A Mini-Mental State Examination (MMSE) score of < 24), inability to comprehend the experimental protocol or voluntarily provide informed consent
  • Lack of cooperation
  • Additional reasons for exclusion at the discretion of the clinical investigator

Studieplan

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

  • Primärt syfte: Behandling
  • Tilldelning: Icke-randomiserad
  • Interventionsmodell: Parallellt uppdrag
  • Maskning: Enda

Vapen och interventioner

Deltagargrupp / Arm
Intervention / Behandling
Experimentell: Yi Jin Jing Tiger Roaring Speech Rehabilitation
Yi Jin Jing tiger roaring speech rehabilitation with real-time feedback technique Duration: Each time requires an hour of training; Frequency: three times a week, 4 weeks in total.
Beteende: Yi Jin Jing Tiger Roaring Speech Rehabilitation
A traditional Chinese medicine treatment
Experimentell: Conventional Speech Rehabilitation

Patients will receive speech rehabilitation recommended by The Parkinson's Foundation.

Duration: Each time requires an hour of training; Frequency: three times a week, 4 weeks in total.
Beteende: Conventional Speech Rehabilitation
A active speech rehabilitation method recommended by the Parkinson's Foundation of America

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Differences in Voice Handicap Index (VHI) between treatment conditions in the on- and off- medication states
Tidsram: Baseline, 1 week, 2 weeks, 3 weeks, 4 weeks
The Voice Handicap Index is a self-administered instrument, comprising 30 items on voice-related dysfunction. VHI has a range of 0 (normal voice function) to 120 (severe voice dysfunction).
Baseline, 1 week, 2 weeks, 3 weeks, 4 weeks

Sekundära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Differences in voice parameters between treatment conditions in the on- and off- medication states
Tidsram: Baseline, 1 week, 2 weeks, 3 weeks, 4 weeks
Voice recording at a sampling rate of 44.1 kHz using 16-bit quantification will be conducted in a sound-treated room using a microphone and a digital voice recorder with a mouth-to-microphone distance of 15 cm. The recorded voices will then be used for a composit acoustic analysis.
Baseline, 1 week, 2 weeks, 3 weeks, 4 weeks
Differences in Swallowing Disturbance Questionnaire (SDQ) scores between treatment conditions in the on- and off- medication states.
Tidsram: Baseline, 1 week, 2 weeks, 3 weeks, 4 weeks
Differences in Swallowing Disturbance Questionnaire (SDQ) scores between treatment conditions in the on- and off- medication states.
Baseline, 1 week, 2 weeks, 3 weeks, 4 weeks
Differences in Burg Balance Scale (BBS) scores between two treatment conditions in the on- and off- medication states.
Tidsram: Baseline, 1 week, 2 weeks, 3 weeks, 4 weeks
Burg Balance Scale measures patients' static and dynamic balance abilities. BBS score has a range of 0 (severe balance problems) to 56 (no balance problems).
Baseline, 1 week, 2 weeks, 3 weeks, 4 weeks
Differences in Water Swallow Test (WST) scores between treatment conditions in the on- and off- medication states.
Tidsram: Baseline, 1 week, 2 weeks, 3 weeks, 4 weeks
The Water Swallow Test is frequently used in clinical practice as a functional assessment to detect dysphagia, with stage 1 indicating severe dysphagia and stage 6 indicating normal swallowing function.
Baseline, 1 week, 2 weeks, 3 weeks, 4 weeks
Differences in Beck Depression Inventory (BDI) scores between Treatment conditions.
Tidsram: Baseline, 4 weeks
Beck Depression Inventory is a self-administered Instrument, contains 21 self-report items. The items are scored as 0, 1, 2, or 3. The score range is 0 (no depression) to 63 (severe depression).
Baseline, 4 weeks
Differences in Beck Anxiety Inventory (BAI) scores between treatment conditions.
Tidsram: Baseline, 4 weeks
The BAI is a rating scale used to evaluate the severity of anxiety symptoms. It contains 21 self-report items. The items are scored as 0, 1, 2, or 3. The score range is 0-63. A total score of 0-7 is considered minimal range, 8-15 is mild, 16-25 is moderate, and 26-63 is severe.
Baseline, 4 weeks
Differences in 8-item Parkinson's Disease Questionnaire (PDQ-8) scores between treatment conditions.
Tidsram: Baseline, 4 weeks
8-item Parkinson's Disease Questionnaire is a 8-item health-related quality of life instrument for subjects with Parkinson's Disease, which has a score range of 0 (good life quality) to 32 (very bad life quality).
Baseline, 4 weeks

Samarbetspartners och utredare

Det är här du hittar personer och organisationer som är involverade i denna studie.

Sponsor

Ruijin Hospital

Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart (Förväntat)

1 oktober 2020

Primärt slutförande (Förväntat)

31 december 2022

Avslutad studie (Förväntat)

30 september 2023

Studieregistreringsdatum

Först inskickad

22 augusti 2020

Först inskickad som uppfyllde QC-kriterierna

22 augusti 2020

Första postat (Faktisk)

27 augusti 2020

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

27 augusti 2020

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

22 augusti 2020

Senast verifierad

1 augusti 2020

Mer information

Termer relaterade till denna studie

Ytterligare relevanta MeSH-villkor

Andra studie-ID-nummer

  • TRS study

Plan för individuella deltagardata (IPD)

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NEJ

Läkemedels- och apparatinformation, studiedokument

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