Journal of Speech, Language, and Hearing Research Vol.53 1167-1177 October 2010. doi:10.1044/1092-4388(2010/09-0154)
© American Speech-Language-Hearing Association

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Articles

Voice and Fluency Changes as a Function of Speech Task and Deep Brain Stimulation

Diana Van Lancker Sidtis
Tiffany Rogers

The Nathan Kline Institute for Psychiatric Research, Orangeburg, NY, and New York University, New York, NY

Violette Godier
The Nathan Kline Institute for Psychiatric Research

Michele Tagliati
Mount Sinai School of Medicine, New York, NY

John J. Sidtis
The Nathan Kline Institute for Psychiatric Research and New York University School of Medicine

Contact author: Diana Van Lancker Sidtis, Department of Communicative Science and Disorders, New York University, 665 Broadway, Room 936, New York, NY 10012. E-mail: diana.sidtis{at}nyu.edu.

Purpose: Speaking, which naturally occurs in different modes or "tasks" such as conversation and repetition, relies on intact basal ganglia nuclei. Recent studies suggest that voice and fluency parameters are differentially affected by speech task. In this study, the authors examine the effects of subcortical functionality on voice and fluency, comparing measures obtained from spontaneous and matched repeated speech samples.

Method: Subjects with Parkinson's disease who were being treated with bilateral deep brain stimulation (DBS) of the subthalamic nuclei were tested with stimulators ON and OFF.

Results: The study found that a voice measure, harmonic to noise ratio, is improved in repetition and in the DBS-ON condition and that dysfluencies are more plentiful in conversation with little or variable influence of DBS condition.

Conclusions: These findings suggest that voice and fluency are differentially affected by DBS treatment and that task conditions, interacting with subcortical functionality, influence motor speech performance.

KEY WORDS: motor speech disorders, deep brain stimulation, speech tasks, voice, Parkinson's disease


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