Objective: To correlate auditory-perceptual assessment and the patient self-perception in speech disorders in Parkison’s Disease and correlate them with clinical data.To correlate auditory-perceptual assessment and the patient self-perception in speech disorders in Parkison’s Disease and correlate them with clinical data.

Background: Dysarthria is common in Parkinson’s disease, however, this speech disorder is still poorly studied. Studying dysarthria in Parkinson’s disease may bring new approaches regard diagnosis and early rehabilitation. Furthermore, speech assessment may also serve as a predictor of the disease progression.

Method: Cross-sectional observational study. Speech samples were acquired from ten patients. Five patients with Deep Brain Stimulation (DBS) and five patients who use only medications. Each participant was instructed to perform sustained phonation of the vowel /a/ per one breath as long and steadily as possible, fast/pa/-/ta/-/ka/syllable repetition and a monologue on a given topic. It was also applied with patients the Radboud Oral Motor Inventory for Parkinson’s Disease (ROMP).

Results: Analyzing the total score of the ROMP protocol and taking into account the diagnosis of each patient, it is clear that patients who have implanted DBS believe much more that they have speech impairment than those who do not have the implant. This is characterized by a high value in the mean ROMP score, taking into account the diagnosis of these patients, who mostly have mild dysarthria. When analyzing the age of patients, it is not possible to distinguish that older patients believe they have greater loss of speech ability.

Conclusion: Our findings indicate that the implant of DBS is closely linked with a negative self-perception of the speech ability. The same can be concluded for those who have longer time of diagnosis, where patie DBS might be closely linked with a negative self-perception of the speech ability. The same can be concluded for those who have longer time of diagnosis, where patients believe that their speech capacity is greatly reduced. It is clear from our data that the duration of the disease is directly related to the patient’s self-perception of speech.  It is clear from our data that the duration of the disease is directly related to the patient’s self-perception of speech. Just as the presence or absense of DBS is directly related to the diagnosis of dysarthria and also with the patient’s self-perception.

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MDS Abstracts - https://www.mdsabstracts.org/abstract/evaluation-of-motor-speech-disorders-in-patients-with-parkinsons-diseases/