Parkinson's Disease
Service Delivery

Setting

(e.g. inpatient, day treatment, home, telerehabilitation)

External Scientific Evidence

Evidence-Based Practice Guidelines

No evidence-based practice guidelines were found.

 

 

 

Evidence-Based Systematic Reviews

Comparison of Speech and Language Therapy Techniques for Speech Problems in Parkinson's Disease Herd, C. P., Tomlinson, C. L., et al. (2012). Cochrane Database of Systematic Reviews (2). Added: March 2012

 

Description
This is a review of randomized controlled trials comparing the efficacy of speech and language treatments in individuals with Parkinson's disease (PD).

 

Conclusions

While limited by the number of studies and participants, preliminary findings from two studies support the "non-inferiority of online delivery of LSVT compared to traditional face-to-face delivery" (p. 12). Further research is warranted.

 

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Does Attendance at a Multidisciplinary Outpatient Rehabilitation Program for People with Parkinson's Disease Produce Quantitative Short Term or Long Term Improvements? A Systematic Review Johnston, M., & Chu, E. (2010). NeuroRehabilitation, 26(4), 375-383. Added: July 2011

 

Description

This is a review of the evidence examining the short-term and long-term outcomes of individuals with Parkinson’s disease who receive treatment in an outpatient multidisciplinary rehabilitation program, including speech-language pathology treatment.

 

Conclusions

• The review yielded only four studies, two of which included speech language pathology as part of multidisciplinary treatment.
• The authors conclude that there is limited evidence from high quality studies to determine the short-term and long-term effects of multidisciplinary outpatient treatment. Further research is needed to determine the effectiveness of different models of treatment for individuals with Parkinson’s disease.

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Assessing Disordered Speech and Voice in Parkinson's Disease: A Telerehabilitation Application Constantinescu, G., Theodoros, D., et al. (2010). International Journal of Language & Communication Disorders, 45(6), 630-644. Added: March 2012

 

Description

This randomized controlled trial investigates the assessment of speech and voice disorders in individuals with Parkinson's disease in an online and face-to-face environment. Sixty-one participants with hypokinetic dysarthria were evaluated simultaneously in online and face-to-face formats. In addition to reporting level of agreement between environments, patient satisfaction was reported. 

 

Conclusions

Overall, participants were satisfied with telehealth service delivery. Thirty participants completed a participant satisfaction questionnaire, the majority of whom indicated they were comfortable with online session (57%) or very happy with the session (37%). Participants rated audio quality as adequate (30%) or excellent (40%) and video quality as adequate (33%) or more than adequate (30%). 

 

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Telepractice Supported Delivery of LSVT®LOUD Theodoros, D., & Ramig, L. (2011). Perspectives on Neurophysiology & Neurogenic Speech & Language Disorders, 21(3), 107-119. Added: March 2012

 

Description

This article summarizes literature on the delivery of Lee Silverman Voice Treatment (LSVT) to individuals with Parkinson's disease in online format. Overall satisfaction with management of speech disorders with telehealth services is discussed. 

 

Conclusions

The authors found high patient satisfaction with online delivery of LSVT LOUD across studies. Individuals reported a high degree of satisfaction with mode of delivery and savings in travel time. Participants also indicated use of this service delivery mode in the future. 

 

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Treating Disordered Speech and Voice in Parkinson's Disease Online: A Randomized Controlled Non-Inferiority Trial Constantinescu, G., Theodoros, D., et al. (2011). International Journal of Language & Communication Disorders, 46(1), 1-16.   Added: March 2012

 

Description

This randomized controlled trial investigated the delivery of Lee Silverman Voice Treatment (LSVT) in face-to-face and online formats to individuals with Parkinson's disease. The article summarizes the experiences of individuals with mild to moderate dysarthria regarding their access to and satisfaction with LSVT delivered online and compares speech outcomes to those delivered in face-to-face environment. 

 

Conclusions

Participant satisfaction with the online delivery of LSVT was comparable to face-to-face delivery of treatment. Overall, individuals with Parkinson's disease were satisfied or very satisfied with online treatment. The majority indicated that they were equally comfortable and happy with telerehabilitation services (47%) and rated audio quality as adequate (41%) or more than adequate (35%). Greater variability was reported for satisfaction with video quality. 

 

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Home-Based Speech Treatment for Parkinson’s Disease Delivered Remotely: A Case Report    Constantinescu, G., Theodoros, D., et al. (2010).   Journal of Telemedicine and Telecare, 16(2), 100-104. Added: July 2011

Description

This case study investigated the feasibility of delivering Lee Silverman Voice Treatment remotely to an individual with Parkinson’s disease.

 

Conclusions

The authors concluded that the patient demonstrated treatment gains in a number of perceptual measures of voice. The patient indicated high levels of satisfaction for treatment and indicated that “he would prefer online sessions to face-to-face for future management of his condition” (p. 102).

 

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Evaluating the Feasibility and the Potential Efficacy of E-Learning-Based Speech Therapy (EST) as a Web Application for Speech Training in Dysarthric Speakers with Parkinson’s Disease: A Case Study   Beijer, L. J., Rietveld, T. C. M., et al. (2010).     Telemedicine and e-Health, 16, 732-738.  Added: July 2011

 

Description

This study investigated the feasibility and satisfaction of delivering e-learning-based speech therapy (EST) remotely to an individual with Parkinson’s disease. Performance was compared to no treatment. 

 

Conclusions

After receiving 4 weeks of a web-based speech program which included components of pitch limiting voice treatment, the participant completed a questionnaire addressing satisfaction with telehealth service delivery. The author reported satisfaction with ease of use and ability to independently complete speech training in home environment. However, contact with speech-language pathologist was preferred. 

 

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Treating the Speech Disorder in Parkinson’s Disease Online    Theodoros, D. G., Constantinescu G., et al. (2006).     Journal of Telemedicine and Telecare, 12(S3), 88-91.  Added: July 2011

 

Description

This article investigated the delivery and satisfaction of individuals with Parkinson’s disease who received the Lee Silverman Voice Treatment via an internet-based telerehabilitation application (eRehab). 

 

Conclusions

• Patient experiences with web-based service delivery was determined through the completion of a satisfaction questionnaire. The authors indicated that "70% of participants were more than satisfied overall with the online treatment" (p. 90).
• The majority of participants were also satisfied with the audio and visual quality of the treatment.

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