scholarly journals LSVT LOUD and LSVT BIG: Behavioral Treatment Programs for Speech and Body Movement in Parkinson Disease

2012 ◽  
Vol 2012 ◽  
pp. 1-12 ◽  
Author(s):  
Cynthia Fox ◽  
Georg Ebersbach ◽  
Lorraine Ramig ◽  
Shimon Sapir
Keyword(s):  
Parkinson Disease ◽  
Motor System ◽  
Behavioral Treatment ◽  
Body Movement ◽  
Mode Of Delivery ◽  
Treatment Programs ◽  
Normal Limits ◽  
Voice Treatment ◽  
Sensory Recalibration ◽  
Speech Motor

Recent advances in neuroscience have suggested that exercise-based behavioral treatments may improve function and possibly slow progression of motor symptoms in individuals with Parkinson disease (PD). The LSVT (Lee Silverman Voice Treatment) Programs for individuals with PD have been developed and researched over the past 20 years beginning with a focus on the speech motor system (LSVT LOUD) and more recently have been extended to address limb motor systems (LSVT BIG). The unique aspects of the LSVT Programs include the combination of (a) an exclusive target on increasing amplitude (loudness in the speech motor system; bigger movements in the limb motor system), (b) a focus on sensory recalibration to help patients recognize that movements with increased amplitude are within normal limits, even if they feel “too loud” or “too big,” and (c) training self-cueing and attention to action to facilitate long-term maintenance of treatment outcomes. In addition, the intensive mode of delivery is consistent with principles that drive activity-dependent neuroplasticity and motor learning. The purpose of this paper is to provide an integrative discussion of the LSVT Programs including the rationale for their fundamentals, a summary of efficacy data, and a discussion of limitations and future directions for research.

scholarly journals O método Lee Silverman para reabilitação da fala na doença de Parkinson

2001 ◽  
Vol 19 (3) ◽  
pp. 551-557
Author(s):  
Alice Estevo Dias ◽  
Hsin Fen Chien ◽  
Egberto Reis Barbosa
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Motor System ◽  
Voice Disorders ◽  
Speech Disorders ◽  
Voice Therapy ◽  
Lee Silverman Voice Treatment ◽  
Voice Treatment ◽  
Speech Motor

As alterações da fala (disfonia e disartria) frequentemente acompanham a evolução da doença de Parkinson (DP). Objetivo. Este estudo revisa o Método Lee Silverman, considerado o mais eficiente para a reabilitação das alterações da fala na DP e atualiza os avanços na sua aplicação. Método. Foi realizada uma pesquisa nas bases de dados MEDLINE, Pubmed e Bireme dos artigos indexados publicados de 1990 a 2010, com as seguintes palavras-chave: Parkinson’s disease, PD, Lee Silverman Voice Treatment, LSVT, LSVT LOUD, LSVT parkinson, voice treatment and PD, voice therapy and PD, communication and PD, dysarthria and PD, dysphonia and PD, speech disorders and PD, voice disorders and PD, hypophonia and PD, speech motor system and PD. Resultados. Na literatura, existe ampla descrição dos resultados de estudos do método Lee Silverman na DP. Os artigos encontrados evidenciam melhora da prosódia, articulação, ressonância, respiração, inteligibilidade, intensidade e qualidade da voz, assim como da deglutição e da expressividade facial. Conclusões. Para a reabilitação da fala dispõe-se de eficientes técnicas fonoaudiológicas. Contudo, conforme a literatura científica, o emprego do Método Lee Silverman é opção vantajosa, pois foi desenvolvido especificamente para a DP. Há inúmeras evidências de sua eficácia e vem sendo continuamente avaliado, ampliando sua aplicabilidade.

Case Formulation and Design of Behavioral Treatment Programs

2003 ◽  
Vol 19 (3) ◽  
pp. 164-174 ◽  
Author(s):  
Stephen N. Haynes ◽  
Andrew E. Williams
Keyword(s):  
Functional Analysis ◽  
Behavior Problems ◽  
Behavioral Treatment ◽  
Clinical Case ◽  
Relative Magnitude ◽  
Mechanisms Of Action ◽  
Treatment Programs ◽  
Case Formulation ◽  
Functional Relations ◽  
Causal Variables

Summary: We review the rationale for behavioral clinical case formulations and emphasize the role of the functional analysis in the design of individualized treatments. Standardized treatments may not be optimally effective for clients who have multiple behavior problems. These problems can affect each other in complex ways and each behavior problem can be influenced by multiple, interacting causal variables. The mechanisms of action of standardized treatments may not always address the most important causal variables for a client's behavior problems. The functional analysis integrates judgments about the client's behavior problems, important causal variables, and functional relations among variables. The functional analysis aids treatment decisions by helping the clinician estimate the relative magnitude of effect of each causal variable on the client's behavior problems, so that the most effective treatments can be selected. The parameters of, and issues associated with, a functional analysis and Functional Analytic Clinical Case Models (FACCM) are illustrated with a clinical case. The task of selecting the best treatment for a client is complicated because treatments differ in their level of specificity and have unequally weighted mechanisms of action. Further, a treatment's mechanism of action is often unknown.

scholarly journals What happens to the motor theory of perception when the motor system is damaged?

2013 ◽  
Vol 5 (2-3) ◽  
pp. 225-238 ◽  
Author(s):  
Alena Stasenko ◽  
Frank E. Garcea ◽  
Bradford Z. Mahon
Keyword(s):  
Speech Perception ◽  
Action Recognition ◽  
Motor System ◽  
Motor Impairments ◽  
Motor Theory ◽  
Input And Output ◽  
Motor Information ◽  
Neuropsychological Evidence ◽  
Motor Representations ◽  
Speech Motor

AbstractMotor theories of perception posit that motor information is necessary for successful recognition of actions. Perhaps the most well known of this class of proposals is the motor theory of speech perception, which argues that speech recognition is fundamentally a process of identifying the articulatory gestures (i.e. motor representations) that were used to produce the speech signal. Here we review neuropsychological evidence from patients with damage to the motor system, in the context of motor theories of perception applied to both manual actions and speech. Motor theories of perception predict that patients with motor impairments will have impairments for action recognition. Contrary to that prediction, the available neuropsychological evidence indicates that recognition can be spared despite profound impairments to production. These data falsify strong forms of the motor theory of perception, and frame new questions about the dynamical interactions that govern how information is exchanged between input and output systems.

Prison-based sex offender treatment programs in the post sexual psychopath era

1995 ◽  
Vol 23 (4) ◽  
pp. 555-581 ◽  
Author(s):  
Patricia M. Harris
Keyword(s):  
Sex Offenders ◽  
Behavioral Treatment ◽  
Sex Offender ◽  
Treatment Programs ◽  
Offender Treatment ◽  
Sex Offender Treatment ◽  
Social Scientists ◽  
Treatment Methods ◽  
State Prisons ◽  
New Generation

Throughout the 1980s sex offender treatment programs proliferated in state prisons in the wake of repealed sexual psychopath legislation, driven by much favorable publicity over novel cognitive and behavioral treatment methods. This article examines the scope and likely impact of the new generation of sex offender treatment programs and concludes that heightened optimism may be premature. The new programs embody the same defects that the repeal of psychopath legislation was intended to correct. The enterprise of sex offender treatment would benefit from participation of social scientists outside of the treatment field in research on sex offenders.

scholarly journals A translational approach to vocalization deficits and neural recovery after behavioral treatment in Parkinson disease

2010 ◽  
Vol 43 (4) ◽  
pp. 319-326 ◽  
Author(s):  
Michelle R. Ciucci ◽  
Lisa Vinney ◽  
Emerald J. Wahoske ◽  
Nadine P. Connor
Keyword(s):  
Parkinson Disease ◽  
Behavioral Treatment ◽  
Translational Approach

Efficacy of two behavioral treatment programs for comorbid geriatric insomnia.

2002 ◽  
Vol 17 (2) ◽  
pp. 288-298 ◽  
Author(s):  
Bruce Rybarczyk ◽  
Martita Lopez ◽  
Rodney Benson ◽  
Christopher Alsten ◽  
Edward Stepanski
Keyword(s):  
Behavioral Treatment ◽  
Treatment Programs

scholarly journals Articulatory variability of clutterers

2005 ◽  
Vol 42 ◽  
pp. 167-180
Author(s):  
Mariam Hartinger ◽  
Christine Mooshammer
Keyword(s):  
Temporal Variability ◽  
Motor System ◽  
Native Speakers ◽  
Syllable Structure ◽  
Spatial And Temporal Variability ◽  
Syllable Repetition ◽  
The Stability ◽  
Task Variability ◽  
Speech Motor ◽  
Repetition Task

In order to investigate the articulatory processes of the hasty and mumbled speech of clutterers, the kinematic variability was analysed by means of electromagnetic midsagittal articulography (EMMA). In contrast to stutterers, clutterers improve their intelligibility by concentrating on their speech task. Variability is an important criterion in comparable studies of stuttering and is discussed in terms of the stability of the speech motor system. The aim of the current study was to analyse the spatial and temporal variability in the speech of three clutterers and three control speakers. All speakers were native speakers of German. The speech material consisted of repetitive CV-syllables and foreign words, because clutterers have the most severe problems with long words which have a complex syllable structure. The results showed a higher quotient of variation for clutterers in the foreign word production. For the syllable repetition task, no significant differences between clutterers and controls were found. The extremely large and variable displacements were interpreted as a strategy that helps clutterers to improve the intelligibility of their speech.  

scholarly journals Modeling the Role of Sensory Feedback in Speech Motor Control and Learning

2019 ◽  
Vol 62 (8S) ◽  
pp. 2963-2985 ◽  
Author(s):  
Benjamin Parrell ◽  
John Houde
Keyword(s):  
Motor Control ◽  
Motor System ◽  
Sensory Feedback ◽  
Computational Models ◽  
State Feedback Control ◽  
Speech Motor Control ◽  
Control Feedback ◽  
Motor Production ◽  
Speech Motor

Purpose While the speech motor system is sensitive to feedback perturbations, sensory feedback does not seem to be critical to speech motor production. How the speech motor system is able to be so flexible in its use of sensory feedback remains an open question. Method We draw on evidence from a variety of disciplines to summarize current understanding of the sensory systems' role in speech motor control, including both online control and motor learning. We focus particularly on computational models of speech motor control that incorporate sensory feedback, as these models provide clear encapsulations of different theories of sensory systems' function in speech production. These computational models include the well-established directions into velocities of articulators model and computational models that we have been developing in our labs based on the domain-general theory of state feedback control (feedback aware control of tasks in speech model). Results After establishing the architecture of the models, we show that both the directions into velocities of articulators and state feedback control/feedback aware control of tasks models can replicate key behaviors related to sensory feedback in the speech motor system. Although the models agree on many points, the underlying architecture of the 2 models differs in a few key ways, leading to different predictions in certain areas. We cover key disagreements between the models to show the limits of our current understanding and point toward areas where future experimental studies can resolve these questions. Conclusions Understanding the role of sensory information in the speech motor system is critical to understanding speech motor production and sensorimotor learning in healthy speakers as well as in disordered populations. Computational models, with their concrete implementations and testable predictions, are an important tool to understand this process. Comparison of different models can highlight areas of agreement and disagreement in the field and point toward future experiments to resolve important outstanding questions about the speech motor control system.

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