Surgical approaches to treatment of Parkinson's disease: Implications for speech function

Murdoch, Bruce E. (2010) Surgical approaches to treatment of Parkinson's disease: Implications for speech function. International Journal of Speech-Language Pathology, 12 5: 375-384. doi:10.3109/17549507.2010.495785


Author Murdoch, Bruce E.
Title Surgical approaches to treatment of Parkinson's disease: Implications for speech function
Journal name International Journal of Speech-Language Pathology   Check publisher's open access policy
ISSN 1754-9507
1754-9515
Publication date 2010-10
Sub-type Article (original research)
DOI 10.3109/17549507.2010.495785
Volume 12
Issue 5
Start page 375
End page 384
Total pages 10
Place of publication London, United Kingdom
Publisher Informa Healthcare
Collection year 2011
Language eng
Abstract Although neurosurgical procedures have been reported to be successful in relieving many of the motor symptoms of Parkinson's disease (PD) (e.g., tremor, rigidity, bradykinesia) in the limb musculature, their effect on speech is much less consistent. This paper will review and evaluate reports in the literature on the effects of various surgical interventions for PD, including thalamotomy, pallidotomy, and DBS, on speech. In particular the paper will focus on the implications of these findings for one's understanding of the neurological control of the speech mechanism. As a foundation, contemporary models of the neuropathophysiology of PD and hypokinetic dysarthria will be outlined and explained. The various neurosurgical treatments for PD will be described and their theoretical underpinning discussed with regard to their proposed effects on subcortical and cortical motor control systems. Evidence suggestive of the need to reconsider contemporary thinking in relation to the neurology of speech and the need to differentiate it from limb neurology will be highlighted. © 2010 The Speech Pathology Association of Australia Limited.
Keyword Parkinson's disease
Speech impairment
Dysarthria
Deep brain-stimulation
References Murdoch, B.E.Email this author Correspondence address Centre for Neurogenic Communication Disorders Research, School of Health and Rehabilitation Sciences, University of Queensland, St Lucia, QLD 4072, Australia
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2011 Collection
School of Health and Rehabilitation Sciences Publications
 
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Created: Sun, 17 Oct 2010, 00:10:26 EST