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Year: 2013  Vol. 17   Num. Suppl. 1  - Print:
SPEECH AND HEARING THERAPY IN A PATIENT WITH PARKINSON'S DISEASE: A CASE REPORT
Author(s):
Letcia Kurtz, Isadora de Oliveira Lemos, Jade Zaccarias Bello, Maria Cristina de Almeida Freitas Cardoso
Abstract:

OBJECTIVE: To report speech and hearing therapy intervention in a patient with Parkinson's disease (PD). CASE REPORT: This report describes MS, a 60-year-old man, who was diagnosed with PD 8 years ago, and who is currently receiving assistance by a speech and hearing ambulatory of Porto Alegre. The patient attended 11 sessions, 1 of which was exclusively dedicated to evaluating the patient with Dysarthria's Protocol (DP). The use of DP revealed voice and breathing alterations, characteristics that are compatible with Hypokinetic Dysarthria (HD) and are very common in PD. The AFDN Protocol showed normal swallowing. The patient performed breathing and voice exercises during 9 therapy sessions. The final session, which was dedicated to re-evaluating the patient, revealed that the patient's swallowing continued to be normal according to the AFDN. During re-evaluation with DP, the patient showed less breathing alterations and an improvement in voice quality. Further, the patient showed difficulties in performing the exercises during 4 of the sessions because of the incorrect use of his medication; thus, the patient required a medical intervention in which he was instructed on the correct use of his medicine. CONCLUSION: Speech and hearing exercise therapy, which has a key role in the treatment of patients with degenerative diseases, was important for decreasing breathing and voice alterations. However, the results of speech therapy in patients with PD may vary according to the administration of medication, and the correct usage of medication improves the symptoms associated with PD and assists the work of the speech and hearing therapist.

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