Efficacy of in-person and telepractice-based extended Lee Silverman Voice Treatment LOUD on dysarthria and dysphagia in adults with cerebral palsy
Objective With advancements in digital health technologies, telepractice has become crucial for providing accessible medical interventions. Cerebral palsy (CP) frequently results in comorbidities including dysarthria and dysphagia, leading to restrictions in activities. This study evaluates the effi...
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2025-01-01
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| Series: | Digital Health |
| Online Access: | https://doi.org/10.1177/20552076251315296 |
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| author | Kyung Min Kim Sang Ah Park Seong Hye Hwang Alyssia Park Hyang Hee Kim Jihye Hwang Sung-Rae Cho |
| author_facet | Kyung Min Kim Sang Ah Park Seong Hye Hwang Alyssia Park Hyang Hee Kim Jihye Hwang Sung-Rae Cho |
| author_sort | Kyung Min Kim |
| collection | DOAJ |
| description | Objective With advancements in digital health technologies, telepractice has become crucial for providing accessible medical interventions. Cerebral palsy (CP) frequently results in comorbidities including dysarthria and dysphagia, leading to restrictions in activities. This study evaluates the efficacy of both in-person and telepractice-based intensive voice therapy in improving speech, swallowing functions, and related quality of life measures in adults with CP. Methods The Lee Silverman Voice Treatment (LSVT) LOUD ® , a speech-behavior therapy, was administered to 16 CP subjects (9 men and 7 women; mean age = 43.4 ± 10.43 years) via in-person extended version of LSVT LOUD ® (LSVT-X), and telepractice program of LSVT-X (LSVT-X e-LOUD ® ). Outcomes, including maximum phonation time (MPT), voice intensity, diadochokinetic rate (DDK), Voice Handicap Index (VHI), swallowing quality of life (SWAL-QOL), and Videofluoroscopic Dysphagia Scale (VDS), were assessed pre- and post-treatment. Results Significant improvements were noted in speech functions: MPT ( p = 0.006), voice intensity ( p = 0.004), DDK /puh/ ( p = 0.043), and DDK/puh-tuh-kuh/ ( p = 0.031). Swallowing function improved significantly in the pharyngeal phase on the VDS. Quality of life measures showed improvement in physical ( p = 0.003), emotional ( p = 0.000), total score of VHI ( p = 0.001), fear ( p = 0.031), sleep ( p = 0.013), fatigue ( p = 0.003), and total score of SWAL-QOL ( p = 0.019). These improvements were consistent in both LSVT-X and LSVT-X e-LOUD ® groups. Conclusions Both in-person and telepractice-based LSVT-X enhance speech, swallowing functions, and quality of life in adults with CP. LSVT-X e-LOUD ® can be utilized as a digital therapeutic intervention for dysphagia and dysarthria, offering accessible and flexible treatment options aligned with digital health advancements. |
| format | Article |
| id | doaj-art-04ebfc4b94a24244bd20fe3a7364bb69 |
| institution | Kabale University |
| issn | 2055-2076 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Digital Health |
| spelling | doaj-art-04ebfc4b94a24244bd20fe3a7364bb692025-01-31T14:08:07ZengSAGE PublishingDigital Health2055-20762025-01-011110.1177/20552076251315296Efficacy of in-person and telepractice-based extended Lee Silverman Voice Treatment LOUD on dysarthria and dysphagia in adults with cerebral palsyKyung Min Kim0Sang Ah Park1Seong Hye Hwang2Alyssia Park3Hyang Hee Kim4Jihye Hwang5Sung-Rae Cho6 Research Institute of Rehabilitation Medicine, , Seoul, Republic of Korea Graduate Program in Speech and Language Pathology, , Seoul, Republic of Korea Graduate Program in Speech and Language Pathology, , Seoul, Republic of Korea Graduate Program in Speech and Language Pathology, , Seoul, Republic of Korea Graduate Program in Speech and Language Pathology, , Seoul, Republic of Korea Graduate Program of Biomedical Engineering, , Seoul, Republic of Korea Brain Research Institute, , Seoul, Republic of KoreaObjective With advancements in digital health technologies, telepractice has become crucial for providing accessible medical interventions. Cerebral palsy (CP) frequently results in comorbidities including dysarthria and dysphagia, leading to restrictions in activities. This study evaluates the efficacy of both in-person and telepractice-based intensive voice therapy in improving speech, swallowing functions, and related quality of life measures in adults with CP. Methods The Lee Silverman Voice Treatment (LSVT) LOUD ® , a speech-behavior therapy, was administered to 16 CP subjects (9 men and 7 women; mean age = 43.4 ± 10.43 years) via in-person extended version of LSVT LOUD ® (LSVT-X), and telepractice program of LSVT-X (LSVT-X e-LOUD ® ). Outcomes, including maximum phonation time (MPT), voice intensity, diadochokinetic rate (DDK), Voice Handicap Index (VHI), swallowing quality of life (SWAL-QOL), and Videofluoroscopic Dysphagia Scale (VDS), were assessed pre- and post-treatment. Results Significant improvements were noted in speech functions: MPT ( p = 0.006), voice intensity ( p = 0.004), DDK /puh/ ( p = 0.043), and DDK/puh-tuh-kuh/ ( p = 0.031). Swallowing function improved significantly in the pharyngeal phase on the VDS. Quality of life measures showed improvement in physical ( p = 0.003), emotional ( p = 0.000), total score of VHI ( p = 0.001), fear ( p = 0.031), sleep ( p = 0.013), fatigue ( p = 0.003), and total score of SWAL-QOL ( p = 0.019). These improvements were consistent in both LSVT-X and LSVT-X e-LOUD ® groups. Conclusions Both in-person and telepractice-based LSVT-X enhance speech, swallowing functions, and quality of life in adults with CP. LSVT-X e-LOUD ® can be utilized as a digital therapeutic intervention for dysphagia and dysarthria, offering accessible and flexible treatment options aligned with digital health advancements.https://doi.org/10.1177/20552076251315296 |
| spellingShingle | Kyung Min Kim Sang Ah Park Seong Hye Hwang Alyssia Park Hyang Hee Kim Jihye Hwang Sung-Rae Cho Efficacy of in-person and telepractice-based extended Lee Silverman Voice Treatment LOUD on dysarthria and dysphagia in adults with cerebral palsy Digital Health |
| title | Efficacy of in-person and telepractice-based extended Lee Silverman Voice Treatment LOUD on dysarthria and dysphagia in adults with cerebral palsy |
| title_full | Efficacy of in-person and telepractice-based extended Lee Silverman Voice Treatment LOUD on dysarthria and dysphagia in adults with cerebral palsy |
| title_fullStr | Efficacy of in-person and telepractice-based extended Lee Silverman Voice Treatment LOUD on dysarthria and dysphagia in adults with cerebral palsy |
| title_full_unstemmed | Efficacy of in-person and telepractice-based extended Lee Silverman Voice Treatment LOUD on dysarthria and dysphagia in adults with cerebral palsy |
| title_short | Efficacy of in-person and telepractice-based extended Lee Silverman Voice Treatment LOUD on dysarthria and dysphagia in adults with cerebral palsy |
| title_sort | efficacy of in person and telepractice based extended lee silverman voice treatment loud on dysarthria and dysphagia in adults with cerebral palsy |
| url | https://doi.org/10.1177/20552076251315296 |
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