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81
Avaliação das habilidades de praxia não verbal e verbal em pacientes com diagnóstico de Doença de Parkinson
Presotto, Monia. - 2014
Abstract: Introdução: A articulação da fala é um dos aspectos fonoaudiológicos mais comprometidos na doença de Parkinson (DP). Pacientes com DP apresentam risco de manifestar apraxia não verbal e verbal. A apraxia não verbal ocorre quando há um déficit na habilidade de sequencialização dos movimentos voluntários não verbais da língua, lábios, mandíbula e outras estruturas orofaciais associadas, e a apraxia verbal é definida como um déficit na habilidade de sequencializar os controles motores necessários para o posicionamento correto dos articuladores durante a produção voluntária da fala. A prevalência com que apraxia da fala ocorre na DP não está bem estabelecida, sendo um distúrbio pouco explorado nesses pacientes. É um estudo inédito, até onde temos conhecimento, quanto à identificação dos erros práxicos verbais na DP. Objetivo: avaliar a prevalência da praxia não verbal e verbal em pacientes com doença de Parkinson, correlacionandoas com idade, escolaridade, tempo de doença e estadiamento da DP (Hoehn e Yahr), assim como correlacionar a apraxia não verbal com a apraxia verbal e identificar os erros práxicos verbais. Método: Estudo quantitativo, observacional, descritivo e de prevalência. Foram avaliados 45 pacientes acometidos pela DP, que realizaram seguimento clínico no ambulatório de Distúrbios do Movimento do Hospital de Clínicas de Porto Alegre, Brasil, através da aplicação do Protocolo de Avaliação da Apraxia da Fala, e o estadiamento da DP foi controlado através da escala de Hoehn e Yahr (H&Y). Resultados: A prevalência de apraxia não verbal e verbal nos pacientes com DP foi de 24,4%. Não houve significância entre apraxia não verbal com idade, escolaridade, tempo de doença, estadiamento da DP (H&Y) e gênero. A correlação entre apraxia verbal e escolaridade foi significante (p≤0,05), mas não houve significância com idade, tempo de doença, estadiamento da DP (H&Y) e gênero. Os tipos de erros práxicos verbais mais frequentes foram as omissões (70,8%). Quanto ao ponto e modo articulatório os fonemas mais alterados foram os dentoalveolares (92%) e os vibrantes (57,7%), consecutivamente. Conclusão: Os pacientes com DP apresentaram apraxia não verbal e verbal com manifestação de muitos erros práxicos verbais, estando a apraxia verbal correlacionada com a escolaridade. ; Introduction: The speech articulation is one of the aspects most impaired in Parkinson's disease (PD). Patients PD present risk of expressing nonverbal and verbal apraxia. The nonverbal apraxia occurs when there is a deficit in the sequencing ability of nonverbal voluntary movements of the tongue, lips, jaw and other associated orofacial structures, while the verbal apraxia is defined as a deficit in the ability of sequencing the necessary motor controls in order to place the articulators correctly during the voluntary speech production. The predominance with which apraxia of speech occurs in PD is not well established and rarely explored in these patients. As far as we know, it is an unprecedented study regarding the identification of verbal praxic errors in PD. Objective: To assess the prevalence of nonverbal and verbal apraxia in patients with Parkinson's disease, correlating them with age, education, duration of disease and PD stage (Hoehn e Yahr), as well as to correlate nonverbal with verbal apraxia and identify the verbal praxic errors. Method: Quantitative, observational, descriptive and prevalence study. Forty-five patients with PD were evaluated. They were submitted to the clinical follow-up in the Movement Disorders Clinic of the Cinical Hospital of Porto Alegre, Brazil, through the application of the Speech Apraxia Assessment Protocol. Additionally, the PD stage was controlled through the Hoehn and Yahr scale (H&Y). Results: The prevalence of nonverbal and verbal apraxia in patients with PD was 24.4%. There was no significance between the nonverbal apraxia with age, education, duration of disease, PD stage (H&Y), and genre. The correlation between verbal apraxia and education was significant (p ≤ 0.05), but there was no significance with age, duration of disease, PD stage (H&Y) and genre. Omissions were the most frequent kinds of verbal praxic errors with (70.8 percent). Regarding the place and mode of articulation, the most changed phonemes were the dentoalveolar (92%)and the vibrants (57.7%), consecutively. Conclusion: Patients with PD presented nonverbal and verbal apraxia with manifestation of many verbal praxic errors and verbal apraxia correlated with education levels.
Keyword: Apraxia of speech; Apraxias; Articulações; Buccofacial apraxia; Doença de Parkinson; Orofacial apraxia; Parkinson's disease; Speech disorder; Verbal apraxia; Verbal dyspraxia
URL: http://hdl.handle.net/10183/114990
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82
Avaliação das habilidades de praxia não verbal e verbal em pacientes com diagnóstico de Doença de Parkinson
Presotto, Monia. - 2014
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83
Um estudo comparativo do funcionamento das pausas na atividade verbal de sujeitos parkinsonianos
Oliveira, Elaine Cristina de. - : Universidade Estadual Paulista (UNESP), 2014
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84
Verb Use in Parkinson's Disease
In: Electronic Thesis and Dissertation Repository (2014)
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85
Effect of Speaking Task on Intelligibility and Naturalness in Speakers with Parkinson's Disease and Cerebellar Disease
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86
Advances in Nonlinear Speech Processing : 6th International Conference, NOLISP 2013, Mons, Belgium, June 19-21, 2013, Proceedings
Drugman, Thomas; Dutoit, Thierry. - Berlin, Heidelberg : Springer Berlin Heidelberg, 2013
UB Frankfurt Linguistik
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87
Grammatical deficits in bilingual Azari-Farsi patients with Parkinson's disease
In: Journal of neurolinguistics. - Orlando, Fla. : Elsevier 26 (2013) 1, 22-30
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88
Advances in nonlinear speech processing : 6th international conference ; proceedings
Solé-Casals, Jordi; Carson-Berndsen, Julie; Daoudi, Khalid. - Heidelberg [u.a.] : Springer, 2013
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UB Frankfurt Linguistik
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89
Social Aspects of Communication in Parkinson's Disease
Brown, Adam. - : De Montfort University, 2013. : Faculty of Health and Life Sciences, 2013
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90
Measuring mild cognitive impairment in patients with Parkinson's disease
Marras, Connie; Armstrong, Melissa J.; Meaney, Christopher A.. - : Wiley Periodicals, Inc., 2013. : The Psychological Corporation, 2013
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91
Cumulative exposure to lead and cognition in persons with Parkinson's disease
Weuve, Jennifer; Press, Daniel Z.; Grodstein, Francine. - : Public Health Service, U.S. Department of Health and Human Services, 2013. : Wiley Periodicals, Inc., 2013
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92
'The mind is its own place': amelioration of claustrophobia in a patient with semantic dementia.
In: J Neurol Neurosurg Psychiatry , 84 (11) e2 - ?. (2013) (2013)
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93
Afasias primarias progresivas. Caracterización clínica y marcadores biológicos
Gil Navarro, Silvia. - : Universitat de Barcelona, 2013
In: TDX (Tesis Doctorals en Xarxa) (2013)
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94
Evaluation of principles of motor learning in speech and non-speech-motor learning tasks
Kaipa, Ramesh. - : University of Canterbury. Communication Disorders, 2013
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95
Afasias primarias progresivas. Caracterización clínica y marcadores biológicos
Gil Navarro, Silvia. - : Universitat de Barcelona, 2013
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96
Prosodische Störungen bei Morbus Parkinson
Ritter, Verena. - 2013
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97
A Comparison of Speech Amplification Devices for Individuals with Parkinson's Disease and Hypophonia
In: Electronic Thesis and Dissertation Repository (2013)
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98
Effect of Concurrent Walking and Interlocutor Distance on Conversational Speech Intensity and Rate in Parkinson's Disease
In: Electronic Thesis and Dissertation Repository (2013)
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99
Primary progressive dynamic aphasia and Parkinsonism: generation, selection and sequencing deficits
Robinson, Gail. - : Pergamon, 2013
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100
Measures to evaluate the effects of DBS on speech production
In: Journal of neurolinguistics. - Orlando, Fla. : Elsevier 25 (2012) 2, 74-94
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OLC Linguistik
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