Evidence map›Paper›PMID 19639554›Full record

ArticleHuman brain mapping2010

Neural correlates of efficacy of voice therapy in Parkinson's disease identified by performance-correlation analysis.

Shalini Narayana, Peter T Fox, Wei Zhang, Crystal Franklin, Donald A Robin, Deanie Vogel, Lorraine O Ramig

Open access · greenAbstract read
In one paragraph

Article in Human brain mapping, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
4.2field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 107 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Speech treatment in Parkinson's disease: Randomized controlled trial (RCT).Movement disorders : official journal of the Movement Disorder Society · 2018
    Trial
  4. Trial
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  6. Review
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  15. Neurobehavioral Effects of LSVTFrontiers in neuroscience · 2021
    Article
  16. Article
  17. Article
  18. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Shalini NarayanaDepartment of Radiology, Research Imaging Center, University of Texas Health Science Center at San Antonio, Texas 78229, USA. narayana@uthscsa.edu
Peter T Fox
Wei Zhang
Crystal Franklin
Donald A Robin
Deanie Vogel
Lorraine O Ramig
The University of Texas Health Science Center at San Antonio · USOur Lady of the Lake University · USUniversity of Colorado System · US

Funding

Meta-anaylsis in human brain mappingR01MH074457 · NIMH · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI FOX, PETER THORNTON · 2006 to 2024
$10.5M
EFFICACY OF VOICE TREATMENT FOR PARKINSONS DISEASER01DC001150 · NIDCD · UNIVERSITY OF COLORADO AT BOULDER · PI RAMIG, LORRAINE O. · 1990 to 2011
$5.8M
IMAGING AND MODELING THERAPEUTIC MECHANISMS OF ACTIONR21NS043738 · NINDS · UNIVERSITY OF TEXAS HLTH SCI CTR SAN ANT · PI FOX, PETER THORNTON · 2002 to 2003
$351k
NIDCD NIH HHS R01 DC001150NIMH NIH HHS R01 MH074457NINDS NIH HHS R21 NS043738NINDS NIH HHS R21-NS43738PHS HHS R01-NIDCD 01150
6 · The paper itself

Abstract

LSVT LOUD (Lee Silverman Voice Treatment) is efficacious in the treatment of speech disorders in idiopathic Parkinson's disease (IPD), particularly hypophonia. Functional imaging in patients with IPD has shown abnormalities in several speech regions and changes in these areas immediately following treatment. This study serves to extend the analysis by correlating changes of regional neural activity with the main behavioral change following treatment, namely, increased vocal intensity. Ten IPD participants with hypophonia were studied before and after LSVT LOUD. Cerebral blood flow during rest and reading conditions were measured by H(2)(15)O-positron emission tomography. Z-score images were generated by contrasting reading with rest conditions for pre- and post-LSVT LOUD sessions. Neuronal activity during reading in the pre- versus post-LSVT LOUD contrast was correlated with corresponding change in vocal intensity to generate correlation images. Behaviorally, vocal intensity for speech tasks increased significantly after LSVT LOUD. The contrast and correlation analyses indicate a treatment-dependent shift to the right hemisphere with modification in the speech motor regions as well as in prefrontal and temporal areas. We interpret the modification of activity in these regions to be a top-down effect of LSVT LOUD. The absence of an effect of LSVT LOUD on the basal ganglion supports this argument. Our findings indicate that the therapeutic effect of LSVT LOUD in IPD hypophonia results from a shift in cortical activity to the right hemisphere. These findings demonstrate that the short-term changes in the speech motor and multimodal integration areas can occur in a top-down manner.

Indexed as

Voice TrainingAdultAgedAged, 80 and overBrainBrain MappingCerebrovascular CirculationFemaleHumansMaleMiddle AgedOxygen RadioisotopesParkinson DiseasePositron-Emission TomographyReadingRestOxygen RadioisotopesWater

Identifiers

PMID19639554
PMCPMC2811230
OpenAlexW2145028963

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.