Evidence map›Paper›PMID 21724193›Full record

Trial reportJournal of communication disorders

Intensive voice treatment (LSVT®LOUD) for Parkinson's disease following deep brain stimulation of the subthalamic nucleus.

Jennifer Spielman, Leslie Mahler, Angela Halpern, Phllip Gilley, Olga Klepitskaya, Lorraine Ramig

Open access · bronzeAbstract readClinical Trial
In one paragraph

Trial report in Journal of communication disorders. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 14% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 55 citations in OpenAlex.

  1. Pooled it
  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. Development, validity, and reliability of the Parkinson's voice and speech handicap index (PaVSHI).Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Article
  5. Clinical predictors of speech changes after subthalamic neurostimulation in Parkinson's disease.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Videos Influence Behavior Change Measures for Voice and Speech in Individuals with Parkinson's Disease.Proceedings Wireless Health ... [electronic resource]. Wireless Health (Conference) · 2015
    Article
  14. Article
  15. Article
  16. Article
  17. Review
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

6 authors at 4 institutions in 1 country.

Jennifer SpielmanNational Center for Voice and Speech-Denver, An Affiliate of the University of Colorado, Boulder, Denver, CO 80204, USA. jennifer.spielman@colorado.edu
Leslie Mahler
Angela Halpern
Phllip Gilley
Olga Klepitskaya
Lorraine Ramig
University of Colorado Boulder · USDenver Center for the Performing Arts · USDenver Health Medical Center · USUniversity of Rhode Island · US

Funding

EFFICACY OF VOICE TREATMENT FOR PARKINSONS DISEASER01DC001150 · NIDCD · UNIVERSITY OF COLORADO AT BOULDER · PI RAMIG, LORRAINE O. · 1990 to 2011
$5.8M
NIDCD NIH HHS R01 DC001150NIDCD NIH HHS R01 DC1150
6 · The paper itself

Abstract

purposeIntensive voice therapy (LSVT(®)LOUD) can effectively manage voice and speech symptoms associated with idiopathic Parkinson disease (PD). This small-group study evaluated voice and speech in individuals with and without deep brain stimulation of the subthalamic nucleus (STN-DBS) before and after LSVT LOUD, to determine whether outcomes for surgical subjects were comparable to non-surgical cohorts.

methodsEight subjects with PD (four with STN-DBS and four without) received LSVT LOUD four times a week for four weeks. Four additional subjects with PD remained untreated. Voice intensity (SPL), Vowel Articulation Index (VAI), the Voice Handicap Index (VHI), and a structured interview were evaluated before and after treatment and again six months later.

resultsBoth treated groups showed significant increases in SPL from pre to post and six-month follow up. VAI was significantly higher for the treated groups compared to the untreated subjects at follow up. Several treated individuals had significant clinical improvement in VHI scores, particularly within the LSVT-DBS group. Treated individuals reported improvements in voice and speech in structured interviews; however, answers suggest more variable long-term maintenance within the LSVT-DBS group. The untreated group exhibited no significant changes in any measure throughout the study.

conclusionsResults support LSVT LOUD for treating voice and speech in individuals with PD following STN-DBS surgery. However, modifications may be required to maintain functional improvements. LEARNING OUTCOMES: As a result of this activity, the participant will be able to (1) describe how deep brain stimulation of the subthalamic nucleus may affect voice and speech in Parkinson disease; (2) describe the effects of intensive voice therapy (LSVT(®)LOUD) on people with PD both with and without STN-DBS; (3) describe how individuals with STN-DBS maintained treatment effects over time.

Indexed as

Deep Brain StimulationVoice TrainingAgedAged, 80 and overFemaleHumansInterviews as TopicMaleMiddle AgedParkinson DiseaseSpeech DisordersSubthalamic NucleusTreatment Outcome

Identifiers

PMID21724193
PMCPMC3210871
OpenAlexW2087463191

What OpenQuestion holds

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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.