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Pathophysiology of speech and voice disorders in Parkinson's disease patients treated with deep brain stimulation

Research Project

Project/Area Number 16K19507
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeMulti-year Fund
Research Field Neurology
Research InstitutionNagoya University

Principal Investigator

Takashi Tsuboi  名古屋大学, 医学部附属病院, 医員 (50772266)

Project Period (FY) 2016-04-01 – 2018-03-31
Project Status Completed (Fiscal Year 2017)
Budget Amount *help
¥3,900,000 (Direct Cost: ¥3,000,000、Indirect Cost: ¥900,000)
Fiscal Year 2017: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
Fiscal Year 2016: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
Keywordsパーキンソン病 / 脳深部刺激療法 / 発話障害 / 治療法 / 視床下核 / 医療・福祉 / 神経科学 / 脳神経疾患
Outline of Final Research Achievements

We aimed to reveal the pathophysiology of speech and voice disorders in Parkinson’s disease (PD) patients treated with deep brain stimulation (DBS) and establish the treatment strategies for them. We found that Approximately 90% of PD patients had one or more types of speech and voice disorders (hypokinetic dysarthria, breathy voice, and stuttering) before surgery, which stemmed from PD itself, that Strained voice and spastic dysarthria were the most common DBS-induced speech and voice disorders, and that stuttering and breathy voice can be worsened by STN-DBS in a minority of patients. Additionally, male gender, worse cognitive function especially visuospatial/executive function and memory, worse motor function, and higher dose of anti-parkinsonian drugs are the possible risk factors for stuttering. Further studies are warranted to establish objective evaluation methods of speech and voice disorders and effective treatment strategies.

Report

(3 results)
  • 2017 Annual Research Report   Final Research Report ( PDF )
  • 2016 Research-status Report
  • Research Products

    (12 results)

All 2017 2016

All Journal Article (2 results) (of which Peer Reviewed: 2 results) Presentation (8 results) (of which Int'l Joint Research: 5 results,  Invited: 1 results) Book (2 results)

  • [Journal Article] Early detection of speech and voice disorders in Parkinson's disease patients treated with subthalamic nucleus deep brain stimulation: a 1-year follow-up study.2017

    • Author(s)
      Tsuboi T
    • Journal Title

      J Neural Transm (Vienna).

      Volume: 124(12) Issue: 12 Pages: 1547-1556

    • DOI

      10.1007/s00702-017-1804-x

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Articulation Features of Parkinson's Disease Patients with Subthalamic Nucleus Deep Brain Stimulation.2016

    • Author(s)
      Tanaka Y, Tsuboi T, Watanabe H, Kajita Y, Nakatsubo D, Fujimoto Y, Ohdake R, Ito M, Atsuta N, Yamamoto M, Wakabayashi T, Katsuno M, Sobue G.
    • Journal Title

      J Parkinsons Dis

      Volume: 6 Issue: 4 Pages: 811-819

    • DOI

      10.3233/jpd-160838

    • NAID

      120006220423

    • Related Report
      2016 Research-status Report
    • Peer Reviewed
  • [Presentation] DBS vs Drug therapy in PD patients.2017

    • Author(s)
      Tsuboi T
    • Organizer
      The 16th International Parkinson Disease Symposium
    • Place of Presentation
      かがわ国際会議場(香川県 高松市)
    • Year and Date
      2017-02-16
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] パーキンソン病患者の発話機能に対する視床下核脳深部刺激術の影響-縦断的観察研究-2017

    • Author(s)
      坪井崇,渡辺宏久,田中康博,大嶽れい子,服部誠,川畑和也,原一洋,中坪大輔,前澤聡,梶田泰一,若林俊彦,勝野雅央,祖父江元
    • Organizer
      第10回パーキンソン病運動障害疾患コングレス
    • Related Report
      2017 Annual Research Report
  • [Presentation] Longitudinal changes in speech and voice functions after subthalamic nucleus deep brain stimulation in Parkinson’s disease patients.2017

    • Author(s)
      Tsuboi T, Watanabe H, Tanaka Y, Ohdake R, Kawabata K, Hara K, Nakatsubo D, Maesawa S, Kajita Y, Katsuno M and Sobue G
    • Organizer
      the XXIII World Congress of Neurology
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Longitudinal changes in speech and voice functions after subthalamic nucleus deep brain stimulation in Parkinson’s disease patients.2017

    • Author(s)
      Tsuboi T, Watanabe H, Tanaka Y, Ohdake R, Kawabata K, Hara K, Nakatsubo D, Maesawa S, Kajita Y, Katsuno M and Sobue G
    • Organizer
      the 2nd International Taiwanese Congress of Neurology
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Longitudinal changes in speech and voice functions after subthalamic stimulation in Parkinson’s disease patients.2017

    • Author(s)
      Tsuboi T, Watanabe H, Tanaka Y, Ohdake R, Kawabata K, Hara K, Nakatsubo D, Maesawa S, Kajita Y, Wakabayashi T, Katsuno M and Sobue G.
    • Organizer
      the 21th International Congress of Parkinson's disease and movement disorders
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] シンポジウム2 明日から役立つunmet clinical needsへの対応「パーキンソン病における発声・発話障害」.2016

    • Author(s)
      坪井崇,渡辺宏久,田中康博,中坪大輔,前澤聡,勝野雅央
    • Organizer
      第10回パーキンソン病運動障害疾患コングレス
    • Place of Presentation
      京都ホテルオークラ(京都府 京都市)
    • Year and Date
      2016-10-06
    • Related Report
      2016 Research-status Report
    • Invited
  • [Presentation] Longitudinal changes of speech and voice disorders following subthalamic stimulation in Parkinson’s disease patients.2016

    • Author(s)
      Tsuboi T, Watanabe H, Tanaka Y, Ohdake R, Kaabata K, Hara K, Ito M, Hirayama M, Fujimoto Y, Kajita Y, Katsuno M, Sobue G.
    • Organizer
      the 20th International Congress of Parkinson's disease and movement disorders
    • Place of Presentation
      Berlin Germany
    • Year and Date
      2016-06-19
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] 両側視床下核脳深部刺激術を施行したパーキンソン病患者における発話機能の縦断的検討.2016

    • Author(s)
      坪井崇,渡辺宏久,田中康博,大嶽れい子,原一洋,伊藤瑞規,藤本保志,梶田泰一,勝野雅央,祖父江元.
    • Organizer
      第57回日本神経学会学術大会
    • Place of Presentation
      神戸コンベンションセンター(兵庫県 神戸市)
    • Year and Date
      2016-05-18
    • Related Report
      2016 Research-status Report
  • [Book] 神経疾患治療ストラテジー2017

    • Author(s)
      坪井崇
    • Total Pages
      451
    • Publisher
      中山書店
    • ISBN
      4521745431
    • Related Report
      2017 Annual Research Report
  • [Book] Annual Review神経20182017

    • Author(s)
      坪井崇,渡辺宏久,祖父江元,勝野雅央
    • Total Pages
      333
    • Publisher
      中外医学社
    • ISBN
      449832806X
    • Related Report
      2017 Annual Research Report

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Published: 2016-04-21   Modified: 2019-03-29  

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