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      Oropharyngeal geometry and acoustic parameters of voice in healthy and Parkinson's disease subjects

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          ABSTRACT

          Purpose

          to verify whether there are differences in acoustic measures and oropharyngeal geometry between healthy individuals and people with Parkinson's disease, according to age and sex, and to investigate whether there are correlations between oropharyngeal geometry measures in this population.

          Methods

          40 individuals participated, 20 with a diagnosis of Parkinson's disease and 20 healthy individuals, matched by age, sex, and body mass index. Acoustic variables included fundamental frequency, jitter, shimmer, glottal-to-noise excitation ratio, noise, and mean intensity. Oropharyngeal geometry variables were measured with acoustic pharyngometry.

          Results

          geometry variables were smaller in the group with Parkinson's disease, and older adults with Parkinson's disease had a smaller oropharyngeal junction area than healthy older adults. Regarding acoustic parameters of voice, fundamental frequency values were lower in males with Parkinson's disease, and jitter values ​​were higher in the non-elderly subjects with Parkinson's disease. There was a moderate positive correlation between oral cavity length and volume, pharyngeal cavity length and vocal tract length, and pharyngeal cavity volume and vocal tract volume.

          Conclusion

          individuals with Parkinson's disease had smaller glottal areas and oropharyngeal junction areas than healthy individuals. When distributed into sex and age groups, the fundamental frequency was lower in males with Parkinson's disease. There was a moderate positive correlation between oropharyngeal length and volume measures in the study sample.

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          Most cited references30

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          “Mini-mental state”

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            Applied statistics for the behavioral sciences

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              [Parkinson's Disease: Clinical Review and Update].

              Parkinson's disease is the second most common neurodegenerative disorder, and a significant increase in its prevalence in the past three decades has been documented. Environmental and genetic factors contribute to the pathophysiology of this disease, and 5% - 10% of cases have a monogenic cause. The diagnosis relies on clinical findings, supported by adequate testing. There is no absolute method to diagnose Parkinson's disease in vivo, except for genetic testing in specific circumstances, whose usefulness is limited to a minority of cases. New diagnostic criteria have been recently proposed with the aim of improving diagnostic accuracy, emphasizing findings that might point to other causes of parkinsonism. The available therapeutic options are clinically useful, as they improve the symptoms as well as the quality of life of patients. After the introduction of levodopa, deep brain stimulation emerged as the second therapy with an important symptomatic impact in the treatment of Parkinson's disease. Non-motor symptoms and motor complications are responsible for a large proportion of disability, so these should be identified and treated. Current scientific research is focused on the identification of disease biomarkers allowing correct and timely diagnosis, and on creating more effective therapies, thus fulfilling current clinical unmet needs. This paper presents an updated review on Parkinson's disease, guiding the readership through current concepts, and allowing their application to daily clinical practice.
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                Author and article information

                Contributors
                Role: collectionRole: article review
                Role: study conceptionRole: study designRole: data interpretationRole: article writingRole: article review
                Role: data analysis and interpretationRole: article review
                Role: article writing
                Role: article writing
                Role: article writing
                Role: study conceptionRole: result analysis
                Role: study conceptionRole: study designRole: article review
                Journal
                Codas
                Codas
                codas
                CoDAS
                Sociedade Brasileira de Fonoaudiologia
                2317-1782
                17 April 2023
                2023
                : 35
                : 2
                : e20210304
                Affiliations
                [1 ] originalPrograma de Pós-graduação em Saúde da Comunicação Humana, Universidade Federal de Pernambuco - UFPE - Recife (PE), Brasil.
                [2 ] originalDepartamento de Fonoaudiologia, Universidade Federal de Pernambuco - UFPE - Recife (PE), Brasil.
                [3 ] originalDepartamento de Anatomia, Universidade Federal de Pernambuco - UFPE - Recife (PE), Brasil.
                [1 ] originalPrograma de Pós-graduação em Saúde da Comunicação Humana, Universidade Federal de Pernambuco - UFPE - Recife (PE), Brasil.
                [2 ] originalDepartamento de Fonoaudiologia, Universidade Federal de Pernambuco - UFPE - Recife (PE), Brasil.
                [3 ] originalDepartamento de Anatomia, Universidade Federal de Pernambuco - UFPE - Recife (PE), Brasil.
                Author notes

                Conflict of interests: nothing to declare.

                Correspondence address: Adriana de Oliveira Camargo Gomes Programa de Pós-graduação em Saúde da Comunicação Humana, Universidade Federal de Pernambuco - UFPE Avenida Professor Artur de Sá, 267, Cidade Universitária, Recife (PE), Brasil, CEP: 52171-011. E-mail: adriana.camargo@ 123456ufpe.br

                Author contributions: JMSS did collection and article review; AOCG was responsible for study conception and design, data interpretation, and article writing and review; MGWSC did data analysis and interpretation and article review; JPT did article writing; HVSLL did article writing; CEBP did article writing; HJS was responsible for study conception and result analysis; ZSL was responsible for study conception and design and article review.

                Conflito de interesses: nada a declarar.

                Endereço para correspondência: Adriana de Oliveira Camargo Gomes Programa de Pós-graduação em Saúde da Comunicação Humana, Universidade Federal de Pernambuco - UFPE Avenida Professor Artur de Sá, 267, Cidade Universitária, Recife (PE), Brasil, CEP: 52171-011. E-mail: adriana.camargo@ 123456ufpe.br

                Contribuição dos autores: JMSS realizou a coleta e revisão do artigo; AOCG foi responsável pela concepção e delineamento do estudo, interpretação dos dados, redação e revisão do artigo; MGWSC realizou a análise e interpretação dos dados e revisão do artigo; JPT realizou a redação do artigo; HVSLL realizou a redação do artigo; CEBP realizou a redação do artigo; HJS foi responsável pela concepção do estudo e análise dos resultados; ZSL foi responsável pela concepção e delineamento do estudo e revisão do artigo.

                Author information
                http://orcid.org/0000-0003-4108-1460
                http://orcid.org/0000-0002-1871-9502
                http://orcid.org/0000-0002-7937-7761
                http://orcid.org/0000-0003-2304-3700
                http://orcid.org/0000-0001-5789-228X
                http://orcid.org/0000-0002-9028-649X
                http://orcid.org/0000-0002-6852-3233
                http://orcid.org/0000-0002-8413-5513
                Article
                codasAO20210304 00306
                10.1590/2317-1782/20232021304en
                10137768
                37075413
                cc48a7ff-67c4-4bc2-acef-7671365f2dd3

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 29 November 2021
                : 29 March 2022
                Page count
                Figures: 0, Tables: 8, Equations: 0, References: 30
                Funding
                Funded by: CAPES
                Award ID: 001
                Fonte de financiamento: o presente trabalho foi realizado com apoio da Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - Brasil (CAPES) - código de financiamento 001.
                Categories
                Original Article

                oropharynx,voice quality,acoustics,dysphonia,parkinson disease

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