Abdulsalam Alqutub, Abdulrahman Alqutub, Ahmed M Mogharbel, Mohammed A Awadh, Salam Sait, Abdulrahman S Aldharrab, Faisal H Zagzoog
{"title":"以歌唱为基础的疗法对帕金森病患者嗓音效果的影响：系统回顾与元分析》。","authors":"Abdulsalam Alqutub, Abdulrahman Alqutub, Ahmed M Mogharbel, Mohammed A Awadh, Salam Sait, Abdulrahman S Aldharrab, Faisal H Zagzoog","doi":"10.1016/j.jvoice.2024.10.007","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Communication impairments significantly impact the quality of life for individuals with Parkinson's disease (PD), underscoring the need for effective interventions. Singing, by engaging shared neural networks and structural mechanisms involved in speech production, holds therapeutic potential for addressing speech disorders in this population. This study explores the effects of singing-based therapeutic intervention on voice in patients diagnosed with PD.</p><p><strong>Methods: </strong>We systematically searched four electronic databases to find relevant studies. Data extraction and analysis involved calculating mean differences (MD) or standardized mean difference (SMD) for pre- and post-singing interventions, including their 95% confidence intervals (CI). Statistical significance was evaluated with a P-value threshold >0.05.</p><p><strong>Results: </strong>Our systematic review and meta-analysis included 21 studies, encompassing 449 patients. Singing showed no significant effect on speaking fundamental frequency (MD 2.98, 95% CI: -6.79, 12.75, P = 0.55), jitter (MD -0.13, 95% CI: -0.47, 0.22, P = 0.47), shimmer (MD -0.71, 95% CI: -1.68, 0.26, P = 0.15), or health-related quality-of-life outcomes: Voice Handicap Index (MD -4.60, 95% CI: -9.29, 0.09, P = 0.05) and Voice-Related Quality of Life (SMD 0.08, 95% CI: -0.28, 0.44, P = 0.65). However, singing significantly improved vocal frequency range (MD 2.60, 95% CI: 1.17, 4.03, P = 0.0004), maximum expiratory pressure (MD 14.26, 95% CI: 9.57, 18.96, P < 0.00001), maximum inspiratory pressure (MD 6.22, 95% CI: 2.96, 9.48, P = 0.0002), and maximum phonation time (MD 1.83, 95% CI: 0.73, 2.92, P = 0.001). Vocal intensity showed no significant difference (MD 1.09, 95% CI: -0.71, 2.88, P = 0.24).</p><p><strong>Conclusion: </strong>Our study found that singing interventions positively affect vocal frequency range and respiratory outcomes. However, significant changes were not observed in other speech metrics.</p>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":null,"pages":null},"PeriodicalIF":2.5000,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Effectiveness of Singing-Based Therapy on Voice Outcomes in Parkinson's Disease: A Systematic Review and Meta-Analysis.\",\"authors\":\"Abdulsalam Alqutub, Abdulrahman Alqutub, Ahmed M Mogharbel, Mohammed A Awadh, Salam Sait, Abdulrahman S Aldharrab, Faisal H Zagzoog\",\"doi\":\"10.1016/j.jvoice.2024.10.007\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Communication impairments significantly impact the quality of life for individuals with Parkinson's disease (PD), underscoring the need for effective interventions. Singing, by engaging shared neural networks and structural mechanisms involved in speech production, holds therapeutic potential for addressing speech disorders in this population. This study explores the effects of singing-based therapeutic intervention on voice in patients diagnosed with PD.</p><p><strong>Methods: </strong>We systematically searched four electronic databases to find relevant studies. Data extraction and analysis involved calculating mean differences (MD) or standardized mean difference (SMD) for pre- and post-singing interventions, including their 95% confidence intervals (CI). Statistical significance was evaluated with a P-value threshold >0.05.</p><p><strong>Results: </strong>Our systematic review and meta-analysis included 21 studies, encompassing 449 patients. Singing showed no significant effect on speaking fundamental frequency (MD 2.98, 95% CI: -6.79, 12.75, P = 0.55), jitter (MD -0.13, 95% CI: -0.47, 0.22, P = 0.47), shimmer (MD -0.71, 95% CI: -1.68, 0.26, P = 0.15), or health-related quality-of-life outcomes: Voice Handicap Index (MD -4.60, 95% CI: -9.29, 0.09, P = 0.05) and Voice-Related Quality of Life (SMD 0.08, 95% CI: -0.28, 0.44, P = 0.65). However, singing significantly improved vocal frequency range (MD 2.60, 95% CI: 1.17, 4.03, P = 0.0004), maximum expiratory pressure (MD 14.26, 95% CI: 9.57, 18.96, P < 0.00001), maximum inspiratory pressure (MD 6.22, 95% CI: 2.96, 9.48, P = 0.0002), and maximum phonation time (MD 1.83, 95% CI: 0.73, 2.92, P = 0.001). Vocal intensity showed no significant difference (MD 1.09, 95% CI: -0.71, 2.88, P = 0.24).</p><p><strong>Conclusion: </strong>Our study found that singing interventions positively affect vocal frequency range and respiratory outcomes. However, significant changes were not observed in other speech metrics.</p>\",\"PeriodicalId\":49954,\"journal\":{\"name\":\"Journal of Voice\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":2.5000,\"publicationDate\":\"2024-11-06\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Voice\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1016/j.jvoice.2024.10.007\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Voice","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.jvoice.2024.10.007","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY","Score":null,"Total":0}
Effectiveness of Singing-Based Therapy on Voice Outcomes in Parkinson's Disease: A Systematic Review and Meta-Analysis.
Background: Communication impairments significantly impact the quality of life for individuals with Parkinson's disease (PD), underscoring the need for effective interventions. Singing, by engaging shared neural networks and structural mechanisms involved in speech production, holds therapeutic potential for addressing speech disorders in this population. This study explores the effects of singing-based therapeutic intervention on voice in patients diagnosed with PD.
Methods: We systematically searched four electronic databases to find relevant studies. Data extraction and analysis involved calculating mean differences (MD) or standardized mean difference (SMD) for pre- and post-singing interventions, including their 95% confidence intervals (CI). Statistical significance was evaluated with a P-value threshold >0.05.
Results: Our systematic review and meta-analysis included 21 studies, encompassing 449 patients. Singing showed no significant effect on speaking fundamental frequency (MD 2.98, 95% CI: -6.79, 12.75, P = 0.55), jitter (MD -0.13, 95% CI: -0.47, 0.22, P = 0.47), shimmer (MD -0.71, 95% CI: -1.68, 0.26, P = 0.15), or health-related quality-of-life outcomes: Voice Handicap Index (MD -4.60, 95% CI: -9.29, 0.09, P = 0.05) and Voice-Related Quality of Life (SMD 0.08, 95% CI: -0.28, 0.44, P = 0.65). However, singing significantly improved vocal frequency range (MD 2.60, 95% CI: 1.17, 4.03, P = 0.0004), maximum expiratory pressure (MD 14.26, 95% CI: 9.57, 18.96, P < 0.00001), maximum inspiratory pressure (MD 6.22, 95% CI: 2.96, 9.48, P = 0.0002), and maximum phonation time (MD 1.83, 95% CI: 0.73, 2.92, P = 0.001). Vocal intensity showed no significant difference (MD 1.09, 95% CI: -0.71, 2.88, P = 0.24).
Conclusion: Our study found that singing interventions positively affect vocal frequency range and respiratory outcomes. However, significant changes were not observed in other speech metrics.
期刊介绍：
The Journal of Voice is widely regarded as the world''s premiere journal for voice medicine and research. This peer-reviewed publication is listed in Index Medicus and is indexed by the Institute for Scientific Information. The journal contains articles written by experts throughout the world on all topics in voice sciences, voice medicine and surgery, and speech-language pathologists'' management of voice-related problems. The journal includes clinical articles, clinical research, and laboratory research. Members of the Foundation receive the journal as a benefit of membership.
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