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IRCT20210622051667N1 IRCT 2021-06-30 Iran University of Medical Sciences The effect of combined speech and music-therapy on the vocal characteristics of people with Parkinson's disease comparison of The effect of speech therapy , music-therapy and combined speech and music therapy on the vocal characteristics of people with Parkinson's disease by using telerehabilitation 2021-07-03 anticipated 33 Complete https://irct.ir/trial/57048 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: First, using SPSS software for numbers from 1 to 33, we produce three groups with 11 numbers from zero, one or two. By balloting, the speech therapy group was assigned number zero, the combination therapy group number one and the music therapy group number two.To hide the created list, all the mentioned steps are done by someone who does not do the research. Then, each of the groups of zero, one and two are placed inside the closed envelopes and the envelopes are numbered on them so as not to disturb them. After the patients are admitted to the study according to the inclusion and exclusion criteria, the envelopes are opened in order to determine which group each patient will be in, Blinding description: In this study, the person performing the assessments did not know which group each patient was in. Finally, the data obtained from the study are provided for analysis to a person who is unaware of the therapy groups . N/A Parkinson’s Disease. Intervention 1: Intervention group: Combined speech and music therapy using telerehabilitation.. This group receive speech and music exercises at the same time in each treatment session. Speech exercises includes routine breathing exercises, loudness, pitch and speech Intelligibility, and music exercises includes posture correction, breathing exercises, warm-up exercises, voice exercises and singing exercises.The duration of the intervention is 4 weeks and the exercises are performed three times a week by a speech and language pathologist and a music and song specialist via video call on WhatsApp. Intervention 2: control group 1: speech therapy. this Group performs common and routine speech exercises, including breathing exercises, loudness, pitch, and intelligibility, which are the authority to use LSVT therapy and voice exercises. The duration of the intervention is 4 weeks and the exercises are performed three times a week by a speech and language pathologist via video call on WhatsApp. Intervention 3: Control group 2: music therapy. The music exercises used in this study for music therapy group are designed based on the music therapy protocols of previous studies and It consists of five parts: Part 1: Motor exercises; Section 2: Breathing Exercises; Section 3: vocal Exercises; Section 4: Singing Exercises; Section 5: Final Conversation and Homework. The duration of the intervention is 4 weeks and the exercises are performed three times a week by a speech and language pathologist via video call on WhatsApp. Yes - There is a plan to make this available What will be shared: All data or results of the present study will be presentation in an article or some articles that will be published, also will be available through correspondence with the corresponding author. When: After completing the present study and publishing the resulting article or articles. To whom: All researchers in the field of the present study Conditions: With the same goal as the present study and with mention of the present study as the reference. All intellectual property rights of the present study belongs to the Iran University of Medical Sciences. Where to obtain: The corresponding author of the article or articles derived from the study How to obtain: Written request from the author responsible fore the the present review after the publication of the article or articles Comments:
public Reyhaneh Mohammadi
Department of Speech Therapy, school of Rehabilitation science, Iran University of Medical Sciences, Madadakaran St, ShahNazari Ave, Mother square, Tehran.
Tehran Iran (Islamic Republic of) 1545913487 +98 21 2222 8051 mohamadi.re88@gmail.com Iran University of Medical Sciences scientific Zeinab Mohseni
Department of Speech Therapy, school of Rehabilitation science, Iran University of Medical Sciences, Madadakaran St, ShahNazari Ave, Mother square, Tehran.
Tehran Iran (Islamic Republic of) 1545913487 +98 21 2222 8051 zeynab_mohsny@yshoo.com Iran University of Medical Sciences Iran (Islamic Republic of) People with idiopathic Parkinson's disease (IPD) Patients in terms of disease severity in stages 1-3 based on the Hoehn & Yahr test Patient or family complaints about individual speech Ability to use r telerehabilitation and have a smartphone Adequate vision and hearing Use of drug therapy No history of stroke, head injury, brain surgery and laryngeal diseases such as vocal cord nodules, etc. No other neurological disorders other than idiopathic Parkinson's disease Do not use treatments other than medication (such as deep brain stimulation surgery (DBS)) 40 years no limit Both If a patient develops a stroke or other neurological complication during treatment, they are excluded from the treatment plan. • Lack of cooperation G20 Parkinson's disease Rehabilitation Rehabilitation Rehabilitation Intervention group: Combined speech and music therapy using telerehabilitation.. This group receive speech and music exercises at the same time in each treatment session. Speech exercises includes routine breathing exercises, loudness, pitch and speech Intelligibility, and music exercises includes posture correction, breathing exercises, warm-up exercises, voice exercises and singing exercises.The duration of the intervention is 4 weeks and the exercises are performed three times a week by a speech and language pathologist and a music and song specialist via video call on WhatsApp. control group 1: speech therapy. this Group performs common and routine speech exercises, including breathing exercises, loudness, pitch, and intelligibility, which are the authority to use LSVT therapy and voice exercises. The duration of the intervention is 4 weeks and the exercises are performed three times a week by a speech and language pathologist via video call on WhatsApp. Control group 2: music therapy. The music exercises used in this study for music therapy group are designed based on the music therapy protocols of previous studies and It consists of five parts: Part 1: Motor exercises; Section 2: Breathing Exercises; Section 3: vocal Exercises; Section 4: Singing Exercises; Section 5: Final Conversation and Homework. The duration of the intervention is 4 weeks and the exercises are performed three times a week by a speech and language pathologist via video call on WhatsApp. Voice parameters ( loudness, fundamental frequency , The highest and lowest frequency they can produce, jitter and shimmer). Timepoint: Before the intervention, after the intervention, one month after the intervention. Method of measurement: praat software. Voice Handicap Index. Timepoint: Before the intervention, after the intervention, one month after the intervention. Method of measurement: Persian version of Voice Handicap Index. Maximum phonation time. Timepoint: Before the intervention, after the intervention, one month after the intervention. Method of measurement: The maximum amount of time a person can sustain phonation of "ah" is timed. Speech Intelligibility. Timepoint: Before the intervention, after the intervention, one month after the intervention. Method of measurement: seven scale of Fodala rankings. Swallowing Disturbance Questionnaire. Timepoint: Before the intervention, after the intervention, one month after the intervention. Method of measurement: Persian version of Swallowing Disturbance Questionnaire. Dysphagia handicap index. Timepoint: Before the intervention, after the intervention, one month after the intervention. Method of measurement: Persian version of Dysphagia handicap index. Northwest dysphagia patient check sheet. Timepoint: Before the intervention, after the intervention, one month after the intervention. Method of measurement: Persian version of northwest dysphagia patient check sheet. Quality of life. Timepoint: Before the intervention, after the intervention, one month after the intervention. Method of measurement: Persian version of quality of life test 36 questions. Geriatric Depressive Scale. Timepoint: Before the intervention, after the intervention, one month after the intervention. Method of measurement: Persian version of Geriatric Depressive Scale. Iran University of Medical Sciences Approved 2021-02-07 Ethics committee of Iran University of Medical Sciences Department of Speech Therapy, school of Rehabilitation science, Iran University of Medical Sciences, Madadakaran St, ShahNazari Ave, Mother square, Mirdamad Ave, Tehran. Tehran Tehran Iran (Islamic Republic of)