El habla de personas con enfermedad de Parkinson tras una neurocirugía: seguimiento de pacientes hispanohablantes en Bogotá durante un año

dc.contributorCamargo Mendoza, Maryluz
dc.contributorBernal Pacheco, Oscar
dc.contributorVoz, Habla y Deglución
dc.contributor0000-0003-0770-293X
dc.contributor57196298692
dc.creatorCastillo Triana, Nicolás
dc.date.accessioned2022-11-28T22:16:36Z
dc.date.accessioned2023-06-06T23:19:11Z
dc.date.available2022-11-28T22:16:36Z
dc.date.available2023-06-06T23:19:11Z
dc.date.created2022-11-28T22:16:36Z
dc.date.issued2022
dc.identifierhttps://repositorio.unal.edu.co/handle/unal/82815
dc.identifierUniversidad Nacional de Colombia
dc.identifierRepositorio Institucional Universidad Nacional de Colombia
dc.identifierhttps://repositorio.unal.edu.co/
dc.identifier.urihttps://repositorioslatinoamericanos.uchile.cl/handle/2250/6651219
dc.description.abstractSe describieron las características del habla de un grupo de hispanohablantes con enfermedad de Parkinson (EP) que fueron tratados con estimulación cerebral profunda del núcleo subtalámico (STN-DBS). Se efectuó un estudio longitudinal con medidas PRE y POST implantación de la STN-DBS en 9 participantes con EP idiopática (4 mujeres y 5 hombres). Por cada participante se evaluó el deterioro del habla al inicio y al final del seguimiento y se tomaron medidas acústicas de la voz (f0, SDf0, intensidad, Jitter, RAP, Shimmer, NHR, HNR, LTAS y CPPs), tiempo máximo de fonación (TMF), de inteligibilidad del habla (% de palabras correctamente identificadas y grado de inteligibilidad), de velocidad del habla y de diadococinesia oral, antes de recibir la STN-DBS y cada 3 meses post intervención durante 1 año. Aunque no se encontraron cambios grupales POST que fueran estadísticamente significativos en ninguno de los parámetros de habla estudiados, ni un patrón de cambio identificable a lo largo del tiempo, un análisis de frecuencia de cambios POST intervención, así como de cambios individuales sostenidos en dos o más momentos de seguimiento POST constató cómo el efecto de la STN-DBS no fue el mismo para el habla de todos los participantes. Los datos muestran que estas diferencias podrían radicar en el sexo, el nivel de disartria PRE intervención, el estado de la medicación y los niveles de ciertos parámetros de estimulación cerebral, pues relacionadas con todas estas variables se evidenciaron cambios en el habla. Este es el primer estudio de su tipo en hispanohablantes y sus hallazgos garantizan investigación futura. (Texto tomado de la fuente)
dc.description.abstractThe aim of this study was to describe the speech characteristics of a sample of Spanish-speaking Parkinson´s disease (PD) patients treated with Subthalamic Nucleus Deep Brain Stimulation (STN-DBS). A follow-up study of PRE and POST treatment onset speech measures was carried out on nine idiopathic PD patients who underwent STN-DBS surgery (4 females and 5 males). The severity of dysarthria of every patient was assessed at the beginning and the end of the follow-up, acoustic measures of voice (fo, SDfo, intensity, Jitter, RAP, Shimmer, NHR, HNR, LTAS y CPPs), Maximum Phonation Time (MPT), measures of intelligibility of speech (grade of intelligibility and percentage of correctly identified words), speech rate, and oral diadochokinesia were calculated before surgery and every 3 months post-surgery during one year. Although statistical significative post-surgery group changes in any speech measure, or a recognizable pattern of speech change during follow-up were not found, an analysis of frequency of POST surgery and of sustained POST surgery changes revealed that STN-DBS influences speech in a different way depending on the speech measure, sex, medication status, pre-surgery level of dysarthria and stimulation parameters levels, all of which were found related with speech parameters variations in some way. Currently, all of the research in this field is from non-Spanish-speaking PD patients an all of the findings of this study warrant further research.
dc.languagespa
dc.publisherUniversidad Nacional de Colombia
dc.publisherBogotá - Medicina - Maestría en Neurociencias
dc.publisherFacultad de Medicina
dc.publisherBogotá, Colombia
dc.publisherUniversidad Nacional de Colombia - Sede Bogotá
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dc.rightsAtribución-NoComercial 4.0 Internacional
dc.rightshttp://creativecommons.org/licenses/by-nc/4.0/
dc.rightsinfo:eu-repo/semantics/openAccess
dc.titleEl habla de personas con enfermedad de Parkinson tras una neurocirugía: seguimiento de pacientes hispanohablantes en Bogotá durante un año
dc.typeTrabajo de grado - Maestría


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