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@article{2329938, author = {GomezandRodellar, Andres and Mekyska, Jiri and GomezandVilda, Pedro and Brabenec, Luboš and Šimko, Patrik and Rektorová, Irena}, article_location = {SINGAPORE}, article_number = {06}, doi = {http://dx.doi.org/10.1142/S0129065723500284}, keywords = {Parkinson's disease; functional quality assessment of phonation; acoustical EEG activity monitoring; repetitive transcranial magnetic stimulation}, language = {eng}, issn = {0129-0657}, journal = {INTERNATIONAL JOURNAL OF NEURAL SYSTEMS}, title = {A Pilot Study on the Functional Stability of Phonation in EEG Bands After Repetitive Transcranial Magnetic Stimulation in Parkinson's Disease}, url = {https://www.worldscientific.com/doi/pdf/10.1142/S0129065723500284?download=true}, volume = {33}, year = {2023} }
TY - JOUR ID - 2329938 AU - Gomez-Rodellar, Andres - Mekyska, Jiri - Gomez-Vilda, Pedro - Brabenec, Luboš - Šimko, Patrik - Rektorová, Irena PY - 2023 TI - A Pilot Study on the Functional Stability of Phonation in EEG Bands After Repetitive Transcranial Magnetic Stimulation in Parkinson's Disease JF - INTERNATIONAL JOURNAL OF NEURAL SYSTEMS VL - 33 IS - 06 SP - 1-21 EP - 1-21 PB - WORLD SCIENTIFIC PUBL CO PTE LTD SN - 01290657 KW - Parkinson's disease KW - functional quality assessment of phonation KW - acoustical EEG activity monitoring KW - repetitive transcranial magnetic stimulation UR - https://www.worldscientific.com/doi/pdf/10.1142/S0129065723500284?download=true N2 - Parkinson's disease (PD) is a neurodegenerative condition with constantly increasing prevalence rates, affecting strongly life quality in terms of neuromotor and cognitive performance. PD symptoms include voice and speech alterations, known as hypokinetic dysarthria (HD). Unstable phonation is one of the manifestations of HD. Repetitive transcranial magnetic stimulation (rTMS) is a rehabilitative treatment thathas been shown to improve some motor and non-motor symptoms of persons with PD (PwP). This study analyzed the phonation functional behavior of 18 participants (13 males, 5 females) with PD diagnosis before (one pre-stimulus) and after (four post-stimulus) evaluation sessions of rTMS treatment, to assess the extent of changes in their phonation stability. Participants were randomized 1:1 to receive either rTMS or sham stimulation. Voice recordings of a sustained vowel [a:] taken immediately before and after the treatment, and at follow-up evaluation sessions (immediately after, at six, ten, and fourteen weeks after the baseline assessment) were processed by inverse filtering to estimate a biomechanical correlate of vocal fold tension. This estimate was further band-pass filtered into EEG-related frequency bands. Log-likelihood ratios (LLRs) between pre- and post-stimulus amplitude distributions of each frequency band showed significant differences in five cases actively stimulated. Seven cases submitted to the sham protocol did not show relevant improvements in phonation instability. Conversely, four active cases did not show phonation improvements, whereas two sham cases did. The study provides early preliminary insights into the capability of phonation quality assessment by monitoring neuromechanical activity from acoustic signals in frequency bands aligned with EEG ones. ER -
GOMEZ-RODELLAR, Andres, Jiri MEKYSKA, Pedro GOMEZ-VILDA, Luboš BRABENEC, Patrik ŠIMKO and Irena REKTOROVÁ. A Pilot Study on the Functional Stability of Phonation in EEG Bands After Repetitive Transcranial Magnetic Stimulation in Parkinson's Disease. \textit{INTERNATIONAL JOURNAL OF NEURAL SYSTEMS}. SINGAPORE: WORLD SCIENTIFIC PUBL CO PTE LTD, 2023, vol.~33, No~06, p.~1-21. ISSN~0129-0657. Available from: https://dx.doi.org/10.1142/S0129065723500284.
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