1 2007 Vol: 9(3). DOI: 10.1590/S1516-18462007000300005

A relação da postura corporal com a prosódia na doença de parkinson: estudo de caso

PORPOSE: to investigate the relationship between body posture and prosody in patients with Parkinson Disease. METHODS: the study was carried out with five patients (four males and one female) from Santa Maria, Rio Grande do Sul, Brazil, by means of cross-section study, in 2006. Evaluations of linguistic and emotional prosody as well as analysis of body posture were carried out. The statistical analysis was descriptive. RESULTS: the subjects of this study were four men and one woman aged between 37 and 53 years. Three of these patients were classified in stage I of the disease; one in the stage III and the other one in the stage IV, according to the classification of Hohen & Yahr motor function. All of them were under medication and presenting the signals of the characteristic triad of such pathology: rigidity, tremor and bradykinesia, as well as the typical alterations of body posture. In the comparison between linguistic prosody and emotional prosody, subjects showed the best performance in emotional prosody and no associations among the stages of the disease and the alterations on body posture and prosody were evidenced. CONCLUSION: body posture alterations are the characteristic signals of Parkinson Disease as well as the disorders related to linguistic and emotional prosody. The occurrence of posture alterations was high in patients with Parkinson disease. Subjects showed better performance in emotional prosody. There were no evidences that the stages of the disease were related to prosody or body posture alterations.

Mentions
Figures
Figure 1 Figure 2
Altmetric
References
  1. Schulz GM, Grant MK. Effects of speech therapy and pharmacologic and surgical treatments on voice and speech in Parkinson's disease: a review of the literature. J Commun Disord. 33(1) , 59-88 (2000) .
  2. Le Dorze G, Dionne L, Ryalls J, Julien M, Ouellet L. The effects of speech and language therapy for a case of dysarthria associated with Parkinson's disease. Eur J Disord Commun. 27(4) , 313-24 (1992) .
  3. André ES. Moléstia de Parkinson. Fisiot Mov. 17(1) , 11-24 (2004) .
  4. Goede CJ, Keus SH, Kwakkel G, Wagenaar RC. The effects of physical therapy in Parkinson's Disease: a research synthesis. Arch Phys Med Rehabil. 82(4) , 509-15 (2001) .
  5. Barros ALS, Silveira EGC, Souza RCM, Freitas LC. Uma análise do comprometimento da fala em portadores de doença de Parkinson. Neuroci. 12(3) , 123-9 (2004) .
  6. Behrens SJ. Characterizing sentence intonation in a right hemisphere-damaged population. Brain Lang. 37(2) , 181-200 (1989) .
  7. Kendall FP, Creary EK. Força muscular em relação à postura. In: Kendall FP. Músculos, provas e funções. São Paulo: Manole , (1995) .
  8. Conley SC, Kirchner JT. Parkinson's disease: the shaking palsy. Underlying factors, diagnostic considerations and clinical course. Postgrad Med. 106(1) , 39-50 (1999) .
  9. Dias AE, Limongi JCP. Tratamento dos distúrbios da voz na doença de Parkinson, o método Lee Silverman. Arq Neuropsiquiatr. 61(1) , 61-6 (2003) .
  10. Silveira DN, Brasolotto AG. Reabilitação vocal em pacientes com doença de Parkinson: fatores interferentes. Pró-Fono. 17(2) , 241-50 (2005) .
  11. Santos L. Perfil do paciente parkinsoniano atendido em ambulatório de um hospital geral universitário da Grande São Paulo. [mestrado]. São Paulo (SP): Universidade Federal de São Paulo , (2001) .
  12. Azevedo LL, Cardoso P, Reis C. Análise acústica da prosódia em mulheres com doença de Parkinson. Arq Neuropsiquiatr. 61(4) , 999-1003 (2003) .
  13. Costa AVR. Respiração bucal e postura corporal uma relação de causa e efeito. [monografia]. Rio de Janeiro (RJ): CEFAC – Saúde e Educação , (1999) .
  14. Lamônica DAC, Saes SO, Paro PMM, Brasoloto AG, Andreza SB. Doença de Parkinson: proposta de protocolo de anamnese. Salusvita. 22(3) , 363-71 (2003) .
  15. Jiménez FJ, Gamboa J, Nieto A. Acoustic voice analysis in untreated patients with parkinson's disease. Parkinsonism Related Disord. 3(2) , 111-6 (1997) .
  16. Fahn S. Description of Parkinson's disease as clinical syndrome. Ann N Y Acad Sci. 991 , 1-14 (2003) .
  17. Teng CT, Humes EC, Demetrio FN. Depressão e comorbidades clínicas. Rev Psiq Clín. 32(3) , 149-59 (2005) .
  18. De Letter M, Santens P, Van Borsel J. The effects of levodopa on word intelligibility in Parkinson's disease. J Commun Disord. 38(3) , 187-96 (2005) .
  19. Guimarães J, Alegria P. O parkinsonismo. Med Int. 11(2) , 109-14 (2004) .
  20. Krakauer LRH. Relação entre respiração bucal e alterações posturais em crianças: uma análise descritiva. [mestrado]. São Paulo (SP): Pontifícia Universidade Católica de São Paulo , (1997) .
  21. Carro OT, León M, Alvarez E, Alvarez L, Maragato C, Rireva O. Particularidades articulares de la disartria Parkinsoniana. Rev Mex Neuroci. 2(4) , 235-9 (2001) .
  22. Locco J. La production des occlusives dans la maladie de Parkinson. [docteur]. Marseille (France): L'Universite Aix-Marseille. 338 p . Disponível em: URL: Link Acesso em: 10 jan 2007 , (2005) .
  23. Martinet A. Acento e tons. In: Martinet A. A lingüística sincrônica. Rio de Janeiro: Temo Brasileiro , (1974) .
  24. Iliovitz ER. Pausa e domínios prosódicos nas disartrias. [doutorado]. Campinas (SP): Universidade Estadual de Campinas , (2005) .
  25. Garcia-Serpa FA, Meyer SB, Del Prette ZAP. Origem social do relato de sentimentos: evidência empírica indireta. Rev Bras Ter Comport Cogn. 5(1) , 21-9 (2003) .
  26. Ferreira LP, Befi-Lopes DM, Limongi SC, organizador. Tratado de fonoaudiologia. São Paulo: Roca , (2004) .
  27. Aguiar RA, López HMN, Pedroso IP. Una alternativa para la prevención de los trastornos del lenguaje em la enfermedad de Parkinson. Rev Mex Neuroci. 6(1) , 22-5 (2005) .
  28. Arcusa MJL, Álvarez JG. Medida de la inteligibilidad em el habla disártrica. Rev Logoped Foniatr Audiol. 24(1) , 33-43 (2004) .
  29. Barbosa ER, Sallem FAS. Doença de Parkinson: diagnóstico. Neuroci. 13(3) , 158-65 (2005) .
Expand