Speech and Deep Brain Stimulation: Treatment Options (0.1 CEUs)
Note: This course is open to the public. You do not need to be a speech-language clinician, physical therapist or occupational therapist. If any registration information does not apply to you, you can fill in "N/A" for the open fields or select "Other" or "No" for the multiple choice fields.Show/hide additional info about this course
Speech can be adversely affected by bilateral subthalamic nucleus deep brain stimulation (STN-DBS) with significant impact on patients’ quality of life. This course is approximately one hour in length and will discuss three areas of the speech-DBS literature:
- A brief overview of basal ganglia anatomy and physiology and a brief description of deep brain stimulation as a treatment for Parkinson disease (PD); a summary of the history of electrical stimulation and deep brain structures; a description of the variable effects of bilateral versus unilateral STN-DBS and Globus Pallidus Internus (GPi-DBS) on speech of patients with PD; a discussion of the methodological issues to consider when studying speech and DBS.
- The various clinical and surgical factors that can affect speech as well as predictive factors on speech response. We will present the different types of speech problems that can arise from DBS.
- Finally and most importantly we will discuss treatment options, classified in two broad categories: the ones based on behavioral theories (such as the Lee Silverman Voice Treatment) and biofeedback (such as the use of electropalatography) and the ones based on multidisciplinary team work as they rely on the adjustment of electrical parameters (frequency or amplitude of stimulation) and /or repositioning of the electrodes. The paramount importance of team work when working with patients post STN-DBS will be emphasized. The course is based on video examples.
Upon conclusion of this course, speech-language pathology participants will be able to:
- Introduce the literature on the effects of electrical stimulation of deep brain structures on speech in patients with Parkinson disease and dystonia.
- Discuss clinical (age, disease duration, medication levels, motor scores and speech intelligibility) and surgical factors (electrical parameters and contact location) that can have an impact on speech post DBS.
- Present treatment options based on behavioral/ biofeedback programs and/or adjustment of electrical parameters, both within a multidisciplinary team.
How to complete the course:
- The course can be viewed on a PC or a Mac with a high-speed internet connection and speakers.
- You will have 90 days of access to complete your course after you have registered.
- The course is self-paced and you can start and stop at any time.
Dr. Elina Tripoliti is an employee of the National Hospital for Neurology and Neurosurgery, UCLH, NHS Trust, Unit of Functional Neurosurgery. The Unit is supported by the Sainsbury Monument Trust and Parkinson's Appeal for Deep Brain Stimulation. In addition, part of the research in this presentation was funded by Parkinson's UK and UCLH Foundation NHS Trust.
Dr. Tripoliti has no non-financial relationships to disclose.
Sponsored by: LSVT Global, Inc. and The Parkinson Alliance
Important information for speech-language pathologists regarding the ASHA registry: Your course completion will be reported to ASHA if you indicate at the time of registration that you would like us to report this and you supply us with your ASHA number. ASHA requires us to report online course completion according to a set schedule which occurs in 3 month intervals. Thus, depending upon when you complete the course, it can take up to 3 months for your course to be reported, then it takes ASHA additional time to register the information once they receive it.