Unraveling Dysarthria in Parkinson’s: Connecting Behavior and Brain

Published on May 16, 2022

Picture this: You’re an orchestra conductor, but instead of instruments, you’re coordinating the different parts of your speech. In Parkinson’s disease (PD), this coordination becomes a bit muddled, resulting in speech and voice alterations known as dysarthria. Researchers investigated the different degrees of dysarthria in people with mild-moderate PD and examined how it relates to changes in the brain. They measured voice sound level, dysphonia, verbal fluency, executive functions, disease severity, global cognition, and neuroimaging. The results showed that the severity of dysarthria was associated with structural and resting-state brain alterations. Interestingly, the superior temporal gyrus—a brain region involved in language and executive functions—seemed to play a crucial role. The study provides us with a deeper understanding of the links between behavior and the brain in PD-related dysarthria. To dig further into the research, check out the full article!

PurposeAlterations in speech and voice are among the most common symptoms in Parkinson’s disease (PD), often resulting in motor speech disorders such as hypokinetic dysarthria. We investigated dysarthria, verbal fluency, executive functions, and global cognitive function in relation to structural and resting-state brain changes in people with PD.MethodsParticipants with mild-moderate PD (n = 83) were recruited within a randomized controlled trial and divided into groups with varying degrees of dysarthria: no dysarthria (noDPD), mild dysarthria (mildDPD), moderate dysarthria (modDPD), and also combined mildDPD and modDPD into one group (totDPD). Voice sound level and dysphonia, verbal fluency, motor symptoms, executive functions, disease severity, global cognition, and neuroimaging were compared between groups. Gray matter volume and intensity of spontaneous brain activity were analyzed. Additionally, regressions between behavioral and neuroimaging data were performed.ResultsThe groups differed significantly in mean voice sound level, dysphonia, and motor symptom severity. Comparing different severity levels of dysarthria to noDPD, groups differed focally in resting-state activity, but not in brain structure. In totDPD, lower scores on semantic verbal fluency, a composite score of executive functions, and global cognition correlated with lower superior temporal gyrus volume.ConclusionThis study shows that severity of dysarthria may be related to underlying structural and resting-state brain alterations in PD as well as behavioral changes. Further, the superior temporal gyrus may play an important role in executive functions, language, and global cognition in people with PD and dysarthria.

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