Saturday, August 6, 2016

Voice in Friedreich Ataxia

Adam P. Vogel, Mayumi I. Wardrop, Joanne E. Folker, Matthis Synofzik, Louise A. Corben, Martin B. Delatycki, Shaheen N. Awan, Journal of Voice, Available online 5 August 2016, ISSN 0892-199 doi:10.1016/j.jvoice.2016.04.015.

Objective: To describe the voice profile of individuals with FRDA to inform outcome marker development and goals of speech therapy.

Although dysphonia severity in FRDA did not correlate significantly with overall disease severity, speaking rate and syllabic duration significantly correlated with age at disease onset and disease duration, and also have an effect on listener perception of dysphonia. The relationship between dysphonia and dysarthria in FRDA suggests that reducing overall dysphonia severity via therapeutic techniques that improve phonatory stability and increase speaking rate is a viable target for speech therapy.

 Treatments designed to improve communicative function should consider therapeutic approaches that aim to improve phonatory stability (eg, use of increased respiratory support prior to the initiation of voicing), and thereby improve vocal pitch and quality control. In addition, therapeutic methods that aid the patient in increasing rate of speech may also be of benefit.