Shared learning database
Type and Title of Submission
Singing as a form of voice therapy for people with Parkinson's (update 2008)Description: Category:
ClinicalDoes the submission relate to the general implementation of all NICE guidance?
NoDoes the submission relate to the implementation of a specific piece of NICE guidance?
YesFull title of NICE guidance:
CG35 - Parkinson's Disease:Diagnosis and Management in Primary and Secondary CareCategory(s) that most closely reflects the nature of the submission:
Provision of new service
Description of submission
Parkinson's is known to affect the voice in at least 50% of people. Speech Therapy Services in the NHS are ltd by the number of therapists available. This patient led project aimed to provide effective ongoing voice therapy to a large number of people who have a chronic degenerative neurological disorder.The group is patient led but supported by the PCT.Objectives
1. Provision of ongoing effective voice therapy to an unlimited number of people with Parkinson's voice problems. 2. Provision of a patient led project, allowing recognised expert patient input into health care. 3. Means of active support between people with Parkinson's which may improve quality of life.Context
SaLT is available to individuals for a ltd number of sessions. There is six month waiting list and pts are expected to be motivated to carry out speech exercises at home. A patient came up with the idea that singing might help voice problems. The Speech Therapist worked with a professional singing teacher to produce a structured session of voice exercises and song singing. Speech therapists measured pts voices every 6 months throughout the project. The pts also completed a validated Quality of life questionairreMethods
1. A small but statistically significant improvement in some of the voice measurements. 2. The group has grown and now offered to other conditions. 3. Patient led support to all members of the group.Results and evaluation
Voices were measured using the Frenchay Dysarthria Assessment. Quality of Life was measured using the pt reported PDQ 39. Results were entered into a data base and analysed by an NHS statistician. The results are now in report form available from the PCT. It is planned to submit them for publication soon.Key learning points
Voice therapy can be provided for long term conditions in a long term manner. Involving patients in running the project gave it a real sense of "expert patient" approach. Ongoing funding is small, teachers salary plus rent for large room, approx £2,500 per year.
|Job Title:||Parkinson's Nurse Specialist|
|Address:||The Health Clinic|
NICE handles personal information provided to the Institute in accordance with the Data Protection Act 1998. Find further details in our data protection policy.
This page was last updated: 08 September 2008