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Type and Title of Submission


Title:

Singing as a form of voice therapy for people with Parkinson's (update 2008)

Description:

Category:

Clinical

Does the submission relate to the general implementation of all NICE guidance?

No

Does the submission relate to the implementation of a specific piece of NICE guidance?

Yes

Full title of NICE guidance:

CG35 - Parkinson's Disease:Diagnosis and Management in Primary and Secondary Care

Category(s) that most closely reflects the nature of the submission:

Provision of new service

Is the submission industry-sponsored in any way?

No


Description of submission


Aim

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 questionairre

Methods

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.

Contact Details

Name:Caroline Evans
Job Title:Parkinson's Nurse Specialist
Organisation:Hereford PCT
Address:The Health Clinic
Town:Hereford
Postcode:HR1 2HU
Phone:01432 378910
Email:caroline.evanspd@nhs.net
Fax:01432 378911

 

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This page was last updated: 08 September 2008

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Selected, reliable information for health and social care in one place

Accessibility | Cymraeg | Freedom of information | Vision Impaired | Contact Us | Glossary | Data protection | Copyright | Disclaimer | Terms and conditions

Copyright 2014 National Institute for Health and Care Excellence. All rights reserved.