Effect of Treatment of Hypokinetic Dysarthria in Parkinson's Disease With Speech and Language Therapy: A Meta-Analysis

Iranian Journal of Public Health

Zhang, L. (2025).

Iranian Journal of Public Health, 54(6), 1118-1131.

<div>This systematic review and meta-analysis investigates the effects of speech and language therapy on outcomes for individuals with hypokinetic dysarthria associated with Parkinson's disease.</div>

Fundamental Research Funds for the Central Universities (China)



From database inception to October 2024

<div>Observational, prospective, retrospective, or randomized controlled trials</div>

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<div>In individuals with hypokinetic dysarthria due to Parkinson's disease, speech and language therapy led to significant improvements in:</div> <div> <ul> <li>sound pressure level for phonation (MD = 7.51);</li> <li>sound pressure level in reading (MD = 8.83);</li> <li>sound pressure level in monologue (MD = 4.28);</li> <li>sound pressure level in picture description (MD = 3.64); and&nbsp;</li> <li>Voice Handicap Index (MD = -5.61).</li> </ul> </div> <div>The Lee Silverman Voice Treatment program was the most popular speech and language therapy intervention, while respiratory training was used most often as the control treatment.&nbsp;</div> <div>&nbsp;</div> <div>Limitations to this review include the potential for selection bias as well as insufficient data regarding patient characteristics of the included studies.</div>