Master of Science (MS), Bowling Green State University, 2018, Communication Disorders
Dysfunction of the basal ganglia circuit in Parkinson disease (PD) affects both speech and non-speech movements. Additionally, performing more than one task at a time (i.e., dual-tasking) often exacerbates movement deficits associated with PD. The goal of the current investigation was to determine the extent to which concurrent performance of an extemporaneous speaking task and a simple oscillatory manual task differentially affected participants with PD and neurologically healthy controls. Participants with and without PD produced extemporaneous speech and counterclockwise circle drawing movements in isolation (i.e., under single-task conditions) and concurrently (i.e., under dual-task conditions). Several measures of handwriting kinematics and speech acoustics were collected to examine changes in performance between the single- and dual-task conditions. Compared to control speakers, individuals with PD demonstrated significantly smaller circling movements in both the vertical and horizontal ranges of motion, as well as greater variation in the movement spectrum. For the speech task, individuals with PD exhibited a smaller working vowel space, larger standard deviation of articulation rate, less variation in fundamental frequency, and longer pauses than controls. During concurrent task performance, individuals with PD exhibited a significant increase in the range and speed of manual movement variability that was accompanied by a significant decrease in mean pause duration for the speaking task. Conversely, controls exhibited only slight a slowing of the peak manual movement frequency from the single- to dual-task condition, while no changes in any of the speech production variables were observed. These data suggest that individuals with PD, and not controls, experienced bidirectional dual-task interference, exhibiting changes in the performance of both tasks from the single- to dual-task condition.
Committee: Jason Whitfield Ph.D. (Advisor); Ronald Scherer Ph.D. (Committee Member); Brent Archer Ph.D. (Committee Member)
Subjects: Speech Therapy