PMID- 31029883 OWN - NLM STAT- MEDLINE DCOM- 20200720 LR - 20200720 IS - 1878-5883 (Electronic) IS - 0022-510X (Linking) VI - 401 DP - 2019 Jun 15 TI - Clinical correlates of repetitive speech disorders in Parkinson's disease. PG - 67-71 LID - S0022-510X(19)30169-8 [pii] LID - 10.1016/j.jns.2019.04.012 [doi] AB - OBJECTIVES: This study aimed to explore clinical correlates of repetitive speech disorders in patients with Parkinson's disease (PD). METHODS: This study investigated speech function (Assessment of Motor Speech for Dysarthria and Stuttering Severity Instrument-3), motor function (Unified Parkinson's Disease Rating Scale III [UPDRS-III] and UPDRS-IV), cognitive function (Mini-Mental State Examination [MMSE], Montreal Cognitive Assessment [MoCA], Stroop color-word test, verbal fluency, digit span tests, and line orientation), and activities of daily living of 113 PD patients. Comparison between groups (independent t-tests, Mann-Whitney U tests, or chi(2) test) and linear regression analyses were performed to determine clinical correlates of repetitive speech disorders. RESULTS: Totally, 65 patients (57.5%) had repetitive speech disorders. Patients with repetitive speech disorders had significantly worse UPDRS-III (P = .049), MoCA (P = .030), and speech function and higher levodopa equivalent daily dose (LEDD; P = .031) than those without repetitive speech disorders. Males were significantly predominant in patients with repetitive speech disorders (64.6%) compared to those without repetitive speech disorders (18.7%; P < .001). The univariate and subsequent multiple linear regression analyses revealed that the severity of repetitive speech disorders significantly correlated with gender (P < .001), MoCA (P = .006), and speech variables (abnormal rate, P = .007; imprecise consonants, P = .043), independent from disease duration, UPDRS III, and LEDD. CONCLUSIONS: PD patients with repetitive speech disorders had worse motor, cognitive, and speech functions than those without repetitive speech disorders. The most influential factor for repetitive speech disorders might be male gender. CI - Copyright (c) 2019 Elsevier B.V. All rights reserved. FAU - Tsuboi, Takashi AU - Tsuboi T AD - Department of Neurology, Nagoya University Graduate School of Medicine, Nagoya, Japan. FAU - Watanabe, Hirohisa AU - Watanabe H AD - Department of Neurology, Nagoya University Graduate School of Medicine, Nagoya, Japan; Brain and Mind Research Center, Nagoya University, Nagoya, Japan. Electronic address: nabe@med.nagoya-u.ac.jp. FAU - Tanaka, Yasuhiro AU - Tanaka Y AD - Department of Neurology, Nagoya University Graduate School of Medicine, Nagoya, Japan. FAU - Ohdake, Reiko AU - Ohdake R AD - Brain and Mind Research Center, Nagoya University, Nagoya, Japan. FAU - Sato, Maki AU - Sato M AD - Department of Neurology, Nagoya University Graduate School of Medicine, Nagoya, Japan. FAU - Hattori, Makoto AU - Hattori M AD - Department of Neurology, Nagoya University Graduate School of Medicine, Nagoya, Japan. FAU - Kawabata, Kazuya AU - Kawabata K AD - Department of Neurology, Nagoya University Graduate School of Medicine, Nagoya, Japan. FAU - Hara, Kazuhiro AU - Hara K AD - Department of Neurology, Nagoya University Graduate School of Medicine, Nagoya, Japan. FAU - Nakatsubo, Daisuke AU - Nakatsubo D AD - Department of Neurosurgery, Nagoya University Graduate School of Medicine, Nagoya, Japan. FAU - Maesawa, Satoshi AU - Maesawa S AD - Department of Neurosurgery, Nagoya University Graduate School of Medicine, Nagoya, Japan. FAU - Kajita, Yasukazu AU - Kajita Y AD - Department of Neurosurgery, National Hospital Organization Nagoya Medical Center, Nagoya, Japan. FAU - Katsuno, Masahisa AU - Katsuno M AD - Department of Neurology, Nagoya University Graduate School of Medicine, Nagoya, Japan. FAU - Sobue, Gen AU - Sobue G AD - Brain and Mind Research Center, Nagoya University, Nagoya, Japan. Electronic address: sobueg@med.nagoya-u.ac.jp. LA - eng PT - Journal Article DEP - 20190411 PL - Netherlands TA - J Neurol Sci JT - Journal of the neurological sciences JID - 0375403 RN - 0 (Antiparkinson Agents) RN - 46627O600J (Levodopa) SB - IM MH - Activities of Daily Living MH - Aged MH - Antiparkinson Agents/administration & dosage/therapeutic use MH - Cognition MH - Dyskinesias/etiology/physiopathology MH - Female MH - Humans MH - Levodopa/administration & dosage/therapeutic use MH - Male MH - Memory MH - Mental Status and Dementia Tests MH - Middle Aged MH - Parkinson Disease/*complications/*psychology MH - Sex Factors MH - Speech Disorders/*etiology/*psychology MH - Speech Production Measurement MH - Stroop Test MH - Verbal Behavior OTO - NOTNLM OT - Cognitive dysfunction OT - Gender OT - Parkinson's disease OT - Repetitive speech disorders EDAT- 2019/04/29 06:00 MHDA- 2020/07/21 06:00 CRDT- 2019/04/29 06:00 PHST- 2018/06/22 00:00 [received] PHST- 2019/04/01 00:00 [revised] PHST- 2019/04/09 00:00 [accepted] PHST- 2019/04/29 06:00 [pubmed] PHST- 2020/07/21 06:00 [medline] PHST- 2019/04/29 06:00 [entrez] AID - S0022-510X(19)30169-8 [pii] AID - 10.1016/j.jns.2019.04.012 [doi] PST - ppublish SO - J Neurol Sci. 2019 Jun 15;401:67-71. doi: 10.1016/j.jns.2019.04.012. Epub 2019 Apr 11.