Research Article

Perceived Changes in Communication as an Effect of STN Surgery in Parkinson's Disease: A Qualitative Interview Study

Table 1

Demographic data (all names are pseudonyms).

ParticipantGenderAge yearsDiagnosisDisease duration (years)Years after STN surgeryTotal score UPDRS before STN surgeryTotal score UPDRS after STN surgery (12 months )Speech before
surgery
Speech after surgery (6–12 months )Speech
intelligibility before
STN surgery
Speech
intelligibility
*** after
STN surgery

LisaFemale71Idiopathic Parkinson’s disease244Without L- dopa: 37
With L-dopa:
9
Med + stim + 21
Med − stim + 21
Med – stim – 30
No dysarthria
Dysarthria assessment
mean score 0.1**
No dysarthria
Dysarthria assessment
mean score 0.03
Words:
100%
Sentences:
100%
Words:
100%
Sentences:
98%
GretaFemale73Idiopathic Parkinson’s disease3210No data foundMed + stim +10
Med – stim + 14
Med – stim − 23
Mild* hypokinetic dysarthria
Dysarthria assessment
mean score 0.49
Mild hypokinetic dysarthria
Dysarthria assessment
mean score 0.92
Words:
96%
Sentences:
94%
Words:
96%
Sentences:
95%
AndersMale61Left sided hemiparkinsonism102Without L-dopa: 30
With L-dopa:
62
Med + stim + 26
Med – stim + 35
Med – stim − 50
Mild-moderate mixed dysarthria, speech festinations
Dysarthria assessment no data found
Dysarthria
Dysarthria assessment
mean score 1.0
Words:
70%
Sentences:
60%
Reading****
95%
Spontaneous
speech:
85%
SvenMale79 Idiopathic Parkinson’s disease309No data foundNo data foundMild hypokinetic dysarthria
Dysarthria assessment mean score 0.36
Mild hypokinetic dysarthria
Dysarthria assessment
no data found
Words:
99%
Sentences:
100%
No data
found

*Dysarthria classification: mild = speech affected but intelligibility intact, moderate = intelligibility slightly decreased, severe = speech supported by augmentative and alternative communication [18].
**Clinical dysarthria test, range 0–4 (normal <0,25; 4 = severe disability) [19].
***SWINT-Swedish Intelligibility Test, [20]. ****No formal SWINT judgment, speech intelligibility was rated in reading and spontaneous speech.