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Conducting a Comprehensive Voice Assessment in Parkinson’s Disease - page 12 / 22

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Overall Voice and Speech Assessment

Voice/Speech  Sample – reading of: Rainbow Passage/

                                                                          Grandfather Passage        Listen for:

        1)  Speech Rate Irregularities (especially rushes of  speech)      

         2)  Pitch /loudness (phonation)     

         3)  Intelligibility – unclear & imprecise articulation  

         4)  Respiratory Support

                      -   shallow breathing  - less frequent breaths

             Clavicular   

                - Elevated shoulders on inhalation tenses strap muscles –  

                  excessive effort for too little breath

             Diaphragmatic  

                - Expansion of abdomen during inspiration

              Thoracic    

                 - Upper or lower thoracic movement   

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