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Conducting a Comprehensive Voice Assessment in Parkinson’s Disease - page 4 / 22

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General Voice - Speech Characteristics Ordered by Severity

    Monotone pitch/loudness  

    Reduced Stress    

    Reduced  Pitch/loudness                                               

    Imprecise consonants

    Short Rapid Rushes of Speech       

    Harshness/Hoarseness

    Breathiness – caused by bowing of vocal folds

    Variable Speech Rate   

    Aphonia – In the later stage

            Difficulty initiating phonation for articulation because of

            difficulty adducting folds; may also complain of hoarseness

                                                   (Gentil & Pollack, 1995)

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