Kinematic, acoustic, and perceptual analyses of connected speech produced by parkinsonian and normal geriatric adults

Acoustic and kinematic analyses, as well as perceptual evaluation, were conducted on the speech of Parkinsonian and normal geriatric adults. As a group, the Parkinsonian speakers had very limited jaw movement compared to the normal geriatrics. For opening gestures, jaw displacements and velocities produced by the Parkinsonian subjects were about half those produced by the normal geriatrics. Lower lip movement amplitude and velocity also were reduced for the Parkinsonian speakers relative to the normal geriatrics, but the magnitude of the reduction was not as great as that seen in the jaw. Lower lip closing velocities expressed as a function of movement amplitude were greater for the Parkinsonian speakers than for the normal geriatrics. This increased velocity of lower lip movement may reflect a difference in the control of lip elevation for the Parkinsonian speakers, an effect that increased with the severity of dysarthria. Acoustically, the Parkinsonian subjects had reduced durations of vocalic segments, reduced formant transitions, and increased voice onset time compared to the normal geriatrics. These effects were greater for the more severe, compared to the milder, dysarthrics and were most apparent in the more complex, vocalic gestures.