{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T23:41:54Z","timestamp":1792798914154,"version":"4.5.0"},"reference-count":25,"publisher":"Georg Thieme Verlag KG","issue":"10","license":[{"start":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T00:00:00Z","timestamp":1792713600000},"content-version":"vor","delay-in-days":22,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arq Neuropsiquiatr"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Idiopathic Parkinson's disease (IPD) is a chronic and progressive neurodegenerative disorder characterized by resting tremor, rigidity, bradykinesia, and impairment of automatic movements. Dysarthria is one of the most common manifestations, significantly impacting communication and quality of life (QoL). The Living with Dysarthria (LwD) questionnaire is a tool developed to assess the functional and psychosocial impact of this condition, providing a patient-centered measure of symptom severity. This article aims to present a literature review on the impact of dysarthria in IPD and the use of the LwD questionnaire in evaluating patients' QoL. Five studies investigating dysarthria in IPD and its impact on QoL using the LwD were selected, with searches conducted in the SciELO and PubMed databases, including one study presented at a conference in 2024. The analyzed studies showed that dysarthria compromises not only speech but also emotional and social aspects, directly affecting self-esteem and social participation. The evidence reinforces the importance of integrated therapeutic approaches that address both motor and psychosocial limitations of communication. Furthermore, there is a need for new studies using the LwD specifically in IPD patients to strengthen the scientific basis and improve intervention and therapeutic strategies.<\/jats:p>","DOI":"10.1055\/s-0046-1829126","type":"journal-article","created":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T23:14:07Z","timestamp":1792797247000},"page":"001-006","source":"Crossref","is-referenced-by-count":0,"title":["Dysarthria and idiopathic Parkinson's disease: a current overview of the relationship between speech impairment and quality of life"],"prefix":"10.1055","volume":"84","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-4687-5929","authenticated-orcid":false,"given":"Ana Luiza","family":"Fabris Moraes","sequence":"additional","affiliation":[{"name":"Centro Universit\u00e1rio Faculdade de Medicina do ABC, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-8747-7324","authenticated-orcid":false,"given":"Vivian Kaori","family":"Segawa","sequence":"additional","affiliation":[{"name":"Centro Universit\u00e1rio Faculdade de Medicina do ABC, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-3439-6953","authenticated-orcid":false,"given":"Arthur Jun Deguti","family":"Hata","sequence":"additional","affiliation":[{"name":"Centro Universit\u00e1rio Faculdade de Medicina do ABC, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0063-1040","authenticated-orcid":false,"given":"Alice Estevo","family":"Dias","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo, Faculdade de Medicina, Departamento de Neurologia, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-5640-7821","authenticated-orcid":false,"given":"Margarete de Jesus","family":"Carvalho","sequence":"additional","affiliation":[{"name":"Centro Universit\u00e1rio Faculdade de Medicina do ABC, Ambulat\u00f3rio de Dist\u00farbios do Movimento, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,10,23]]},"reference":[{"issue":"9680","key":"ref1","doi-asserted-by":"publisher","first-page":"2055","DOI":"10.1016\/S0140-6736(09)60492-X","article-title":"Parkinson's disease","volume":"373","author":"A J Lees","year":"2009","journal-title":"Lancet"},{"issue":"04","key":"ref2","doi-asserted-by":"publisher","first-page":"e20170051","DOI":"10.1590\/2317-1782\/20172017051","article-title":"Group climate in the voice therapy of patients with Parkinson's Disease [Clima de grupo na terapia vocal de pacientes com Doen\u00e7a de Parkinson]","volume":"29","author":"G Diaf\u00e9ria","year":"2017","journal-title":"CoDAS"},{"issue":"03","key":"ref3","doi-asserted-by":"publisher","first-page":"248","DOI":"10.1590\/2317-1782\/20152014083","article-title":"Dysarthria and Quality of Life in neurologically healthy elderly and patients with Parkinson's disease","volume":"27","author":"C Lirani-Silva","year":"2015","journal-title":"CoDAS"},{"issue":"01","key":"ref4","doi-asserted-by":"publisher","first-page":"46","DOI":"10.1590\/2317-1782\/20162015054","article-title":"Communicative aspects and coping strategies in patients with Parkinson's disease","volume":"28","author":"F P Costa","year":"2016","journal-title":"CoDAS"},{"issue":"03","key":"ref5","doi-asserted-by":"publisher","first-page":"235","DOI":"10.1016\/S1474-4422(06)70373-8","article-title":"Non-motor symptoms of Parkinson's disease: diagnosis and management","volume":"5","author":"K R Chaudhuri","year":"2006","journal-title":"Lancet Neurol"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"585","DOI":"10.1093\/brain\/119.2.585","article-title":"An [18F]dopa-PET and clinical study of the rate of progression in Parkinson's disease","volume":"119","author":"P K Morrish","year":"1996","journal-title":"Brain"},{"issue":"02","key":"ref7","doi-asserted-by":"publisher","first-page":"197","DOI":"10.1016\/s0197-4580(02)00065-9","article-title":"Staging of brain pathology related to sporadic Parkinson's disease","volume":"24","author":"H Braak","year":"2003","journal-title":"Neurobiol Aging"},{"issue":"04","key":"ref8","doi-asserted-by":"publisher","first-page":"503","DOI":"10.1001\/jamaneurol.2017.4243","article-title":"When Do \u03b1-Synucleinopathies Start? An Epidemiological Timeline: A Review","volume":"75","author":"R Savica","year":"2018","journal-title":"JAMA Neurol"},{"issue":"04","key":"ref9","doi-asserted-by":"publisher","first-page":"463","DOI":"10.34024\/rnc.2010.v18.8432","article-title":"Evolu\u00e7\u00e3o da doen\u00e7a de Parkinson e comprometimento da qualidade de vida","volume":"18","author":"F S Silva","year":"2010","journal-title":"Rev Neurocienc"},{"key":"ref10","volume-title":"Motor Speech Disorders: Substrates, Differential Diagnosis, and Management","author":"J R Duffy","year":"2013","edition":"3rd ed."},{"issue":"04","key":"ref12","doi-asserted-by":"publisher","first-page":"1159","DOI":"10.1044\/2017_AJSLP-16-0132","article-title":"The Impact of Expiratory Muscle Strength Training on Speech Breathing in Individuals With Parkinson's Disease: A Preliminary Study","volume":"26","author":"M Darling-White","year":"2017","journal-title":"Am J Speech Lang Pathol"},{"issue":"04","key":"ref13","doi-asserted-by":"publisher","first-page":"266","DOI":"10.1136\/practneurol-2017-001635","article-title":"Communication changes in Parkinson's disease","volume":"17","author":"N Miller","year":"2017","journal-title":"Pract Neurol"},{"issue":"01","key":"ref14","doi-asserted-by":"publisher","first-page":"11","DOI":"10.1159\/000111799","article-title":"Living with dysarthria: evaluation of a self-report questionnaire","volume":"60","author":"L Hartelius","year":"2008","journal-title":"Folia Phoniatr Logop"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"e2940","DOI":"10.1590\/2317-6431-2024-2940pt","article-title":"Valida\u00e7\u00e3o conte\u00fado Vivendo com Disartria [Content validation Living with Dysarthria]","volume":"29","author":"L Holanda","year":"2024","journal-title":"Audiol Commun Res"},{"key":"ref16","volume-title":"Living with dysarthria self-reported questionnaire in Parkinson's disease","author":"A E Puhl","year":"2010"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"264","DOI":"10.5327\/CBN240933","article-title":"Impacts of dysarthria on quality of life in Parkinson's disease","volume":"83","author":"A L Fabris-Moraes","year":"2025","journal-title":"Arq Neuropsiquiatr"},{"issue":"03","key":"ref18","doi-asserted-by":"publisher","first-page":"57","DOI":"10.17430\/JHS.2022.12.3.6","article-title":"QUALITY OF LIFE QUESTIONNAIRE AND FREQUENCY FOLLOWING RESPONSE IN TWO DYSARTHRIC SUBJECTS WITH NEURODEGENERATIVE DISEASE: A CASE STUDY","volume":"12","author":"D E Rohers","year":"2022","journal-title":"J Hear Sci"},{"issue":"01","key":"ref19","doi-asserted-by":"publisher","first-page":"12","DOI":"10.1159\/000499627","article-title":"Psychosocial Impact of Dysarthria: The Patient-Reported Outcome as Part of the Clinical Management","volume":"19","author":"C Atkinson-Clement","year":"2019","journal-title":"Neurodegener Dis"},{"issue":"04","key":"ref20","doi-asserted-by":"publisher","first-page":"407","DOI":"10.1080\/17549507.2016.1193900","article-title":"Variables associated with communicative participation in Parkinson's disease and its relationship to measures of health-related quality-of-life","volume":"19","author":"M J McAuliffe","year":"2017","journal-title":"Int J Speech Lang Pathol"},{"issue":"02","key":"ref21","doi-asserted-by":"publisher","first-page":"163","DOI":"10.14744\/SEMB.2023.29560","article-title":"Hypokinetic Dysarthria in Parkinson's Disease: A Narrative Review","volume":"57","author":"M S Atalar","year":"2023","journal-title":"\u015ei\u015fli Etfal Hastan T\u0131p B\u00fcl"},{"issue":"05","key":"ref22","doi-asserted-by":"publisher","first-page":"639","DOI":"10.1177\/0269215520976267","article-title":"Speech and language therapy treatment on hypokinetic dysarthria in Parkinson disease: Systematic review and meta-analysis","volume":"35","author":"N Mu\u00f1oz-Vigueras","year":"2021","journal-title":"Clin Rehabil"},{"issue":"02","key":"ref23","doi-asserted-by":"publisher","first-page":"808","DOI":"10.1111\/1460-6984.12965","article-title":"Communicative participation outcomes in individuals with Parkinson's disease receiving standard care speech-language therapy services in community settings","volume":"59","author":"C Baylor","year":"2024","journal-title":"Int J Lang Commun Disord"},{"issue":"10","key":"ref24","doi-asserted-by":"publisher","first-page":"1957","DOI":"10.1111\/ene.14399","article-title":"Lee Silverman Voice Treatment for dysarthria in patients with Parkinson's disease: a systematic review and meta-analysis","volume":"27","author":"F Yuan","year":"2020","journal-title":"Eur J Neurol"},{"key":"ref25","doi-asserted-by":"publisher","first-page":"e078341","DOI":"10.1136\/bmj-2023-078341","article-title":"Lee Silverman voice treatment versus NHS speech and language therapy versus control for dysarthria in people with Parkinson's disease (PD COMM): pragmatic, UK based, multicentre, three arm, parallel group, unblinded, randomised controlled trial","volume":"386","author":"C M Sackley","year":"2024","journal-title":"BMJ"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"q1254","DOI":"10.1136\/bmj.q1254","article-title":"Speech therapy for people with Parkinson's disease","volume":"386","author":"D Theodoros","year":"2024","journal-title":"BMJ"}],"container-title":["Arquivos de Neuro-Psiquiatria"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0046-1829126.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T23:14:09Z","timestamp":1792797249000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0046-1829126"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10]]},"references-count":25,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2026,8,13]]},"published-print":{"date-parts":[[2026,10]]}},"alternative-id":["s00461829126"],"URL":"https:\/\/doi.org\/10.1055\/s-0046-1829126","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0004-282X","1678-4227"],"issn-type":[{"value":"0004-282X","type":"print"},{"value":"1678-4227","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10]]}}}