{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,28]],"date-time":"2025-11-28T06:50:38Z","timestamp":1764312638894,"version":"3.46.0"},"reference-count":41,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T00:00:00Z","timestamp":1763424000000},"content-version":"vor","delay-in-days":17,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["CNS Neurosci Ther"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Dysarthria in Parkinson's disease (PD) is difficult to treat, especially post\u2013subthalamic nucleus deep brain stimulation (STN\u2010DBS), as therapies like LSVT show variable efficacy and limited accessibility. \u201cYi Jin Jing, Wohu Pushi\u201d posture\u2010voice therapy (YJJ\u2010WPVT), emphasizing postural coordination, offers a promising yet underexplored alternative. The objective of this study is to evaluate the effectiveness of YJJ\u2010WPVT versus Lee Silverman Voice Treatment (LSVT) and no training for dysarthria in PD patients post\u2010STN\u2010DBS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This is a prospective, parallel\u2010assignment, unblinded, randomized controlled trial with follow\u2010up at 6\u2009months. The trial was conducted at the Department of Neurosurgery, Center for Functional Neurosurgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China. Patients \u2265\u200918\u2009years with idiopathic PD treated with STN\u2010DBS, native Chinese speakers, and Voice Handicap Index\u201010 (VHI\u201010) &gt;\u200910. Participants were randomized 1:1:1 to YJJ\u2010WPVT (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200911), LSVT (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200911), or no training (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200912). Both intervention groups received 16 sessions over 4\u2009weeks. LSVT included sustained phonation, pitch glides, and structured speech tasks with daily home practice. YJJ\u2010WPVT followed a similar 4\u2010week protocol and emphasized posture correction through lunges, clawing posture, and tiger roar vocalization. Primary outcomes were changes in Voice Handicap Index\u201030 (VHI\u201030) and sound pressure level (SPL) at 1\u2009month.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 68 patients screened, 34 were enrolled (mean age: YJJ\u2010WPVT 62 [8] years; LSVT 65 [5]; untreated 60 [6]). At 1\u2009month, YJJ\u2010WPVT showed significantly lower VHI\u201030 total scores by five points (95% CI \u22128.7 to \u22121.3;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.04) versus no training, with a nonsignificant SPL increase (1.8 points; 95% CI \u22121.3 to 4.9;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&gt;\u20090.05). YJJ\u2010WPVT improved MPT, jitter, shimmer, and HNR at 1 and 6\u2009months, along with VHI functional subscores. Motor symptoms, swallowing function, and quality of life also improved, with YJJ\u2010WPVT outperforming LSVT in swallowing and showing slight motor function benefits. Adverse effects (fatigue, hoarseness) were mild and transient.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>YJJ\u2010WPVT is a safe, effective alternative for dysarthria in PD post\u2010STN\u2010DBS, with added swallowing and motor benefits. Larger multicenter trials are warranted.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/cns.70652","type":"journal-article","created":{"date-parts":[[2025,11,19]],"date-time":"2025-11-19T06:22:13Z","timestamp":1763533333000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["\u201cYiJinJing, Wohu Pushi\u201d Posture\u2010Voice Therapy for Dysarthria in Parkinson's Disease Patients Following Subthalamic Nucleus Deep Brain Stimulation: A Randomized Controlled Trial"],"prefix":"10.1111","volume":"31","author":[{"given":"Mei","family":"Yang","sequence":"first","affiliation":[{"name":"Center for Functional Neurosurgery, Department of Neurosurgery, Ruijin Hospital Shanghai Jiao Tong University School of Medicine  Shanghai China"},{"name":"The Affiliated Chuzhou Hospital of Anhui Medical University  Chuzhou Anhui 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