{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T20:39:23Z","timestamp":1786653563339,"version":"build-2736575974"},"reference-count":42,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"131","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:p>\n                    <jats:bold>Objective:<\/jats:bold>\n                    This study aimed to investigate the effects of combining hierarchical speech rehabilitation with personalised noise-reduced auditory scenery on language function and gait outcomes in patients with Parkinson\u2019s disease (PD).\n                    <jats:bold>Methods:<\/jats:bold>\n                    The clinical data of 100 patients with PD admitted to our hospital between January 2021 and December 2023 were retrospectively analysed. Based on the different adjuvant therapy regimens implemented during distinct time periods, patients were divided into the following two groups: the speech rehabilitation group (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    \u2009=\u200952), which received hierarchical speech rehabilitation therapy, and the combined therapy group (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    \u2009=\u200948), which received personalised noise-reduced auditory scenery combined with hierarchical speech rehabilitation therapy. Language function (assessed by the speech item of the Movement Disorder Society Unified Parkinson\u2019s Disease Rating Scale Part III [MDS-UPDRS-III] motor examination and the Voice Handicap Index [VHI]) and rehabilitation outcomes (gait parameters [stride length, cadence and gait speed]) were compared between the two groups before and after the adjuvant therapy period.\n                    <jats:bold>Results:<\/jats:bold>\n                    Following the adjuvant therapy period, the combined therapy group exhibited significantly lower scores on the speech item of the MDS-UPDRS-III motor examination and the VHI compared with the speech rehabilitation group (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; 0.05). Concurrently, the same group demonstrated significantly greater improvements in gait parameters, including stride length, gait speed and cadence (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; 0.05).\n                    <jats:bold>Conclusion:<\/jats:bold>\n                    This retrospective analysis preliminarily indicates that the combination of hierarchical speech rehabilitation and personalised noise-reduced auditory scenery may yield positive effects on language function and gait parameters in patients with PD. These observations require further validation through prospective, large-sample, randomised controlled trials.\n                  <\/jats:p>","DOI":"10.4103\/nah.nah_257_25","type":"journal-article","created":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T14:00:50Z","timestamp":1777557650000},"page":"355-363","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["The Influence of Progressive Speech Rehabilitation Combined with Personalised Noise-Reduced Auditory Scenery on Language Function and Gait Outcomes in Patients with Parkinson\u2019s Disease"],"prefix":"10.4103","volume":"28","author":[{"given":"XiaoXuan","family":"Tong","sequence":"first","affiliation":[{"name":"Department of Rehabilitation Medicine, The Third Hospital of Quzhou, Quzhou, Zhejiang, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"XiaoFeng","family":"Liu","sequence":"additional","affiliation":[{"name":"Geriatric Department, Qingdao Mental Health Center, Qingdao, Shandong, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jing","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of Neurology, Nantong Rici Hospital Affiliated to Yangzhou University, Nantong, Jiangsu, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,4,30]]},"reference":[{"key":"R1-20260430","doi-asserted-by":"crossref","first-page":"S257","DOI":"10.3233\/JPD-230411","article-title":"Defining Parkinson\u2019s disease: past and future","volume":"14","author":"Kulcsarova","year":"2024","journal-title":"J Parkinsons Dis"},{"key":"R2-20260430","doi-asserted-by":"crossref","first-page":"132","DOI":"10.31083\/j.jin2205132","article-title":"Pain in Parkinson\u2019s disease: pathophysiology, classification and treatment","volume":"22","author":"Cattaneo","year":"2023","journal-title":"J Integr Neurosci"},{"key":"R3-20260430","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1016\/bs.pbr.2022.01.017","article-title":"Speech dysfunction, cognition, and Parkinson\u2019s disease","volume":"269","author":"Rohl","year":"2022","journal-title":"Prog Brain Res"},{"key":"R4-20260430","first-page":"1","article-title":"Neurology Branch of Chinese Medical Association; Parkinson\u2019s Disease and Movement Disorders Professional Committee, Neurologist Branch of Chinese Medical Doctor Association. Guidelines for the diagnosis and treatment of mild cognitive impairment in Parkinson\u2019s disease in China (2020 version)","volume":"47","year":"2021","journal-title":"Chin J Nerv Ment Dis"},{"key":"R5-20260430","article-title":"Correlation analysis between cortical structural features and acoustic features in patients with Parkinson\u2019s disease","volume":"38","author":"Xiu","year":"2024","journal-title":"J Voice"},{"key":"R6-20260430","doi-asserted-by":"crossref","first-page":"108524","DOI":"10.1016\/j.clineuro.2024.108524","article-title":"Functional hearing impairment common in Parkinson\u2019s disease: Insights from a pilot study","volume":"246","author":"Jose","year":"2024","journal-title":"Clin Neurol Neurosurg"},{"key":"R7-20260430","doi-asserted-by":"crossref","first-page":"82","DOI":"10.62347\/PZQE5280","article-title":"Assessment of auditory perceptual functions in patients with Parkinson\u2019s disease","volume":"14","author":"Hamed","year":"2025","journal-title":"Am J Neurodegener Dis"},{"key":"R8-20260430","doi-asserted-by":"crossref","first-page":"7355","DOI":"10.1111\/ejn.15477","article-title":"Parkinson\u2019s disease affects the neural alpha oscillations associated with speech-in-noise processing","volume":"54","author":"De Groote","year":"2021","journal-title":"Eur J Neurosci"},{"key":"R9-20260430","doi-asserted-by":"crossref","first-page":"e2860","DOI":"10.1371\/journal.pone.0002860","article-title":"Ubiquitous crossmodal Stochastic Resonance in humans: auditory noise facilitates tactile, visual and proprioceptive sensations","volume":"3","author":"Lugo","year":"2008","journal-title":"PLoS One"},{"key":"R10-20260430","doi-asserted-by":"crossref","first-page":"RP100830","DOI":"10.7554\/eLife.100830.3","article-title":"Enhanced neural speech tracking through noise indicates stochastic resonance in humans","volume":"13","author":"Herrmann","year":"2025","journal-title":"Elife"},{"key":"R11-20260430","first-page":"631","article-title":"Auditory noise facilitates lower visual reaction times in humans","volume":"13","author":"P\u00e9rez-Pacheco","year":"2024","journal-title":"Biology (Basel)"},{"key":"R12-20260430","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1007\/s00221-024-06979-5","article-title":"Effects of individually calibrated white and pink noise vestibular stimulation on standing balance of young healthy adults","volume":"243","author":"Gavriilidou","year":"2024","journal-title":"Exp Brain Res"},{"key":"R13-20260430","doi-asserted-by":"crossref","first-page":"22581","DOI":"10.1038\/s41598-021-02055-y","article-title":"Sound level context modulates neural activity in the human brainstem","volume":"11","author":"Herrmann","year":"2021","journal-title":"Sci Rep"},{"key":"R14-20260430","doi-asserted-by":"crossref","first-page":"0146","DOI":"10.1523\/ENEURO.0146-25.2025","article-title":"Loudness and sound category: their distinct roles in shaping perceptual and physiological responses to soundscapes","volume":"12","author":"Erfanian","year":"2025","journal-title":"eNeuro"},{"key":"R15-20260430"},{"key":"R16-20260430","doi-asserted-by":"crossref","first-page":"1591","DOI":"10.1002\/mds.26424","article-title":"MDS clinical diagnostic criteria for Parkinson\u2019s disease","volume":"30","author":"Postuma","year":"2015","journal-title":"Mov Disord"},{"key":"R17-20260430","first-page":"268","article-title":"Neurology Branch of Chinese Medical Association; Parkinson\u2019s Disease and Movement Disorders Professional Committee, Neurologist Branch of Chinese Medical Doctor Association. Diagnostic criteria for Parkinson\u2019s disease in China (2016 edition)","volume":"49","year":"2016","journal-title":"Chin J Neurol"},{"key":"R18-20260430","doi-asserted-by":"crossref","first-page":"427","DOI":"10.1212\/WNL.17.5.427","article-title":"Parkinsonism: onset, progression and mortality","volume":"17","author":"Hoehn","year":"1967","journal-title":"Neurology"},{"key":"R19-20260430","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1001\/jama.2024.21972","article-title":"World Medical Association Declaration of Helsinki: ethical principles for medical research involving human participants","volume":"333","year":"2025","journal-title":"JAMA"},{"key":"R20-20260430","doi-asserted-by":"crossref","first-page":"730","DOI":"10.3390\/jpm12050730","article-title":"The category of conventional physiotherapy: the case of Parkinson\u2019s disease guidelines","volume":"12","author":"Hoskovcov\u00e1","year":"2022","journal-title":"J Pers Med"},{"key":"R21-20260430","doi-asserted-by":"crossref","first-page":"711","DOI":"10.3390\/medicina60050711","article-title":"General treatments promoting independent living in Parkinson\u2019s patients and physical therapy approaches for improving gait-a comprehensive review","volume":"60","author":"Lee","year":"2024","journal-title":"Medicina (Kaunas)"},{"key":"R22-20260430","doi-asserted-by":"crossref","first-page":"e32900","DOI":"10.1097\/MD.0000000000032900","article-title":"Effects of intensive speech treatment on Mandarin speakers with Parkinson\u2019s disease: a review","volume":"102","author":"Chen","year":"2023","journal-title":"Medicine (Baltimore)"},{"key":"R23-20260430","doi-asserted-by":"crossref","first-page":"1354","DOI":"10.1044\/2022_AJSLP-21-00195","article-title":"The effects of intensive voice treatment in Mandarin speakers with Parkinson\u2019s disease: acoustic and perceptual findings","volume":"31","author":"Hsu","year":"2022","journal-title":"Am J Speech Lang Pathol"},{"key":"R24-20260430","doi-asserted-by":"crossref","first-page":"2129","DOI":"10.1002\/mds.22340","article-title":"Movement Disorder Society UPDRS Revision Task Force. Movement Disorder Society-sponsored revision of the Unified Parkinson\u2019s Disease Rating Scale (MDS-UPDRS): scale presentation and clinimetric testing results","volume":"23","author":"Goetz","year":"2008","journal-title":"Mov Disord"},{"key":"R25-20260430","first-page":"936","article-title":"Comparative analysis of the Chinese version of MDS-UPDRS and the traditional UPDRS in the evaluation of Parkinson\u2019s disease","volume":"25","author":"Qu","year":"2019","journal-title":"Chin J Rehabil Theory Pract"},{"key":"R26-20260430","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1044\/1058-0360.0603.66","article-title":"The Voice Handicap Index (VHI): development and validation","volume":"6","author":"Johnson","year":"1997","journal-title":"Am J Speech-Lang Pat"},{"key":"R27-20260430","first-page":"670","article-title":"Analysis of reliability and validity of the Chinese version of voice handicap index (VHI)","volume":"43","author":"Xu","year":"2008","journal-title":"Chin J Otorhinolaryngology Head Neck Surg"},{"key":"R28-20260430","doi-asserted-by":"crossref","first-page":"igae069","DOI":"10.1093\/geroni\/igae069","article-title":"Effect of soundscape augmentation on behavioral symptoms in people with dementia: a pilot randomized controlled trial","volume":"8","author":"Talebzadeh","year":"2024","journal-title":"Innov Aging"},{"key":"R29-20260430","doi-asserted-by":"crossref","first-page":"192","DOI":"10.1016\/j.jamda.2022.11.010","article-title":"Soundscape awareness intervention reduced neuropsychiatric symptoms in nursing home residents with dementia: a cluster-randomized trial with MoSART","volume":"24","author":"Kosters","year":"2023","journal-title":"J Am Med Dir Assoc"},{"key":"R30-20260430","doi-asserted-by":"crossref","first-page":"1611","DOI":"10.3233\/JPD-213127","article-title":"Effects of low-intensity vestibular noise stimulation on postural instability in patients with Parkinson\u2019s disease","volume":"12","author":"Wuehr","year":"2022","journal-title":"J Parkinsons Dis"},{"key":"R31-20260430","doi-asserted-by":"crossref","first-page":"1707","DOI":"10.1121\/10.0028583","article-title":"Individual differences in the perception of phonetic category structure predict speech-in-noise performance","volume":"156","author":"Myers","year":"2024","journal-title":"J Acoust Soc Am"},{"key":"R32-20260430","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1038\/s41531-025-00952-x","article-title":"Amplifying walking activity in Parkinson\u2019s disease through autonomous music-based rhythmic auditory stimulation: randomized controlled trial","volume":"11","author":"Porciuncula","year":"2025","journal-title":"NPJ Parkinsons Dis"},{"key":"R33-20260430","first-page":"154","article-title":"Soundscape augmentation in dementia care design; need for a guideline","volume":"319","author":"Talebzadeh","year":"2024","journal-title":"Stud Health Technol Inform"},{"key":"R34-20260430","doi-asserted-by":"crossref","first-page":"107387","DOI":"10.1016\/j.isci.2023.107387","article-title":"Auditory white noise exposure results in intrinsic cortical excitability changes","volume":"26","author":"Schuler","year":"2023","journal-title":"iScience"},{"key":"R35-20260430","doi-asserted-by":"crossref","first-page":"1253","DOI":"10.3233\/JPD-230169","article-title":"Feasibility and proof-of-concept of delivering an autonomous music-based digital walking intervention to persons with Parkinson\u2019s disease in a naturalistic setting","volume":"13","author":"Zajac","year":"2023","journal-title":"J Parkinsons Dis"},{"key":"R36-20260430","doi-asserted-by":"crossref","first-page":"286","DOI":"10.9758\/cpn.24.1247","article-title":"Specific rhythm auditory stimulation for attention: a pilot randomized controlled trial","volume":"23","author":"Kim","year":"2025","journal-title":"Clin Psychopharmacol Neurosci"},{"key":"R37-20260430","doi-asserted-by":"crossref","first-page":"e14760","DOI":"10.1111\/psyp.14760","article-title":"Enhancing psychophysiological well-being through nature-based soundscapes: an examination of heart rate variability in a cross-over study","volume":"62","author":"Kumpulainen","year":"2025","journal-title":"Psychophysiology"},{"key":"R38-20260430","doi-asserted-by":"crossref","first-page":"10793","DOI":"10.3390\/ijerph191710793","article-title":"Decomposing the effects of familiarity with music cues on stride length and variability in persons with parkinson\u2019s disease: on the role of covariates","volume":"19","author":"Park","year":"2022","journal-title":"Int J Environ Res Public Health"},{"key":"R39-20260430","doi-asserted-by":"crossref","first-page":"901","DOI":"10.3390\/brainsci15090901","article-title":"Optimizing gait outcomes in parkinson\u2019s disease: the effects of musical groove and familiarity","volume":"15","author":"Ready","year":"2025","journal-title":"Brain Sci"},{"key":"R40-20260430","doi-asserted-by":"crossref","first-page":"528","DOI":"10.3390\/brainsci15050528","article-title":"A pilot study on the influence of self-paced auditory cues and preferred music on gait in persons with Parkinson\u2019s disease","volume":"15","author":"Brant","year":"2025","journal-title":"Brain Sci"},{"key":"R41-20260430","doi-asserted-by":"crossref","first-page":"4577","DOI":"10.1007\/s00415-024-12419-9","article-title":"Low-intensity vestibular noise stimulation improves postural symptoms in progressive supranuclear palsy","volume":"271","author":"Wuehr","year":"2024","journal-title":"J Neurol"},{"key":"R42-20260430","doi-asserted-by":"crossref","first-page":"208","DOI":"10.1016\/j.jphys.2024.06.004","article-title":"Walking training with auditory cueing improves walking speed more than walking training alone in ambulatory people with Parkinson\u2019s disease: a systematic review","volume":"70","author":"Nascimento","year":"2024","journal-title":"J Physiother"}],"container-title":["Noise and Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/nah.nah_257_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:39:22Z","timestamp":1786649962000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/nah.nah_257_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3]]},"references-count":42,"journal-issue":{"issue":"131","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/nah.nah_257_25","relation":{},"ISSN":["1463-1741"],"issn-type":[{"value":"1463-1741","type":"print"}],"subject":[],"published":{"date-parts":[[2026,3]]},"assertion":[{"value":"2025-12-10","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-06","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}