Music therapy in voice and speech disorders in patients with Parkinson‘s disease

Authors: M. Habalová 1;  Z. Fábry Lucká 1;  M. Horňáková 1;  Z. Cséfalvay 2
Authors‘ workplace: Katedra liečebnej pedagogiky, Pedagogická fakulta UK, Bratislava, Slovenská republika 1;  Katedra logopédie, Pedagogická fakulta UK, Bratislava, Slovenská republika 2
Published in: Cesk Slov Neurol N 2022; 85(2): 141-146
Category: Review Article


Voice and speech disorders are common accompanying symptoms of Parkinson‘s disease. They limit the opportunities of patients to participate in many activities in their personal and social lives. However, they receive little attention in the intervention offer. One of the promising non- -pharmacological therapeutic approaches in this area is music therapy. The presented review paper provides information on the course, results and limits of implemented music therapy interventions focused on the treatment of voice and speech disorders in patients with Parkinson‘s disease. Based on a search of the available literature in the English-language internet databases, nine studies describing music therapy intervention aimed at achieving changes in voice and speech in patients with Parkinson‘s disease were included in this review. Results showed improvement in the following areas: increase in voice strength, maximum phonation time, speech intelligibility, speech fluency, speech prosody, and respiratory functions. Although statistically significant changes in these areas were not observed in all included protocols, the evaluation of the results of individual studies showed that patients did not worsen in the monitored areas, despite the progressive nature of the disease. These findings suggest that music therapy intervention is a promising and beneficial non-pharmacological approach in comprehensive therapy of Parkinson‘s disease.


communication – Parkinson’s disease – Speech – music therapy – singing


1. Straka I, Kušnírová A, Valkovič P. Parkinsonova choroba. In: Cséfalvay Z, Valkovič P (eds). Poruchy komunikačných schopností pri Parkinsonovej chorobe. Bratislava: Univerzita Komenského v Bratislave 2022: 8–30.

2. Borghammer P, Van Den Berge N. Brain-First versus Gut-First Parkinson’s disease: a hypothesis. J Parkinsons Dis 2019; 9(s2): 281–295. doi: 10.3233/ JPD-191 721.

3. Kurčová S, Menšíková K, Kaiserová M et al. Premotorické a non-motorické príznaky Parkinsonovej choroby – taxonómia, klinická manifestácia a neuropatologické koreláty. Cesk Slov Neurol N 2016; 79/ 112(3): 255–270. doi: 10.14735/ amcsnn2016255.

4. Pfeiffer RF. Non-motor symptoms in Parkinson’s disease. Parkinsonism Relat Disord 2016; 22(1): 119–122. doi: 10.1016/ j.parkreldis.2015.09.004.

5. Ramig L, Halpern A, Spielman J et al. Speech treatment in Parkinson’s disease: Randomized controlled trial (RCT). Mov Disord 2018; 33(11): 1777–1791. doi: 10.1002/ mds.27460.

6. Cséfalvay Z, Jánošková, P. Poruchy jazykových procesov u pacientov s Parkinsonovou chorobou bez demencie. Neurol Praxi 2018; 19(6): 417–420.

7. Zamišková G, Ressner P, Dlouhá J et al. Poruchy řeči u Parkinsonovy nemoci. Neurol Praxi 2010; 11(2): 112–116.

8. Kozáková R. Podpůrná a paliativní péče u pacientů s Parkinsonovou nemocí. Praha: Grada 2020.

9. Janoško P. Rodinný systém v kontexte teórie a praxe. 1st ed. Ružomberok: Verbum 2015.

10. Gavalerová M. Intenzívna hlasová terapia Lee Silverman Voice Treatment – prvé klinické skúsenosti. Logopaedica 2019; 21: 17–21.

11. Vydrová J a kol. Hlasová terapie. Havlíčkův Brod: Tobiáš 2017.

12. Thaut, MH. Rhythm, music, and the brain: scientific foundations and clinical applications. 1st ed. NY: Routledge 2005.

13. Sacks O. Musicophilia. 2nd ed. Praha: Dybbuk 2015.

14. de Dreu MJ, van der Wilk AS, Poppe E et al. Rehabilitation, exercise therapy and music in patients with Parkinson’s disease: a meta-analysis of the effects of music-based movement therapy on walking ability, balance and quality of life. Parkinsonism Relat Disord 2012; 18(1): 114–119. doi: 10.1016/ S1353-8020(11)700 36-0.

15. Mainka S, Mallien G. Rhytmic speech cueing. In: Thaut MH, Hoemberg V (eds.). Handbook of neurologic music therapy. 1st ed. Oxford: Oxford University Press 2014.

16. Habalová M, Fábry Lucká Z. Muzikoterapia v terapii komunikačných deficitov u pacientov s Parkinsonovou chorobou. Logopaedica 2021; 23(1): 41–48.

17. Azekawa M, Lagasse AB. Singing exercises for speech and vocal abilities in individuals with hypokinetic dysarthria: a feasibility study. Music Ther Perspect 2018; 36(1): 40–49. doi: 10.1093/ mtp/ miw042.

18. Di Benedetto P, Cavazzon M, Mondolo F et al. Voice and choral singing treatment: a new approach for speech and voice disorders in Parkinson’s disease. Eur J Phys Rehabil Med 2009; 45(1): 13–19.

19. Elefant C, Baker FA, Lotan M et al. The effect of group music therapy on mood, speech, and singing in individuals with Parkinson’s disease – a feasibility study. J Music Ther 2012; 49(3): 278–302. doi: 10.1093/ jmt/ 49.3.278.

20. Han EY, Yun JY, Chong, HJ et al. Individual therapeutic singing program for vocal quality and depression in Parkinson’s disease. J Mov Disord 2018; 11(3): 121–128. doi: 10.14802/ jmd.17078.

21. Haneishi E. Effects of a music therapy voice protocol on speech intelligibility, vocal acoustic measures, and mood of individuals with Parkinson’s disease. J Music Ther 2001; 38(4): 273–290. doi: 10.1093/ jmt/ 38.4. 273.

22. Shih LC, Piel J, Warren A et al. Singing in groups for Parkinson’s disease (SING-PD): a pilot study of group singing therapy for PD-related voice/ speech disorders. Parkinsonism Relat Disord 2012; 18(5): 548–552. doi: 10.1016/ j.parkreldis.2012.02.009.

23. Stegemöller EL, Radig H, Hibbing P et al. Effects of singing on voice, respiratory control and quality of life in persons with Parkinson’s disease. Disabil Rehabil 2017; 39(6): 594–600. doi: 10.3109/ 09638288.2016.1152610.

24. Tamplin J, Morris ME, Marigliani C et al. ParkinSong: a controlled trial of singing-based therapy for Parkinson’s disease. Neurorehab Neural Repair 2019; 33(6): 453–463. doi:10.1177/ 1545968319847948.

25. Yinger OS, Lapointe LL. The effects of participation in a group music therapy voice protocol (GMTVP) on the speech of individuals with Parkinson’s disease. Music Ther Perspect 2012; 30(1): 25–31. doi: 10.1093/ mtp/ 30.1.25.

Paediatric neurology Neurosurgery Neurology

Article was published in

Czech and Slovak Neurology and Neurosurgery

Issue 2

2022 Issue 2

Most read in this issue
Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.


Don‘t have an account?  Create new account