Changes in Hemodynamics and Tissue Oxygenation Saturation in the Brain and Skeletal Muscle Induced by Speech Therapy – A Near-Infrared Spectroscopy Study

Arts speech therapy (AST) is a therapeutic method within complementary medicine and has been practiced for decades for various medical conditions. It comprises listening and the recitation of different forms of speech exercises under the guidance of a licensed speech therapist. The aim of our study...

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Main Authors: U. Wolf, F. Scholkmann, R. Rosenberger, M. Wolf, M. Nelle
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1100/tsw.2011.116
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author U. Wolf
F. Scholkmann
R. Rosenberger
M. Wolf
M. Nelle
author_facet U. Wolf
F. Scholkmann
R. Rosenberger
M. Wolf
M. Nelle
author_sort U. Wolf
collection DOAJ
description Arts speech therapy (AST) is a therapeutic method within complementary medicine and has been practiced for decades for various medical conditions. It comprises listening and the recitation of different forms of speech exercises under the guidance of a licensed speech therapist. The aim of our study was to noninvasively investigate whether different types of recitation influence hemodynamics and oxygenation in the brain and skeletal leg muscle using near-infrared spectroscopy (NIRS). Seventeen healthy volunteers (eight men and nine women, mean age ± standard deviation 35.6 ± 12.7 years) were enrolled in the study. Each subject was measured three times on different days with the different types of recitation: hexameter, alliteration, and prose verse. Before, during, and after recitation, relative concentration changes of oxyhemoglobin (Δ[O2Hb]), deoxyhemoglobin (Δ[HHb]), total hemoglobin (Δ[tHb]), and tissue oxygenation saturation (StO2) were measured in the brain and skeletal leg muscle using a NIRS device. The study was performed with a randomized crossover design. Significant concentration changes were found during recitation of all verses, with mainly a decrease in Δ[O2Hb] and ΔStO2 in the brain, and an increase in Δ[O2Hb] and Δ[tHb] in the leg muscle during recitation. After the recitations, significant changes were mainly increases of Δ[HHb] and Δ[tHb] in the calf muscle. The Mayer wave spectral power (MWP) was also significantly affected, i.e., mainly the MWP of the Δ[O2Hb] and Δ[tHb] increased in the brain during recitation of hexameter and prose verse. The changes in MWP were also significantly different between hexameter and alliteration, and hexameter and prose. Possible physiological explanations for these changes are discussed. A probable reason is a different effect of recitations on the sympathetic nervous system. In conclusion, these changes show that AST has relevant effects on the hemodynamics and oxygenation of the brain and muscle.
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spelling doaj-art-f75d2189b18e4d60a668cccb2f563f892025-02-03T01:31:26ZengWileyThe Scientific World Journal1537-744X2011-01-01111206121510.1100/tsw.2011.116Changes in Hemodynamics and Tissue Oxygenation Saturation in the Brain and Skeletal Muscle Induced by Speech Therapy – A Near-Infrared Spectroscopy StudyU. Wolf0F. Scholkmann1R. Rosenberger2M. Wolf3M. Nelle4Institute of Complementary Medicine KIKOM, University of Bern, Bern, SwitzerlandInstitute of Complementary Medicine KIKOM, University of Bern, Bern, SwitzerlandInstitute of Complementary Medicine KIKOM, University of Bern, Bern, SwitzerlandBiomedical Optics Research Laboratory, Division of Neonatology, Department of Obstetrics and Gynecology, University Hospital Zurich, Zurich, SwitzerlandDivision of Neonatology, University Hospital Bern, Bern, SwitzerlandArts speech therapy (AST) is a therapeutic method within complementary medicine and has been practiced for decades for various medical conditions. It comprises listening and the recitation of different forms of speech exercises under the guidance of a licensed speech therapist. The aim of our study was to noninvasively investigate whether different types of recitation influence hemodynamics and oxygenation in the brain and skeletal leg muscle using near-infrared spectroscopy (NIRS). Seventeen healthy volunteers (eight men and nine women, mean age ± standard deviation 35.6 ± 12.7 years) were enrolled in the study. Each subject was measured three times on different days with the different types of recitation: hexameter, alliteration, and prose verse. Before, during, and after recitation, relative concentration changes of oxyhemoglobin (Δ[O2Hb]), deoxyhemoglobin (Δ[HHb]), total hemoglobin (Δ[tHb]), and tissue oxygenation saturation (StO2) were measured in the brain and skeletal leg muscle using a NIRS device. The study was performed with a randomized crossover design. Significant concentration changes were found during recitation of all verses, with mainly a decrease in Δ[O2Hb] and ΔStO2 in the brain, and an increase in Δ[O2Hb] and Δ[tHb] in the leg muscle during recitation. After the recitations, significant changes were mainly increases of Δ[HHb] and Δ[tHb] in the calf muscle. The Mayer wave spectral power (MWP) was also significantly affected, i.e., mainly the MWP of the Δ[O2Hb] and Δ[tHb] increased in the brain during recitation of hexameter and prose verse. The changes in MWP were also significantly different between hexameter and alliteration, and hexameter and prose. Possible physiological explanations for these changes are discussed. A probable reason is a different effect of recitations on the sympathetic nervous system. In conclusion, these changes show that AST has relevant effects on the hemodynamics and oxygenation of the brain and muscle.http://dx.doi.org/10.1100/tsw.2011.116
spellingShingle U. Wolf
F. Scholkmann
R. Rosenberger
M. Wolf
M. Nelle
Changes in Hemodynamics and Tissue Oxygenation Saturation in the Brain and Skeletal Muscle Induced by Speech Therapy – A Near-Infrared Spectroscopy Study
The Scientific World Journal
title Changes in Hemodynamics and Tissue Oxygenation Saturation in the Brain and Skeletal Muscle Induced by Speech Therapy – A Near-Infrared Spectroscopy Study
title_full Changes in Hemodynamics and Tissue Oxygenation Saturation in the Brain and Skeletal Muscle Induced by Speech Therapy – A Near-Infrared Spectroscopy Study
title_fullStr Changes in Hemodynamics and Tissue Oxygenation Saturation in the Brain and Skeletal Muscle Induced by Speech Therapy – A Near-Infrared Spectroscopy Study
title_full_unstemmed Changes in Hemodynamics and Tissue Oxygenation Saturation in the Brain and Skeletal Muscle Induced by Speech Therapy – A Near-Infrared Spectroscopy Study
title_short Changes in Hemodynamics and Tissue Oxygenation Saturation in the Brain and Skeletal Muscle Induced by Speech Therapy – A Near-Infrared Spectroscopy Study
title_sort changes in hemodynamics and tissue oxygenation saturation in the brain and skeletal muscle induced by speech therapy a near infrared spectroscopy study
url http://dx.doi.org/10.1100/tsw.2011.116
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