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MDS-ES 3rd Speech and Swallowing in Parkinson’s Disease School

July 26-27, 2019 CZECH REPUBLIC

PRAGUE

Course Program

COURSE SUPPORT ACKNOWLEDGEMENT

The following entity has provided an unrestricted education grant in support of this program:

LSVT Global, Inc.

The MDS-ES 3rd Speech and Swallowing in Parkinson’s Disease School is also supported in part by an

educational grant from the Edmond J. Safra Foundation.

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Table of Contents

Course Venue Charles University

Department of Neurology and Centre of Clinical Neuroscience

First Faculty of Medicine, Kate�inská 32, 121 08 Prague 2

Czech Republic

Course Materials

www.movementdisorders.org/Private/2019-Private-Pages/MDS-ES-

3rd-Speech-and-Swallowing-in-Parkinsons-Disease-School.htm

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International Parkinson and Movement

Disorder Society - European Section

International Secretariat 555 East Wells Street, Suite 1100 • Milwaukee, WI 53202 USA

Email: [email protected]

Tel: +1 (414) 276-2145 • Fax: +1 (414) 276-3349

The International Parkinson and Movement Disorder Society (MDS) is an international professional society of clinicians,

scientists, and other healthcare professionals who are interested in Parkinson’s disease, related neurodegenerative and

neurodevelopmental disorders, hyperkinetic Movement Disorders, and abnormalities in muscle tone and motor control.

Program Overview……………………………………….… 2

Faculty Listing…………………………………………..…. 3

Course Venue……………………………………………. 4-5

Agenda Day 1……………………………………………… 6

Agenda Day 2……………………………………………… 7

Notes………………………………………….……….…. 8-9

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COURSE DESCRIPTION

Dysarthria in Parkinson’s disease (PD) is primarily characterized by hypophonia and dysprosody. It can worsen during the

disease progression with a poor and variable response to pharmacological and/or neurosurgical treatments. Hypophonia in

PD usually responds well to intensive speech therapies, but it is not always offered to PD patients. Managing swallowing

and saliva problems effectively can have a positive impact on quality of life.

The main objective of MDS-ES 3rd Speech and Swallowing in Parkinson’s Disease School is to provide an opportunity for

speech clinicians to be informed about clinical management of Parkinsonism, as well as to provide the most recent

knowledge about clinical and research aspects of speech and swallowing in PD and atypical parkinsonism.

LEARNING OBJECTIVES

• Discuss the neurological bases of speech and swallowing function in PD and atypical parkinsonism;

• Assess speech and swallowing dysfunction with due consideration on its implications for social

participation;

• Plan a rehabilitation program for speech and/or swallowing impairments in PD patients, considering recent

technological advances and patient-reported outcome measures

• Identify how and when speech therapy can be fully effective according to disease progression and in

association with medical and/or surgical treatments.

EDUCATION DISCLAIMER

The primary purpose of MDS programming is to provide educational opportunities that enhance patient care. Information

presented, as well as publications, technologies, products and/or services discussed are intended to inform attendees about

the knowledge, techniques and experiences of physicians who are willing to share such information with colleagues. A

diversity of opinions exists in the medical field, and the views of the workshop’s faculty are offered solely for educational

purposes. Faculty members’ views do not represent those of the MDS and do not constitute endorsement by MDS.

RECORDINGS PROHIBITED

Audio and videotaping are not allowed during the course. Photography of the presentations and slides is not allowed during

the activity. This includes mobile phone photography.

COURSE EVALUATIONS

Course evaluations are available online. Please take time to complete the online evaluation form provided following this

course. Your input and comments are essential in planning future educational programs.

CERTIFICATE OF ATTENDANCE

Certificates of attendance will be available at the conclusion of the course.

PROGRAM OVERVIEW

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COURSE DIRECTORS

Jan Rusz, PhD Charles University

Prague, Czech Republic

Elina Tripoliti, PhD, MRCSLT National Hospital for Neurology and

Neurosurgery

London, United Kindgom

FACULTY

Cynthia Fox, PhD LSVT Global, Inc.

Tucson, AZ, USA

Lena Hartelius, PhD University of Göteborg

Göteborg, Sweden

Jan Hlavni�ka, PhD Czech Technical University in Prague


Hanneke Kalf, PhD Radboud University Medical Center

Nijmegen, Netherlands

Ji�í Klempí� Charles University


Sue McGowan, SLT National Hospital for Neurology and

Neurosurgery

London, United Kingdom

Michal Novotný, PhD Czech Technical University in Prague


Serge Pinto, PhD Laboratoire Parole et Langage

Aix-en Provence, France

Irena Rektorová, MD, PhD Masaryk University, St. Anne's Hospital

Brno, Czech Republic

Evžen R�ži�ka, MD, PhD Charles University


Hana R�ži�ková, PhD Charles University


Tereza Tykalová, PhD Czech Technical University in Prague


FACULTY LISTING

EVALUATIONS ONLINE

Following the conclusion of the course, you will receive an email

from the MDS Secretariat with a link to an online evaluation.

Thank you in advance for completing the survey to provide your

feedback on the course.

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Charles University Department of Neurology and Centre of Clinical Neuroscience

First Faculty of Medicine

Kate�inská 32, 121 08 Prague 2

Czech Republic

COURSE VENUE

Václav Havel Airport ~35 minutes from city center by taxi

Course Venue

Main Train Station

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COURSE VENUE - floor plan

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DAY 1 - Friday, July 26, 2019 TIME LECTURE

7:30 – 8:30 Registration

8:30 – 8:45 Welcome and Short Introduction

Jan Rusz

8:45 – 9:00

What is New in the Pharmacological Treatment for Parkinson’s Disease and Why Speech Still

Remains a Challenge?

Evžen R�ži�ka

Speech Disorders in Parkinson’s Disease – Clinical

9:00 – 9:30 Perceptual Evaluation of Speech in Parkinson’s Disease

Lena Hartelius

9:30 – 10:00 Speech Patterns Across Multiple European Languages in Parkinson’s Disease

Jan Rusz

10:00 – 10:30 Prosody and Rhythm Disorders in Parkinson’s Disease

Serge Pinto

10:30 – 10:50 Question and Answer Panel

10:50 – 11:15 COFFEE and DISCUSSION

Speech Disorders in Parkinson’s Disease – Neural Correlates

11:15 – 11:45

Speech Changes after STN-DBS for Parkinson’s Disease: Predictive Factors and Implications for

Management

Elina Tripoliti

11:45 – 12:15

Comparing the Effects of STN-DBS and Levodopa on Neural Connectivity in Patients with

Parkinson’s Disease: Implications for Speech Management

Irena Rektorová

12:15 – 12:45 Modulation of Hypokinetic Dysarthria by Noninvasive Brain Stimulation

Irena Rektorová


13:05 – 14:00 LUNCH

Speech Assessment and Treatment Workshop

2 groups of patients, 2 sessions of 45 minutes with each patient + 5 minute turnaround

Computerized Methods of Voice and Speech

Analysis Jan Hlavni�ka, Michal Novotný, and Tereza

Tykalova

Perceptual Analysis of Speech

Lena Hartelius, Elina Tripoliti, and

Jan Rusz

14:00 – 14:45 GROUP A GROUP B

14:50 – 15:35 GROUP B GROUP A

15:35 – 16:00 COFFEE and DISCUSSION

Atypical Parkinson’s Disease

16:00 – 16:30 Clinical Presentation and Pharmacological Treatment of PSP and MSA

Evžen R�ži�ka

16:30 – 17:00 Diagnostic Patterns of Speech in Atypical Parkinson’s Disease

Jan Rusz

17:00 – 17:30 Management of Speech in Atypical Parkinson’s Disease

Elina Tripoliti

17:30 – 17:50 Question and Answer Panel + Closing - All Faculty

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DAY 2 - Saturday, July 27, 2019 TIME LECTURE

8:00 – 8:30 Registration

8:30 – 9:00 Swallowing Problems in Parkinson's disease and Atypical Parkinsonisms

Hana R�ži�ková

9:00 – 9:30 Assessing Swallowing Function in Parkinson’s Disease and Atypical Parkinsonisms

Hanneke Kalf

9:30 – 10:00 Treating Swallowing Disorders in Parkinson’s Disease and Atypical Parkinsonisms

Hanneke Kalf

10:00 – 10:30 Nutrition problems in Atypical Parkinsonian Syndromes

Ji�í Klempí�


10:50 – 11:15 COFFEE AND DISCUSSION

Swallowing Workshops

11:15 – 11:45 Videofluoroscopy Workshop

Sue McGowan and Hana R�ži�ková

11:45 – 12:15 Clinical Bedside Evaluation Methods

Hanneke Kalf


12:35 – 13:15 LUNCH

Speech Disfluencies and Facial Expression: How they Impact Communication

13:15 – 13:45 Speech Dysfluencies in Parkinson’s Disease: Characteristics, Pathophysiology and Management

Tereza Tykalova

13:45 – 14:15 Facial Expression and its Impact on Communication in Parkinson’s Disease

Michal Novotný


14:35 – 15:00 COFFEE AND DISCUSSION

Speech Therapy in Parkinson’s Disease

15:00 – 15:30 Amplitude Therapy and Parkinson's Disease: Why and How It Works

Cynthia Fox

15:30 – 16:00

Case Studies of Patients with Dystonia and How to Maximize the Effects of Medical and Surgical

Treatments

Elina Tripoliti

16:00 – 16:30 Plenary Session and Closure Jan Rusz, Elina Tripoliti, Cynthia Fox, Lena Hartelius, Jan Hlavnicka, Hanneke Kalf, Sue

McGowan, Serge Pinto, and Evžen R�ži�ka

www.movementdisorders.org/MDS/Health-Professionals.htm

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NOTES

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NOTES

UPCOMING MDS-ES COURSES

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2019 MDS INTERNATIONAL CONGRESS

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