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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
Prague, Czech Republic
Hanneke Kalf, PhD Radboud University Medical Center
Nijmegen, Netherlands
Ji�í Klempí� Charles University
Prague, Czech Republic
Sue McGowan, SLT National Hospital for Neurology and
Neurosurgery
London, United Kingdom
Michal Novotný, PhD Czech Technical University in Prague
Prague, Czech Republic
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
Prague, Czech Republic
Hana R�ži�ková, PhD Charles University
Prague, Czech Republic
Tereza Tykalová, PhD Czech Technical University in Prague
Prague, Czech Republic
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
12:45 – 13:05 Question and Answer Panel
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�
10:30 – 10:50 Question and Answer Panel
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
12:15 – 12:35 Question and Answer Panel
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
14:15 – 14:35 Question and Answer Panel
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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UPCOMING MDS-ES COURSES
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2019 MDS INTERNATIONAL CONGRESS