Topic
Dysarthria
About: Dysarthria is a research topic. Over the lifetime, 2402 publications have been published within this topic receiving 56554 citations.
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TL;DR: Velopharyngeal deficits are a common component of dysarthria following neurogenic insults and compensatory strategies may minimize the impact of velopharyngeAL deficits on speech production.
Abstract: Velopharyngeal deficits are a common component of dysarthria following neurogenic insults. Compensatory strategies may minimize the impact of velopharyngeal deficits on speech production. Velophary...
30 citations
TL;DR: A computerised, single-word intelligibility test that yields clinically feasible, reliable, and valid measures of segmental speech production in adults with aphasia is described and has potential utility for both clinical assessment and outcomes research.
Abstract: Background: Previous work indicates that single-word intelligibility tests developed for dysarthria are sensitive to segmental production errors in aphasic individuals with and without apraxia of s...
29 citations
TL;DR: The purpose of this article is to review current research literature on selected degenerative dysarthrias including those associated with Parkinson’s disease, multiple sclerosis, and amyotrophic lateral sclerosis to provide a window into many issues critical to the field of communication disorders.
Abstract: Although diversity of symptoms and urgency of needs pose many challenges, management of the degenerative dysarthrias is a crucial aspect of clinical practice. The purpose of this article is to review current research literature on selected degenerative dysarthrias including those associated with Parkinson's disease, multiple sclerosis, and amyotrophic lateral sclerosis. These dysarthrias are prevalent yet represent distinct patterns of underlying neuropathology, symptoms, age of onset, and rate of progression. Literature searches including the period 1997-2006 yielded 148 different studies reporting data on communication issues related to dysarthria. By far the largest category of studies was that which provided a basic description of speech production including the neurophysiologic, acoustic, or perceptual properties of dysarthria. Other categories included management (assessment and treatment) and the psychosocial consequences of dysarthria. While the topic of management of degenerative dysarthria is a focused one, it provides a window into many issues critical to the field of communication disorders including fundamental properties of speech production, development of evidence-based treatment techniques, the staging of these techniques into an effective management sequence, and the psychosocial consequences of communication disorders along with techniques to maintain communicative participation in the face of degenerative conditions.
29 citations
TL;DR: A new version of the FLF, the FL (four-level) model is presented, which further explicates and differentiates between speech motor planning, programming, and execution levels or phases of processing and identifies the loci and nature of disruption in the motor planning phase which could explain the pathophysiology and core features of AOS.
Abstract: Background: The complexity of speech motor control, and the incomplete conceptualisation of phases in the transformation of the speech code from linguistic symbols to a code amenable to a motor sys...
29 citations
DOI•
21 Sep 2017TL;DR: The standard SLP clinical speech and swallowing evaluation of chorea/Huntington’s disease, myoclonus, focal and segmental dystonia, and essential vocal tremor typically includes case history and evaluation of speech characteristics.
Abstract: Background: Hyperkinetic dysarthria is characterized by abnormal involuntary movements affecting respiratory, phonatory, and articulatory structures impacting speech and deglutition Speech–language pathologists (SLPs) play an important role in the evaluation and management of dysarthria and dysphagia This review describes the standard clinical evaluation and treatment approaches by SLPs for addressing impaired speech and deglutition in specific hyperkinetic dysarthria populations Methods: A literature review was conducted using the data sources of PubMed, Cochrane Library, and Google Scholar Search terms included 1) hyperkinetic dysarthria, essential voice tremor, voice tremor, vocal tremor, spasmodic dysphonia, spastic dysphonia, oromandibular dystonia, Meige syndrome, orofacial, cervical dystonia, dystonia, dyskinesia, chorea, Huntington’s Disease, myoclonus; and evaluation/treatment terms: 2) Speech–Language Pathology, Speech Pathology, Evaluation, Assessment, Dysphagia, Swallowing, Treatment, Management, and diagnosis Results: The standard SLP clinical speech and swallowing evaluation of chorea/Huntington’s disease, myoclonus, focal and segmental dystonia, and essential vocal tremor typically includes 1) case history; 2) examination of the tone, symmetry, and sensorimotor function of the speech structures during non-speech, speech and swallowing relevant activities (ie, cranial nerve assessment); 3) evaluation of speech characteristics; and 4) patient self-report of the impact of their disorder on activities of daily living SLP management of individuals with hyperkinetic dysarthria includes behavioral and compensatory strategies for addressing compromised speech and intelligibility Swallowing disorders are managed based on individual symptoms and the underlying pathophysiology determined during evaluation Discussion: SLPs play an important role in contributing to the differential diagnosis and management of impaired speech and deglutition associated with hyperkinetic disorders
29 citations