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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13 citations
TL;DR: In this paper, an exploratory study was conducted to determine the association between the deteriorating speech of persons with ALS and couples' perceptions of marital communication, and the results indicated a positive relation between declining speech intelligibility and a couple's perception of communication.
Abstract: Amyotrophic lateral sclerosis (ALS), a rapidly progressive neuromuscular disease, has a devastating impact not only on individuals diagnosed with ALS but also their spouses. Speech intelligibility, often compromised as a result of dysarthria, affects the couple’s ability to maintain effective, intimate communication. The purpose of this exploratory study was to determine the association between the deteriorating speech of persons with ALS (PALS) and couples’ perceptions of marital communication. There were two participant groups: (a) persons with ALS (PALS) and (b) their spouses. Data were collected over a 12-month period through the administration of objective and subjective measures. A review of the findings suggested a positive relation between declining speech intelligibility and a couple’s perception of marital communication. A holistic approach to communication intervention should be adopted for PALS, as communication as a means of facilitating and maintaining intimacy in the marital relationship is...
13 citations
TL;DR: The patient's perception of the total hanhcap was found to be more predictive of returning to work than the level of speech, which indicates that the vocational rehabilitation of manual workers is often easier, although aphasics can perform mental work.
Abstract: Few studies with stroke patients seem to have addressed the extent to which aphasia is a factor preventing gainful employment. One study showed that patients with aphasia after stroke returned to work only half as often as those with dysarthria or with unimpaired speech function (Howard et al. 1985). The patient's perception of the total hanhcap was found to be more predictive of returning to work than the level of speech. Furthermore, Zangwill (Lebrun and Hoops 1974) has noted that the vocational rehabilitation of manual workers is often easier, although aphasics can perform mental work.
13 citations
TL;DR: Both duration of use and propensity of atypical antipsychotics to cause EPS can influence the speech performance of the patients, particularly in people with the requirement of high quality speech.
Abstract: Background: Most of the studies have looked into the effect of typical antipsychotics on speech secondary to tardive dyskinesia. Aims: This study was aimed to explore the factors predicting the effect of atypical antipsychotic medications on the production of speech. Materials and Methods: One hundred and forty patients on stable regimen of three or more months on risperidone (92), olanzapine (28), aripiprazole (14), and clozapine (6) were recruited for the study. Speech was assessed by maximum phonation duration task, s/z ratio, diadochokinetic task, acoustic analysis and Frenchay Dysarthria Assessment (FDA). Extrapyramidal symptoms (EPS) were assessed by Simpson Angus scale. Statistical Analysis: Spearman correlation analysis was carried out to find the association between speech parameters and continuous variables. Effect of EPS, duration and dose of antipsychotic treatment on speech parameters was compared using Mann-Whitney test. Results: The risperidone group differ from other antipsychotics groups significantly in s/z ratio (0.07), FDA-total (0.23) and FDA-reflex (0.25). People who took antipsychotic for more than 2 years had lower score of FDA-palate ( P = 0.042), and FDA-respiratory ( P = 0.04) and higher values in noise-harmonic ratio ( P = 0.011) and maximum /fundamental frequency (MFF) for males ( P = 0.02). Effect of EPS was seen on MFF for males (spearman correlation coefficient = 0.34) and on almost all sections of FDA (spearman correlation coefficients = -0.2 to -0.33). Conclusion: Both duration of use and propensity of atypical antipsychotics to cause EPS can influence the speech performance of the patients. This information can be useful, particularly in people with the requirement of high quality speech.
13 citations
TL;DR: The physiological and perceptual characteristics of persistent dysarthria exhibited by a 14 year-old boy, following a severe traumatic brain injury (TBI) were investigated and indicated that the major motor speech deficits demonstrated by the subject included severely reduced tongue function, and moderately impaired lip, laryngeal, and velopharyngeAL function.
Abstract: The physiological and perceptual characteristics of persistent dysarthria exhibited by a 14 year-old boy, following a severe traumatic brain injury (TBI) were investigated The subject's speech and motor speech mechanism were comprehensively evaluated both perceptually and physiologically, and the findings were compared with those of a non-neurologically impaired control subject, matched for age and sex, and a number of control groups from previous studies Overall, the assessments indicated that the major motor speech deficits demonstrated by the subject included severely reduced tongue function, and moderately impaired lip, laryngeal, and velopharyngeal function Respiratory function was found to be mildly impaired Perceptual assessments indicated that the subject's speech was severely impaired in relation to rate, pitch variation, and consonant precision, with a moderate impairment in overall intelligibility The effects of a severe TBI on the functioning of the child's motor speech mechanism were discussed The clinical implications for the assessment and treatment of dysarthria in childhood following severe TBI were highlighted
13 citations