Dysarthria

About: Dysarthria is a research topic. Over the lifetime, 2402 publications have been published within this topic receiving 56554 citations.

The impact of art therapy on the intelligibility of speech in children with cerebral palsy.

Abstract: Background. Children with cerebral palsy (CP) frequently have dysarthria, which reduces the intelligibility of their speech and can seriously impede their psycho-social adjustment. Traditional "bottom-up" rehabilitation oriented directly on the articulatory apparatus is not always successful in helping these children to speak intelligibly. The authors have developed a program of art therapy with elements of logopedic therapy to model and stimulate perception and expression, including linguistic performance, which has proven in clinical to be a helpful "top-down" approach to helping these children to speak more early. Material and methods. Out of the population of CP children treated in the Cracow Rehabilitation Center's Art Therapy Workshop in the period 1994-2001, we identified 14 children, 9 boys and 5 girls, average age 15,3, who showed severe dysarthria at admission without other language or cognitive disturbances. Our retrospective study was based on recorder results from the Auditory Dysarthria Scale and standard neuropsychological tests for fluency of speech, administered routinely once each month during the 4-month art therapy program. Results. All the children in the study group showed some degree of improvement after art therapy in all tested parameters. On the Auditory Dysarthria Scale, the largest improvements were noted in overall intelligibility (p Conclusions. Art therapy with elements of logopedic therapy improves the ability of children with cerebral palsy to engage in purposeful behavior, including speech and language functions, especially intelligibility.

Analysis of voice and speech performance in Parkinson’s disease: a promising tool for the monitoring of disease progression and differential diagnosis

Abstract: SUMMARY Abnormalities of voice and speech performance are common and are early features of Parkinson’s disease (PD) and other hypokinetic rigid syndromes, such as progressive supranuclear palsy. The typical pattern of dysarthria in PD is characterized by reduced loudness and pitch variability, often in combination with abnormalities of voice, articulatory insufficiencies and irregularity of speech rate and rhythm. Recent preliminary investigations on the progression of dysarthria in the course of PD, and on the comparison of dysarthria between PD and progressive supranuclear palsy speakers, justify the assumption that analysis of speech may become a helpful tool for the monitoring of presumably nondopaminergic features and disease progression in PD and for the differential diagnoses of different parkinsonian syndromes.

A novel variant in SLC16A2 associated with typical Allan-Herndon-Dudley syndrome: a case report

Abstract: Allan-Herndon-Dudley syndrome (AHDS) is an X-linked recessive neurodegenerative disorder caused by mutations in the SLC16A2 gene that encodes thyroid hormone transporter. AHDS has been rarely reported in China.This study reported a novel splicing mutation in the SLC16A2 gene in an 18-month-old male patient with AHDS. The patient was born to non-consanguineous, healthy parents of Chinese origin. He passed new-born screening for hypothyroidism, but failed to reach developmental milestones. He presented with hypotonia, severe mental retardation, dysarthria and ataxia. Genetic analysis identified a novel splicing mutation, NM_006517.4: c.431-2 A > G, in the SLC16A2 gene inherited from his mother. The patient received Triac treatment, (triiodothyroacetic acid), a thyroid hormone analogue for 3 months. Triac treatment effectively reduced serum TSH concentrations and normalized serum T3 concentrations in the patient.This study reported the first case of AHDS treated by Triac in China. And the study expanded the mutational spectrum of the SLC16A2 gene in AHDS patients.

Clinical Management of Dysarthria with Dysphagia

Abstract: 嚥下障害を合併したdysarthria1例に対して臨床的マネージメントを行った.治療プランの立案においては, 嚥下と発話の動作を比較し神経生理学的および解剖学的関連性と相違に着目し, 障害モデルを基盤とした.その結果, 嚥下と発話の機能は平行して著明に改善し, 嚥下障害の重症度は6段階評価尺度でレベル1から5へ, 単語明瞭度は18.5%から89.1%となった.今回の結果から嚥下障害を合併したdysarthria例に対しては, 嚥下と発話の神経生理学的および解剖学的関連性と相違に着目することによって機能障害および能力障害レベルの治療プランが明確化し効率的な治療結果を両者に同時に得ることが可能であると示唆された.また, 嚥下障害のマネージメントにおいては, チーム・アプローチの重要性が示された.

The effects of cerebellar ataxia on sign language production: A case study

Abstract: Speech and sign production both require precise coordination of multiple articulators. The characteristics of dysarthria following ataxia have been well-documented, but less is known about the consequences of ataxia for sign language, which uses the hands and arms as articulators. This is the first study to examine ataxic dysarthria in a sign language user. What is novel in this research is that the limbs are employed for both linguistic and non-linguistic movements. Notably, sign production deficits broadly resembled ataxic dysarthria, while non-linguistic movement deficits were similar to those previously reported for ataxic limb movement.