scispace - formally typeset
Search or ask a question
Topic

Dysarthria

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


Papers
More filters
DOI
01 Jan 2013
TL;DR: In this paper, the role of speech perception on speech production in speakers of different ages and those with hypokinetic dysarthria was systematically investigated in New Zealand English (NZE).
Abstract: The purpose of the research presented here was to systematically investigate the role of speech perception on speech production in speakers of different ages and those with PD and hypokinetic dysarthria. For this, the experimental designs of auditory perturbation and mimicry were chosen. The initial research phase established that the magnitude of compensation to auditory vowel perturbation was reduced in 54 speakers of New Zealand English (NZE) when compared to previous studies conducted with speakers of American (AE) and Canadian English (CE). A number of factors were studied to determine possible predictors of compensation and distinguish between potential changes associated with ageing. However, no predictors of compensation were found for the overall group. Post-hoc analyses established an increased variability in response patterns in NZE when compared to previous studies of AE and CE. Subsequent follow-up analyses focused on the response-dependent categories of (1) big compensators, (2) compensators, (3) big followers, and (4) followers. Linear mixed-effect modelling revealed that in big compensators, the magnitude of compensation was greater in speakers who exhibited larger F1 baseline standard deviation and greater F1 vowel distances of HEAD relative to HEED and HAD. F1 baseline standard deviation was found to have a similar predictive value for the group of compensators. No predictors of compensation were found for the other two subgroups. Phase two was set up as a continuation of phase one and examined whether a subset of 16 speakers classified as big compensators adapted to auditory vowel perturbation. Linear mixed-effect modelling revealed that in the absence of auditory feedback alterations, big compensators maintained their revised speech motor commands for a short period of time until a process of deadaptation was initiated. No predictors of adaptation were found for the group. Due to the unexpected results from the first two research phases indicating a dominant weighting of somatosensory feedback in NZE compared to auditory-perceptual influences, a different experimental paradigm was selected for phase three—mimicry. The purpose of this study was to determine whether eight speakers with PD and dysarthria and eight age-matched healthy controls (HC) are able to effectively integrate speech perception and speech production when attempting to match an acoustic target. Results revealed that all speakers were able to modify their speech production to approximate the model speaker but the acoustic dimensions of their speech did not move significantly closer to the target over the three mimicry attempts.

2 citations

Journal ArticleDOI
29 Mar 2019
TL;DR: Partindo do processo de tomada de decisão compartilhada e buscando minimizar o sofrimento de pacientes em cuidados paliativos, o fonoaudiólogo deve assumir uma nova perspectiva às decisões terapêuticas a fim of favorecer e envolver o paciente e seus familiares.
Abstract: Introduction: Shared decision making is a person-centered strategy, seeking to align communication between health professionals and patients, along with individuals’ preferences, values and goals. Objective: To correlate the clinical findings of dysarthria, dysphagia and cognition with the health decision-making process of a patient with confirmed molecular diagnosis of Ataxia Telangiectasia, in end-stage palliative care. Method: An evaluation of dysarthria, dysphagia and cognition was performed by a speech language pathologist. Based on the results which presented in the evaluation, principles and guidelines of the health decision-making process were addressed, in order to help define the therapeutic process for patients in palliative care. Results: The patient presented ataxic dysarthria and moderate to severe oropharyngeal dysphagia. However, despite a significant risk of laryngeal aspiration for all food consistencies, the patient expressed a strong desire to maintain exclusive oral feeding. With regard to cognition, the patient presented normal cognitive functions for his age bracket and education level. Through a process of informed choice and multidisciplinary discussion, and based on principles of shared decision-making in health, we chose to prioritize the patient’s desire and to support oral feeding. Conclusion: Starting from the shared decision-making process and seeking to minimize the suffering of patients in palliative care, the speech language pathologist must take a new perspective on therapeutic decisions in order to favor and involve the patient and his relatives from the beginning of the diagnosis up to end-of-life decisions.

2 citations

Journal ArticleDOI
TL;DR: In this paper, the symptoms of apraxia of speech are reviewed and the syndrome is delineated from the dysarthrias and from apha-sicphonological impairment.
Abstract: Apraxia of speech is considered as an impairment of the translation of phonological into movement information. In this article the symptoms of apra- xia of speech are reviewed and the syndrome is delineated from the dysarthrias and from apha- sic-phonological impairment. Terminological conventions borrowed from articulatory phono- logy are introduced as a tool to explain apraxic error mechanisms, and the role of conventional tasks probing a patient ' s phonological aware- ness is discussed. In a fi nal paragraph, apraxia of speech is considered on the background of neu- rological models of movement pathologies.

2 citations

Journal ArticleDOI
TL;DR: In this article , a cross-sectional study was carried out to evaluate language skills in patients post-stroke presented with comorbidity with different types of apraxia, including verbal fluency, repetition, and picture description.
Abstract: Abstract Background Stroke affects all aspects of communication of patients by causing disorders of motor control (dysarthria or apraxia) or language (dysphasia) or both. The aim of this study is to evaluate language skills in patients post-stroke presented with comorbidity with different types of apraxia. Methods An analytical cross-sectional study was carried out, and a number of 58 stroke adults with comorbid apraxic manifestations of various types were included after assessing them using the protocol of motor programming skills that was extracted from thesis titled “Assessment protocol of motor programming skills after cerebrovascular insults” from October 2016 to July 2018. They were subjected to the interview and personal history taking, and a modified comprehensive aphasia test to determine their language profile. Results Patients with verbal apraxia showed difficulty with tasks tapping verbal fluency, repetition, and picture description. The language deficits in ideational apraxia patients included cognition tasks, verbal fluency, sentence comprehension, and naming. Constructional apraxia patients showed language deficits in word comprehension, complex word repetition, and naming. Limb apraxia showed greater deficits on tasks tapping working memory and processing speed while buccofacial apraxia was accompanied by fewer language deficits in reading and repeating complex words. Conclusion Heterogeneous language profile was found in different types of apraxia.

2 citations

Journal ArticleDOI
TL;DR: The process of translation of the CPIB short form into Dutch is described, and its reproducibility and validity are confirmed, allowing clinicians to start using this PROM in clinical and research practice to systematically investigate the impact of the speech problems on communicative participation in a Dutch-speaking population.
Abstract: Abstract Background Several conditions and diseases can result in speech problems that can have a negative impact on everyday functioning, referred to as communicative participation. Subjective problems with acquired speech problems are often assessed with the speech handicap index (SHI). To assess generic participation problems, the Utrecht Scale for Evaluation of Rehabilitation–Participation (USER‐P) questionnaire is frequently used. The English questionnaire Communicative Participation Item Bank—short form (CPIB short form) is a 10‐item valid, reliable instrument that assesses communicative participation. In the absence of a Dutch equivalent, translation and validation of the CPIB short form was required. Aims To translate the CPIB short form into Dutch, and to determine its psychometric properties for the group of adults with speech problems resulting from a neurological aetiology or head and neck cancer. Methods & Procedures Translation of the CPIB short form was performed following the instructions of the European Organisation for Research and Treatment for Cancer (EORTC). In a cross‐sectional multi‐centre study, participants completed the Dutch CPIB short form together with the SHI and USER‐P, and the CPIB a second time after 2 weeks. We assessed internal consistency and test–retest reliability of the CPIB. Construct validity was assessed based on correlations with SHI, USER‐P and speech assessments. Outcomes & Results In the validation study, 122 participants were included: 51 with dysarthria due to different neurological disorders, 48 with speech problems due to head and neck cancer treatment and 23 healthy controls. Internal consistency of the items was high (Cronbach's alpha = 0.962), the intraclass correlation coefficient (ICC) for test–retest reliability was high 0.908 (95% CI = 0.870–0.935). Construct validity was supported by a strong correlation between the Dutch CPIB short form and the SHI total score (SHI total r s = 0.887) and a moderate correlation between the Dutch CPIB‐10 and the USER‐P subscales (USER‐P Frequency r s = 0.365; USER‐P restrictions and USER‐P satisfaction r s = 0.546). A moderate correlation was found between the Dutch CPIB‐10 and the speech performance assessments (degree of distortedness r = −0.0557; p ≤ 0.001; degree of intelligibility r = 0.0562). Conclusions & Implications The Dutch CPIB short form provides a valid and reliable tool for clinical practice and research purposes. It allows clinicians to start using this PROM in clinical and research practice to systematically investigate the impact of the speech problems on communicative participation in a Dutch‐speaking population. What this paper adds What is already known on the subject Communicative participation allows people to take part in life situations, but can be affected by acquired speech problems. The CPIB is a patient‐reported outcome measure for the assessment of this concept. For the English language the 46‐item bank and a 10‐item short form is available. What this paper adds to existing knowledge This paper describes the process of translation of the CPIB short form into Dutch, and confirms its reproducibility and validity. What are the potential or actual clinical implications of this work? With this validated Dutch version of the CPIB short form available, professionals can implement this tool in clinical and research practice to systematically evaluate communicative participation.

2 citations


Network Information
Related Topics (5)
Parkinson's disease
27.9K papers, 1.1M citations
82% related
Multiple sclerosis
26.8K papers, 886.7K citations
77% related
White matter
14.8K papers, 782.7K citations
77% related
Cerebellum
16.8K papers, 794K citations
76% related
Traumatic brain injury
25.7K papers, 793.7K citations
76% related
Performance
Metrics
No. of papers in the topic in previous years
YearPapers
2023229
2022415
2021164
2020138
2019125
201888