Contemporary Approaches to the Management of Post-stroke Apraxia of Speech.
Contemporary Approaches to the Management of Post-stroke Apraxia of Speech.
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DOI：
10.1055/s-0037-1608853
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发表时间：
2018-03
影响因子：
1
通讯作者：
Basilakos A
中科院分区：
文献类型：
--
作者：
Basilakos A
言语失用症(AOS)是一种运动性言语障碍，它扰乱了言语运动的规划和编程。在卒中恢复的急性期，单侧(通常)左半球卒中后的AOS可与构音障碍、言语执行和控制障碍和/或失语症(语言功能的更高水平损害)一起发生。此时，知觉评估(对语音和声音特征的系统的、虽然主观的描述)可能是唯一的鉴别诊断运动性言语障碍的“黄金标准”。这对负责中风后沟通能力评估的言语语言病理学家提出了挑战，因为区分与AOS相关的产出障碍与那些可能发生在失语症和/或构音障碍中的障碍可能是困难的，特别是当存在不止一个缺陷时。鉴于需要更客观、更可靠的方法来识别和诊断AOS，一些研究已经转向声学评估和神经成像来补充临床评估。本文将重点介绍这些最新进展。研究AOS声学评估的研究将被综述，以及那些考虑了神经成像可以指导临床决策的程度的研究。此外，还将讨论AOS的治疗进展。虽然这些方法在日常临床实践中的使用还需要更多的研究，但这里综述的研究显示，这些方法有望成为管理AOS的新兴工具。
Apraxia of speech (AOS) is a motor speech disorder that disrupts the planning and programming of speech motor movements. In the acute stage of stroke recovery, AOS following unilateral (typically) left hemisphere stroke can occur alongside dysarthria, an impairment in speech execution and control, and/or aphasia, a higher-level impairment in language function. At this time, perceptual evaluation (the systematic, although subjective, description of speech and voice characteristics) is perhaps the only “gold standard” for differential diagnosis when it comes to motor speech disorders. This poses a challenge for speech-language pathologists charged with the evaluation of poststroke communication abilities, as distinguishing production impairments associated with AOS from those that can occur in aphasia and/or dysarthria can be difficult, especially when more than one deficit is present. Given the need for more objective, reliable methods to identify and diagnose AOS, several studies have turned to acoustic evaluation and neuroimaging to supplement clinical assessment. This article focuses on these recent advances. Studies investigating acoustic evaluation of AOS will be reviewed, as well as those that have considered the extent that neuroimaging can guide clinical decision making. Developments in the treatment of AOS will also be discussed. Although more research is needed regarding the use of these methods in everyday clinical practice, the studies reviewed here show promise as emerging tools for the management of AOS.
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影响因子：
16.2
作者：
Corbetta M;Ramsey L;Callejas A;Baldassarre A;Hacker CD;Siegel JS;Astafiev SV;Rengachary J;Zinn K;Lang CE;Connor LT;Fucetola R;Strube M;Carter AR;Shulman GL
通讯作者：
Shulman GL
影响因子：
8.3
作者：
Bonilha L;Rorden C;Fridriksson J
通讯作者：
Fridriksson J
影响因子：
2
作者：
Cunningham, Kevin T.;Haley, Katarina L.;Jacks, Adam
通讯作者：
Jacks, Adam
DOI：
10.1044/2017_jslhr-s-16-0443
发表时间：
2017-12-01
影响因子：
2.6
作者：
Basilakos, Alexandra;Yourganov, Grigori;Fridriksson, Julius
通讯作者：
Fridriksson, Julius
影响因子：
3.6
作者：
Baldo, Juliana V.;Wilkins, David P.;Dronkers, Nina F.
通讯作者：
Dronkers, Nina F.