Dysarthria in Adults With Cerebral Palsy: Clinical Presentation and Impacts on Communication.
Dysarthria in Adults With Cerebral Palsy: Clinical Presentation and Impacts on Communication.
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脑瘫成人构音障碍：临床表现及其对沟通的影响
DOI：
10.1044/2015_jslhr-s-15-0086
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发表时间：
2016
期刊：
影响因子：
--
通讯作者：
Ziegler
中科院分区：
文献类型：
--
作者：
Schölderle;Staiger;Strecker;Ziegler
目的尽管构音障碍影响大多数脑瘫 (CP) 患者，并且会使日常交流变得非常复杂，但之前的研究对其临床特征的描述并不完整。我们的目的是全面描述 CP 成人构音障碍的特征，并阐明构音障碍症状对沟通相关参数的影响。方法采用标准化听觉评定量表对 42 名 CP 成人进行言语评估。进行听力实验是为了获得与交流相关的参数，即清晰度和自然度，以及年龄和性别估计。结果大多数患有脑瘫的成年人表现出中度至重度构音障碍，在言语的各个方面都有症状，最突出的是语音质量、呼吸和韵律。回归分析显示，发音、呼吸和韵律特征是语音清晰度和自然度的最强预测因素。听众对说话者年龄和性别的估计主要由声音参数决定。结论本研究概述了患有脑性瘫痪的成人样本中构音障碍的临床表现。所描述的功能障碍的复杂性以及对个人沟通的影响要求在临床护理和研究中更深入地考虑脑瘫患者的构音障碍。
PurposeAlthough dysarthria affects the large majority of individuals with cerebral palsy (CP) and can substantially complicate everyday communication, previous research has provided an incomplete picture of its clinical features. We aimed to comprehensively describe characteristics of dysarthria in adults with CP and to elucidate the impact of dysarthric symptoms on parameters relevant for communication.MethodForty-two adults with CP underwent speech assessment by means of standardized auditory rating scales. Listening experiments were conducted to obtain communication-related parameters—that is, intelligibility and naturalness—as well as age and gender estimates.ResultsThe majority of adults with CP showed moderate to severe dysarthria with symptoms on all dimensions of speech, most prominently voice quality, respiration, and prosody. Regression analyses revealed that articulatory, respiratory, and prosodic features were the strongest predictors of intelligibility and naturalness of speech. Listeners' estimates of the speakers' age and gender were predominantly determined by voice parameters.ConclusionThis study provides an overview on the clinical presentation of dysarthria in a convenience sample of adults with CP. The complexity of the functional impairment described and the consequences on the individuals' communication call for a stronger consideration of dysarthria in CP both in clinical care and in research.
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男性言语中衰老的知觉和听觉相关性。
影响因子：
1.7
作者：
W. Ryan;K. Burk
通讯作者：
K. Burk
成人脑瘫构音障碍：I. 清晰度和构音障碍。
DOI：
--
发表时间：
1980
期刊：
Journal of Speech and Hearing Research
影响因子：
--
作者：
L. J. Platt;G. Andrews;Margrette Young;P. T. Quinn
通讯作者：
P. T. Quinn
影响因子：
3.8
作者：
Nordberg, A.;Miniscalco, C.;Himmelmann, K.
通讯作者：
Himmelmann, K.
使用电子腭位描记术 (EPG) 诊断和治疗与轻度脑瘫相关的关节障碍：案例研究
影响因子：
1.2
作者：
F. Gibbon;S. Wood
通讯作者：
S. Wood
影响因子：
2.4
作者：
Liu, HM;Tsao, FM;Kuhl, PK
通讯作者：
Kuhl, PK