Communication Limitations in Patients With Progressive Apraxia of Speech and Aphasia.
Communication Limitations in Patients With Progressive Apraxia of Speech and Aphasia.
复制标题
进行性言语失用和失语症患者的沟通限制。
DOI：
10.1044/2020_ajslp-20-00012
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发表时间：
2020
影响因子：
2.6
通讯作者：
Josephs,KeithA
中科院分区：
文献类型：
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作者：
Utianski,ReneL;Clark,HeatherM;Duffy,JosephR;Botha,Hugo;Whitwell,JenniferL;Josephs,KeithA
目的原发性进行性言语失用症（AOS）患者的言语模式以发音和韵律紊乱为主。许多患者在病程后期出现失语和/或构音障碍。本研究的目的是描述这些患者的交流限制，通过(a)患者通过交流参与项目库（CPIB）和(b)语言病理学家通过美国语言听力协会（ASHA）功能交流测量（fcm）和适应性运动语言障碍（MSD）严重程度评分来测量。方法对24例进展性AOS患者（单纯AOS 7例，合并AOS和失语症17例）进行言语和语言评价。采用描述性比较来评价不同组合的MSDs和失语症患者在沟通措施上的差异。与语音优势或韵律优势的AOS相关的差异也被检查。在整个队列中，计算了参与评分和其他临床评估指标之间的相关性。结果与单独的AOS相比，CPIB在失语和AOS患者中具有更大的局限性，但在发生AOS的构音障碍时无显著差异（n= 9/24）。在整个队列中，CPIB和ASHA FCM-Motor Speech and Language Expression评分与MSD严重程度评分之间存在统计学上显著的相关性。CPIB与ASHA fcm -语言理解或其他言语语言测量没有相关性。结论神经退行性AOS患者的交流参与能力下降，并伴有语言障碍。该研究表明，不能假设严重程度的衡量标准与参与限制的衡量标准相关联，并为进一步研究渐进式语言障碍的日常后遗症提供了基础。补充Materialhttps: / / doi.org/10.23641/asha.12743252
PurposeIndividuals with primary progressive apraxia of speech (AOS) have AOS in which disruptions in articulation and prosody predominate the speech pattern. Many develop aphasia and/or dysarthria later in the disease course. The aim of this study was to describe the communication limitations in these patients, as measured by (a) the patient via the Communicative Participation Item Bank (CPIB) and (b) the speech-language pathologist via the American Speech-Language-Hearing Association's (ASHA) Functional Communication Measures (FCMs) and an adapted motor speech disorder (MSD) severity rating.MethodSpeech and language evaluations were completed for 24 patients with progressive AOS (n= 7 with isolated AOS;n= 17 with a combination of AOS and aphasia). Descriptive comparisons were utilized to evaluate differences in communication measures among patients with various combinations of MSDs and aphasia. Differences associated with phonetic predominant or prosodic predominant AOS were also examined. Across the entire cohort, correlations were calculated between the participation ratings and other clinical assessment measures.ResultsThe CPIB reflected greater limitations for those with aphasia and AOS compared to isolated AOS, but was not notably different when dysarthria occurred with AOS (n= 9/24). Across the cohort, there were statistically significant correlations between the CPIB and ASHA FCM–Motor Speech and Language Expression ratings and the MSD severity rating. The CPIB did not correlate with the ASHA FCM–Language Comprehension or other speech-language measures.ConclusionsPatients with neurodegenerative AOS experience reduced participation in communication that is further exacerbated by co-occurring language deficits. The study suggests measures of severity cannot be assumed to correlate with measures of participation restrictions and offers a foundation for further research examining the day-to-day sequela of progressive speech and language disorders.Supplemental Materialhttps://doi.org/10.23641/asha.12743252