Speech-Language Pathology Evaluation and Management of Hyperkinetic Disorders Affecting Speech and Swallowing Function.
Speech-Language Pathology Evaluation and Management of Hyperkinetic Disorders Affecting Speech and Swallowing Function.
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DOI：
10.7916/d8z32b30
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发表时间：
2017
期刊：
影响因子：
--
通讯作者：
Clark HM
中科院分区：
文献类型：
--
作者：
Barkmeier-Kraemer JM;Clark HM
运动性构音障碍的特征是异常的非自主运动，影响呼吸、发音和发音结构，影响言语和吞咽。言语病理学家(SLP)在构音障碍和吞咽困难的评估和治疗中发挥着重要作用。这篇综述描述了标准的临床评估和SLP的治疗方法，以解决特定的运动性构音障碍人群的言语和吞咽障碍。使用PubMed、Cochrane图书馆和Google Scholar的数据源进行了文献综述。搜索词包括1)多动性构音障碍，特发性声音颤动，声音颤动，发声颤动，痉挛性发音困难，痉挛性发音困难，口下颌肌张力障碍，Meige综合征，口面部，颈肌张力障碍，肌张力障碍，运动障碍，舞蹈症，亨廷顿病，肌阵挛；以及评估/治疗术语：2)言语语言病理学，言语病理学，评估，评估，吞咽困难，吞咽，治疗，管理和诊断。舞蹈病/亨廷顿病、肌阵挛、局灶性和节段性肌张力障碍和特发性声带震颤的标准SLP临床语音和吞咽评估通常包括1)病史；2)在非语音、语音和吞咽相关活动中检查语音结构的音调、对称性和感觉运动功能(例如，脑神经评估)；3)语音特征评估；以及4)患者自我报告其障碍对日常生活能力的影响。运动性构音障碍患者的SLP治疗包括行为和补偿策略，以解决语音和可理解性受损的问题。吞咽障碍是根据个别症状和评估期间确定的潜在病理生理学进行治疗的。SLP在多动症相关的言语和吞咽障碍的鉴别诊断和治疗中起着重要的作用。
Hyperkinetic dysarthria is characterized by abnormal involuntary movements affecting respiratory, phonatory, and articulatory structures impacting speech and deglutition. Speech–language pathologists (SLPs) play an important role in the evaluation and management of dysarthria and dysphagia. This review describes the standard clinical evaluation and treatment approaches by SLPs for addressing impaired speech and deglutition in specific hyperkinetic dysarthria populations. A literature review was conducted using the data sources of PubMed, Cochrane Library, and Google Scholar. Search terms included 1) hyperkinetic dysarthria, essential voice tremor, voice tremor, vocal tremor, spasmodic dysphonia, spastic dysphonia, oromandibular dystonia, Meige syndrome, orofacial, cervical dystonia, dystonia, dyskinesia, chorea, Huntington’s Disease, myoclonus; and evaluation/treatment terms: 2) Speech–Language Pathology, Speech Pathology, Evaluation, Assessment, Dysphagia, Swallowing, Treatment, Management, and diagnosis. The standard SLP clinical speech and swallowing evaluation of chorea/Huntington’s disease, myoclonus, focal and segmental dystonia, and essential vocal tremor typically includes 1) case history; 2) examination of the tone, symmetry, and sensorimotor function of the speech structures during non-speech, speech and swallowing relevant activities (i.e., cranial nerve assessment); 3) evaluation of speech characteristics; and 4) patient self-report of the impact of their disorder on activities of daily living. SLP management of individuals with hyperkinetic dysarthria includes behavioral and compensatory strategies for addressing compromised speech and intelligibility. Swallowing disorders are managed based on individual symptoms and the underlying pathophysiology determined during evaluation. SLPs play an important role in contributing to the differential diagnosis and management of impaired speech and deglutition associated with hyperkinetic disorders.