Bulbar and speech motor assessment in ALS: challenges and future directions.

Bulbar and speech motor assessment in ALS: challenges and future directions.
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DOI:
10.3109/21678421.2013.817585
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发表时间:
2013-12
影响因子:
2.8
通讯作者:
Berry JD
Berry JD
中科院分区:
医学4区
文献类型:
--
作者:
Green JR;Yunusova Y;Kuruvilla MS;Wang J;Pattee GL;Synhorst L;Zinman L;Berry JD

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肌萎缩侧索硬化症 (ALS) 导致延髓运动恶化,最终导致言语和吞咽功能受损。尽管存在这些毁灭性后果,但尚无评估 ALS 延髓功能障碍的标准化诊断程序,并且尚未确定延髓恶化的足够客观标志物。在本文中,我们考虑了言语运动功能的客观测量,这有望为 ALS 中全面、定量的延髓运动评估奠定基础。这些措施基于对四个言语子系统的评估:呼吸、发声、发音和共鸣。本研究的目标是设计一种非侵入性、全面的延髓运动评估仪器,用于早期检测、疾病进展监测和临床试验应用。提出了一项正在进行的延髓运动衰退研究的初​​步数据,证明了语音子系统方法的潜在临床功效。
Bulbar motor deterioration due to amyotrophic lateral sclerosis (ALS) leads to the eventual impairment of speech and swallowing functions. Despite these devastating consequences, no standardized diagnostic procedure for assessing bulbar dysfunction in ALS exists and adequate objective markers of bulbar deterioration have not been identified. In this paper, we consider objective measures of speech motor function, which show promise for forming the basis of a comprehensive, quantitative bulbar motor assessment in ALS. These measures are based on the assessment of four speech subsystems: respiratory, phonatory, articulatory, and resonatory. The goal of this research is to design a non-invasive, comprehensive bulbar motor assessment instrument intended for early detection, monitoring of disease progression, and clinical trial application. Preliminary data from an ongoing study of bulbar motor decline are presented, which demonstrate the potential clinical efficacy of the speech subsystem approach.
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