Behavioural intervention effects in dysarthria following stroke: communication effectiveness, intelligibility and dysarthria impact

Mackenzie, Catherine; Lowit, Anja

doi:10.1080/13682820600861776

Cited by 44 publications

(38 citation statements)

References 21 publications

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“…[520][521][522][523] Behavioral treatments for motor speech disorders are diverse in their focus and theoretical underpinnings and should be tailored to the individual's unique strengths, deficits, goals, priorities, and circumstances. Behavioral treatments may focus on improving the physiological support for speech and target impairments in respiration, phonation, articulation, and resonance.…”

Section: Motor Speech Disorders: Dysarthria and Apraxia Of Speechmentioning

confidence: 99%

“…To date, no randomized, clinical trials have addressed the efficacy of these approaches, 524,525 but small, nonrandomized group studies and carefully designed, single-subject, experimental studies have demonstrated positive results. 521,[526][527][528] Individuals with motor speech disorders may improve as a result of treatment, even when the condition is chronic. 521,522,528,529 There is no consensus on the optimum amount, distribution, or variability of practice or the best type, frequency, and timing of treatment.…”

Section: Motor Speech Disorders: Dysarthria and Apraxia Of Speechmentioning

confidence: 99%

“…521,[526][527][528] Individuals with motor speech disorders may improve as a result of treatment, even when the condition is chronic. 521,522,528,529 There is no consensus on the optimum amount, distribution, or variability of practice or the best type, frequency, and timing of treatment.…”

Section: Motor Speech Disorders: Dysarthria and Apraxia Of Speechmentioning

confidence: 99%

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Guidelines for Adult Stroke Rehabilitation and Recovery

Winstein¹,

Stein²,

Arena

et al. 2016

Stroke

2,097

840

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e98Purpose-The aim of this guideline is to provide a synopsis of best clinical practices in the rehabilitative care of adults recovering from stroke. Methods-Writing group members were nominated by the committee chair on the basis of their previous work in relevant topic areas and were approved by the American Heart Association (AHA) Stroke Council's Scientific Statement Oversight Committee and the AHA's Manuscript Oversight Committee. The panel reviewed relevant articles on adults using computerized searches of the medical literature through 2014. The evidence is organized within the context of the AHA framework and is classified according to the joint AHA/American College of Cardiology and supplementary AHA methods of classifying the level of certainty and the class and level of evidence. The document underwent extensive AHA internal and external peer review, Stroke Council Leadership review, and Scientific Statements Oversight Committee review before consideration and approval by the AHA Science Advisory and Coordinating Committee. Results-Stroke rehabilitation requires a sustained and coordinated effort from a large team, including the patient and his or her goals, family and friends, other caregivers (eg, personal care attendants), physicians, nurses, physical and occupational therapists, speech-language pathologists, recreation therapists, psychologists, nutritionists, social workers, and others. Communication and coordination among these team members are paramount in maximizing the effectiveness

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Section: Motor Speech Disorders: Dysarthria and Apraxia Of Speechmentioning

confidence: 99%

Section: Motor Speech Disorders: Dysarthria and Apraxia Of Speechmentioning

confidence: 99%

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Guidelines for Adult Stroke Rehabilitation and Recovery

Winstein¹,

Stein²,

Arena

et al. 2016

Stroke

2,097

840

View full text Add to dashboard Cite

show abstract

“…From these data, forty-eight items were drawn up and divided into five specific topic areas: (1) the effect of dysarthria on me as a speaker, (2) accepting my dysarthria, (3) how I feel others react to my speech, (4) how dysarthria affects my communication with others, and (5) dysarthria relative to other worries and concerns [15]. This scale has been used in studies examining the psychosocial impact of dysarthria from the speaker's perspective [23, 27, 28]. …”

Section: Introductionmentioning

confidence: 99%

The Dysarthria Impact Profile: A Preliminary French Experience with Parkinson’s Disease

Letanneux

Walshe

Viallet

et al. 2013

Parkinson's Disease

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This preliminary study aimed to adapt the Dysarthria Impact Profile (DIP) in French and to confirm its relevance for the assessment of the psychosocial impact of dysarthria in Parkinson's disease (PD). The DIP scale was administered to 10 people with PD and 10 age-matched control subjects. The DIP psychometric properties were calculated (discriminant validity, internal consistency, and concurrent validity), notably by using the Voice Handicap Index (VHI) for interscale comparisons. The French version of the DIP discriminated people with PD from control subjects (χ 2 test, P < 0.05). Good internal consistency was observed in both populations (Cronbach's α = 0.93 for PD people and α = 0.76 for control subjects). The DIP was highly correlated with the VHI (Spearman's ρ = −0.70, P < 0.01), confirming the external validity of the scale. There was no direct relationship between PD speech and quality of life as assessed by the Parkinson's Disease Questionnaire-39 (PDQ-39). Our preliminary data suggest that the French version of the DIP has the potential to make a useful contribution for the assessment and outcome management in acquired dysarthria for both clinicians and researchers.

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“…However, the use of isolated words would assess the degree of impairment of the phonetic-acoustic signal of speech that is free of signal-independent information that could minimize it, hence being more representative of the degree of motor impairment of the speaker with dysarthria. Furthermore, it would enable the evaluation of individuals with severe speech disorders, which are more susceptible to fatigue because it would reduce the patients' effort while performing the test [1,26,27]. …”

Section: Discussionmentioning

confidence: 99%

Protocol for the Evaluation of Speech Intelligibility in Dysarthrias: Evidence of Reliability and Validity

Barreto

Ortiz²

2015

Folia Phoniatr Logop

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Background/Aims: Studies about the reliability and validity of intelligibility measures are fundamental to direct their use and interpretation in both clinical and research settings. The present study assessed inter-rater reliability, internal consistency and criterion validity of scores for the sentence and word subtests of the Protocol for the Evaluation of Speech Intelligibility (PESI). Methods: This study included 180 adult volunteers who were divided into three groups: 30 speakers with dysarthria, 30 control speakers and 120 listeners. Intelligibility scores were calculated according to the percentage of words correctly transcribed in each subtest: words in sentences and single words. Results: The intelligibility measurements exhibited a high level of inter-rater reliability for sentences [intraclass correlation coefficient (ICC) = 0.94] and for single words (ICC = 0.96). The items from the single words subtest of the PESI revealed high internal consistency (Cronbach's alpha = 0.93). The measurement of intelligibility of sentences and single words had a high discriminatory power (0.82 and 0.95, respectively), with high sensitivity and specificity, particularly for scores in the single words subtest. Conclusion: This study provides preliminary evidence of the reliability and validity of the PESI.

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Behavioural intervention effects in dysarthria following stroke: communication effectiveness, intelligibility and dysarthria impact

Cited by 44 publications

References 21 publications

Guidelines for Adult Stroke Rehabilitation and Recovery

Guidelines for Adult Stroke Rehabilitation and Recovery

The Dysarthria Impact Profile: A Preliminary French Experience with Parkinson’s Disease

Protocol for the Evaluation of Speech Intelligibility in Dysarthrias: Evidence of Reliability and Validity

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