Interventions for dysarthria due to stroke and other adult-acquired, non-progressive brain injury

Mitchell, Claire; Bowen, Audrey; Tyson, Sarah; Butterfint, Zoe R; Conroy, Paul

doi:10.1002/14651858.cd002088.pub3

Cited by 63 publications

(61 citation statements)

References 42 publications

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“…Diadochokinetic rate (DDR) and maximum phonation time (MPT) were evaluated by independent SLPs besides the items stated in main protocol since these two aspects are affected in dysarthria (Mitchell et al, 2017, Kwon et al, 2015, Portnoy and Aronson, 1982. DDR which is also known as alternative motion rate is an index used in clinical neurology and speech and language pathology to assess orofacial function and speech motor control and could be an indicator for rehabilitation efficacy (Yang et al, 2011).…”

Section: Speech and Language Assessmentsmentioning

confidence: 99%

“…Dysarthria is a communicative deficit regarded as one of the consequences of TBI. The condition is an acquired speech disorder occurred following neurological injury of the motor component of the speech circuitry characterized by reducing the speech intelligibility due to poor, inaccurate, slow, and/or uncoordinated speech muscles (Mitchell et al, 2017). This may potentially affect speech-related functions including respiratory, articulation, phonation, and resonance mechanisms (Kwon et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

“…The mainstay of behavioral treatment in cases with stable dysarthria remains to be speech therapy that is a time-consuming procedure with relative outcomes (Mitchell et al, 2017) . Speech therapy may focus on enhancement of particular speech subsystem by increasing the strength and range of movement of the musculature, implementing behavioral changes such as decreasing speaking rate and accurate pronunciation of speech phonemes by focusing on the kinetic, kinematic, and somatosensory aspects of speech production to improve intelligibility (Yorkston et al, 2007, Robertson, 2001 or providing assistive devices to enhance communicative interactions (Yakcoub et al, 2008).…”

Section: Introductionmentioning

confidence: 99%

“…Although the incidence of dysarthria following TBI is estimated at almost 60% (Mitchell et al, 2017), to date, there are few investigations on neuro-rehabilitation approaches using the concurrent use of electrical or magnetic brain stimulation and speech therapy. To our knowledge, the effectiveness of such techniques in TBI-induced dysarthria has similarly not been focused.…”

Section: Introductionmentioning

confidence: 99%

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The clinical outcome of concurrent speech therapy and transcranial direct current stimulation in dysarthria and palilalia following traumatic brain injury: A case study

Bayat¹,

Tahamtan²,

Sabeti³

et al. 2020

Preprint

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Purpose: Dysarthria, a neurological injury of the motor component of the speech circuitry, is of common consequences of traumatic brain injury (TBI). Palilalia is a speech disorder characterized by involuntary repetition of words, phrases, or sentences. Based on the evidence supporting the effectiveness of transcranial direct current stimulation (tDCS) in some speech and language disorders, we hypothesized that using tDCS would enhances the effectiveness of speech therapy in a client with chronic dysarthria following TBI. Method: We applied the constructs of the “Be Clear” protocol, a relatively new approach in speech therapy in dysarthria, together with tDCS on a chronic subject who affected by dysarthria and palilalia after TBI. Since there was no research on the use of tDCS in such cases, regions of interest (ROIs) were identified based on deviant brain electrophysiological patterns in speech tasks and resting state compared with normal expected patterns using the Quantitative Electroencephalography (QEEG) analysis. Results: Measures of perceptual assessments of intelligibility, an important index in the assessment of dysarthria, were superior to the primary protocol results immediately and 4 months after intervention. We did not find any factor other than the use of tDCS to justify this superiority. The percentage of repeated words, an index in palilalia assessment, had a remarkable improvement immediately after intervention but fell somewhat after 4 months. We justified this case with subcortical origins of palilalia. Conclusion: Our present case-based findings suggested that applying tDCS together with speech therapy may improve intelligibility in similar case profiles as compared to traditional speech therapy. To reconfirm the effectiveness of the above approach in cases with dysarthria following TBI, more investigation need to be pursued.

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Section: Speech and Language Assessmentsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The clinical outcome of concurrent speech therapy and transcranial direct current stimulation in dysarthria and palilalia following traumatic brain injury: A case study

Bayat¹,

Tahamtan²,

Sabeti³

et al. 2020

Preprint

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“…66 000 Menschen ein Rezidiv [1]. Je nach Datenquelle leiden bis zu 38 % der Schlaganfallüberlebenden unter Aphasien und 30-40 % unter Dysarthrien [2,3]. Sowohl Dysarthrien als auch Aphasien haben gravierende Folgen für die soziale Teilhabe und Lebensqualität der Betroffenen [4,5].…”

Section: Aphasien Und Dysarthrienunclassified

Deutschsprachige Leitlinien für die Aphasie- und Dysarthriebehandlung nach Schlaganfall

et al. 2018

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Zusammenfassung Ziel Evaluation deutschsprachiger Leitlinien zur Aphasie- und Dysarthriebehandlung im Vergleich mit internationalen Leitlinien. Methoden Die nach strukturierter Recherche eingeschlossenen 6 deutschsprachigen Leitlinien wurden mit AGREE II evaluiert und den Ergebnissen eines systematischen Reviews von 19 englischsprachigen Leitlinien gegenübergestellt. Ergebnisse Die Qualität der deutschsprachigen Leitlinien erwies sich als heterogen. In 2 von 6 zu evaluierenden Domänen sowie in der Gesamtbewertung konnte keine der deutschsprachigen Leitlinien den Cut-Off-Wert von 66,67% für gute Leitlinienqualität erreichen. Mit Ausnahme der Domäne Redaktionelle Unabhängigkeit blieben diese auch unter den Wertungen der internationalen Referenzen. Schlussfolgerung Die Qualität kann teilweise mit einfachen Mitteln erhöht werden. Ressourcenintensiver, aber zentral sind Suchstrategien und Umgang mit recherchierter Evidenz transparent zu machen. Eine Harmonisierung der deutschsprachigen Leitlinien erscheint wünschenswert.

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Dysarthria

Hertrich¹,

Ackermann²,

Ziegler³

2021

The Handbook of Language and Speech Disorders

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Interventions for dysarthria due to stroke and other adult-acquired, non-progressive brain injury

Cited by 63 publications

References 42 publications

The clinical outcome of concurrent speech therapy and transcranial direct current stimulation in dysarthria and palilalia following traumatic brain injury: A case study

The clinical outcome of concurrent speech therapy and transcranial direct current stimulation in dysarthria and palilalia following traumatic brain injury: A case study

Deutschsprachige Leitlinien für die Aphasie- und Dysarthriebehandlung nach Schlaganfall

Dysarthria

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