Pneumo-phono-articulatory coordination assessment in dysarthria cases
a cross-sectional study
Palavras-chave:
Dysarthria, Speech disorders, Respiration, Speech production measurement, NeurologyResumo
BACKGROUND: Pneumo-phono-articulatory coordination is often impaired in dysarthric patients. Because all speech is produced upon exhalation, adequate respiratory support and coordination are essential for communication. Nevertheless, studies investigating respiratory parameters for speech are scarce. The objectives of the present study were to analyze and compare the numbers of words and syllables (universal measurement) per exhalation among healthy and dysarthric speakers, in different speech tasks. DESIGN AND SETTING: A cross-sectional analytical study with a control group was conducted at the Department of Speech, Language and Hearing Sciences at UNIFESP. METHODS: The study sample consisted of 62 individuals: 31 dysarthric patients and 31 healthy individuals matched for sex, age and education level. All participants performed number counting and text reading tests in which the numbers of words and syllables per exhalation were recorded. All measurements obtained from the two groups were compared. RESULTS: Statistically significant differences between the dysarthric and healthy groups were found in the two tasks (counting of syllables and words per exhalation) (P < 0.001). In contrast, the perfomance of the dysarthric patients did not vary according to the task: reading and number counting in syllables/exhalation (P = 0.821) or words/exhalation (P = 0.785). CONCLUSIONS: The mean numbers of words and syllables per exhalation among dysarthric subjects did not vary according to the speech task used but they clearly showed differences between dysarthric patients and normal healthy subjects. The study also made it possible to obtain preliminary data on the average numbers of words and syllables per expiration produced by healthy individuals during their speech production.
Downloads
Referências
Darley FL, Aronson AE, Brown JR. Clusters of deviant speech dimensions in the dysarthrias. J Speech Hear Res. 1969;12(3):462-96. PMID: 5811846.
Carrillo L, Ortiz KZ. Análise vocal (auditiva e acústica) nas disartrias [Vocal analysis (auditory - perceptual and acoustic) in dysarthrias]. Pró-Fono Revista de Atualização Científica. 2007;19(4):381-6. PMID: 18200388.
Ribeiro AF, Ortiz KZ. Perfil populacional de pacientes com disartria atendidos em hospital terciário. Rev Soc Bras Fonoaudiol. 2009;14(4):446-53. doi: 10.1590/S1516-80342009000400004.
Aronson EA. Clinical Voices Disorders: An Interdisciplinary Approach. 3rd ed. New York: Thieme; 1990. ISBN-10: 0865771278/ISBN-13: 978-0865771277.
Ortiz KZ, Cera ML, Barreto SS. The Nature, Assessment and Treatment of Dysarthria and Apraxia of Speech in Portuguese. In: Miller N, Lowit A, editors. Motor Speech Disorders: A Cross-Language Perspective. Bristol, UK: Communication Disorders Across Languages; 2014. p. 237-48. ISBN: 9781783092321.
Zajac DJ, Warren DW, Hinton VA. Aerodynamic Assessment of Motor Speech Disorders. In: McNeil MR. Clinical Management of Sensoriomotor Speech Disorders. 2nd ed. New York: Thieme; 2009. p. 64-79. ISBN-13: 978-1588905147.
Solomon NP, Hixon TJ. Speech breathing in Parkinson's disease. J Speech Hear Res. 1993;36(2):294-310. PMID: 8487522.
Wang YT, Green JR, Nip ISB, Kent RD, Kent JF. Breath group analysis for reading and spontaneous speech in healthy adults. Folia Phoniatr Logop. 2010;62(6):297-302. doi: 10.1159/000316976.
Oliveira CR, Ortiz KZ, Vieira MM. Disartria: estudo da velocidade de fala [Dysarthria: a speech rate study]. Pró-Fono. 2004;16(1):39-48. PMID: 15109106.
Hixont TJ. Kinematics of the chest wall during speech production, volume displacements of the rib cage, abdomen, and lung. J Speech Hear Res. 1973;16(1):78-115. PMID: 4267384.
Bunton K. Patterns of lung volume use during an extemporaneous speech task in persons with Parkinson disease. J Commun Disord. 2005;38(5):331-48. doi: 10.1016/j.jcomdis.2005.01.001.
Wang YT, Kent RD, Duffy JR, Tomas JE. Dysarthria in traumatic brain injury: a breath group and intonational analysis. Folia Phoniatr Logop. 2005;57(2):59-89. doi: 10.1159/000083569.
Pinho SMR. Avaliação e Tratamento da Voz. In: Pinho SMR, editor. Fundamentos em Fonoaudiologia - Tratando os distúrbios da voz. 1a ed. Rio de Janeiro: Guanabara Koogan; 1998. p. 3-37. ISBN: 9788527708005.
Hoit JD, Hixon TJ. Body type and speech breathing. J Speech Hear Res. 1986;29(3):313-24. PMID: 3762095.
Manifold JA, Murdoch BE. Speech breathing in young adults: effect of body type. J Speech Hear Res. 1993;36(4):657-71. PMID: 8377479.
Ortiz KZ. Avaliação das Disartrias. In: Ortiz KZ, editor. Distúrbios Neurológicos Adquiridos: Fala e Deglutição. 2a ed. Barueri: Manole; 2010. p. 73-96. ISBN: 852042886X.
Drummond SS. Dysarthria examination battery. Arizona: Communication Skill Builders; 1993. ISBN: 0884506622, 9780884506621.
Yorkston KM, Beukelman DR, Bell KR. Clinical management of dysarthric speakers. Boston: College-Hill Press; 1988. ISBN: 0316969176, 9780316969178.
Bensenor IM, Goulart AC, Szwarcwald CL, et al. Prevalence of Stroke and Associated Disability in Brazil: National Health Survey-2013. Arq Neuropsiquiatr. 2015;73(9):746-50. doi: 10.1590/0004-282X20150115.
Lotufo PA, Bensenor IM. Trends of stroke subtypes mortality in Sao Paulo, Brazil (1996-2003). Arq Neuropsiquiatr. 2005;63(4):951-5. doi: /S0004-282X2005000600009.
Hodge MM, Rochet AP. Characteristics of speech breathing in young women.J Speech Hear Res. 1989;32(3):466-80. PMID: 2779193.
Talarico TR, Venegas MJ, Ortiz KZ. Perfil populacional de pacientes com distúrbios da comunicação humana decorrentes de lesão cerebral, assistidos em hospital terciário [Populational profile of patients with human communication disorders after brain injury, assisted in a tertiary hospital]. Rev CEFAC. 2011;13(2):330-9. doi: 10.1590/S1516-18462010005000097.
Rodrigues JE, Sá M da S, Alouche S. Perfil dos pacientes acometidos por AVE tratados na clínica escola de fisioterapia da UMESP [Profile of the stroke patients treated in the clinical school of physical therapy of the UMESP]. Revista Neurociências. 2004;12(3):117-22. Available from: http://www.revistaneurociencias.com.br/edicoes/2004/RN%2012%2003/Pages%20from%20RN%2012%2003.pdf Accessed in 2017 (Dec 14).
Frost L, Vukelic Andersen L, Godtfredsen J, Mortensen LS. Age and risk of stroke in atrial fibrillation: evidence for guidelines? Neuroepidemiology. 2007;28(2):109-15. doi: 10.1159/000101509.
Centers for Disease Control and Prevention (CDC). Prevalence of stroke-United States, 2005. MMWR Morb Mortal Wkly Rep. 2007;56(19):469-74. PMID: 17510610.
Winkworth AL, Davis PJ, Ellis E, Adams RD. Variability and consistency in speech breathing during reading: lung volumes, speech intensity, and linguistics factors. J Speech Hear Res.1994;37(3):535-56. PMID: 8084185.
Kent RD, Sufit RL, Rosenbek JC, et al. Speech Deterioration in Amyotrophic Lateral Sclerosis: a case study. J Speech Hear Res. 1991;34(6):1269-75. PMID: 1787708.
Downloads
Publicado
Como Citar
Edição
Seção
Licença
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
