Menon, E.B., Ravichandran, S., & Tan, E.S. (1993) Speech disorders
in closed head injury patients. Singapore Medical Journal, 34,45-48.
Type
of
Study |
Research
study |
| Subjects |
28
males, 3 females; ages 10-75 |
| Diagnoses |
TBI |
Speech
Condition |
Dysarthria
Dyspraxia
Aphasia
Dysphagia |
| Purpose |
To
examine speech-language ability and to determine if the
Glasgow Coma Scale can be used as an index of speech recovery |
| Methods |
Administered
Glasgow Coma Scale
Assessed aphasia, dysarthria, dyspraxia, and dysphagia
with subtests from the Western Aphasia Battery, Boston
Diagnostic Aphasia Examination, and the Aphasia Screening
Test
Divided subjects into groups then analyzed them |
| Results |
30%
had aphasia, 57% had mixed or motor speech disorders,
13% had no speech problems
Difference found between Glasgow scores greater than or
less than 8
< 8-global, mixed, and expressive aphasia even 6 months
post-onset
>8 mild dysarthria-no receptive speech impairments, problems
with word-retrieval, naming, and verbal fluency
>8 severe dysarthria-recovered to mild or moderate dysarthria
after intensive therapy
>8 dyspraxia-least recovery
>8 mixed group of dysphagia, dyspraxia, dysarthria-recovered
better than group scoring <8 |
Treatment
Implications |
Glasgow
Coma Scale scores can be used to predict speech and language
outcomes.
Scores greater than 8 indicate better recovery. |
| |
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