Theodoros, D.G., Murdoch, B.E., & Chenery, H.J. (1994). Perceptual
speech characteristics of dysarthric speakers following severe closed head
injury. Brain Injury, 8(2), 101-124.
Type
of
Study |
Research study
with controls |
| Subjects |
17 males, 3 females;
ages 18-53
gender-matched, age-matched controls |
| Diagnoses |
Severe TBI, more than 3 months post-injury
Normal controls |
Speech
Condition |
Dysarthria |
| Purpose |
To perceptually evaluate a group of dysarthric
subjects resulting from severe TBI using a comprehensive inventory
To determine perceptual differences between
TBI subjects and normal controls
To determine the types of dysarthria present
in TBI subjects |
| Methods |
Speech assessment using a speech sample
judged by two judges on 32 perceptual dimensions including prosody (pitch,
loudness, rate, stress, phrasing), respiration, phonation, resonance, and
articulation
Frenchay Dysarthria Assessment (FDA) to
assess speech neuromuscular activity including respiration, articulation,
resonance, phonation, and speech-related reflex activity
Assessment of Intelligibility of Dysarthric
Speech (AIDS) to determine the severity of the dysarthria |
| Results |
TBI subjects were significantly less intelligible
and had prosody, respiration, articulation, resonance, and phonation deficits
TBI subjects had all types of dysarthria
due to variation in sites of lesions
TBI subjects were less intelligible
Prosody was the most prominent problem
in TBI subjects and resonance was the next most prominent problem
Perceptually, groups did not differ in
speech rate but based on AIDS TBI subjects had significantly slower rates
of speech |
Treatment
Implications |
Patients need to be evaluated perceptually
and instrumentally to determine the pathophysiological bases of the speech
deviations |
| |
|
To
return to the Abstract References, click on Assessment
, Treatment , or
Speech
Characteristics
or
use your browser to go Back.
|