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
 
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