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一名共济失调型构音障碍患者的病例研究:X线电影摄影和频谱分析观察

A case study of an ataxic dysarthric: cineradiographic and spectrographic observations.

作者信息

Kent R, Netsell R

出版信息

J Speech Hear Disord. 1975 Feb;40(1):115-34. doi: 10.1044/jshd.4001.115.

Abstract

Cineradiographic and spectrographic analyses were performed to study the speech production of a subject who presented the classical neurologic signs of cerebellar lesion and who had speech characteristics like those that have been reported for ataxic dysarthria. These analyses were conducted with special attention to the deviant perceptual dimensions that have been described for ataxic speech. Examination of the cineradiographic and spectrographic records revealed conspicuous abnormalities in speaking rate, stress patterns, articulatory placements for both vowels and consonants, velocities of articulator movements, and fundamental frequency contours. In general, our physiological and acoustic observations of ataxic dysarthria were compatible with existing perceptual descriptions of this condition. The data for the subject are discussed in the light of current hypotheses concerning cerebellar participation in the regulation of skilled movement. Particular suggestions are made concerning the nature of the neuromuscular abnormalities that may underlie the aberrant motorics of ataxic dysarthria.

摘要

进行了动态放射成像和光谱分析,以研究一名呈现小脑病变典型神经学体征且具有共济失调性构音障碍所报告的言语特征的受试者的言语产生情况。这些分析特别关注了针对共济失调性言语所描述的异常感知维度。对动态放射成像和光谱记录的检查揭示了语速、重音模式、元音和辅音的发音位置、发音器官运动速度以及基频轮廓方面的明显异常。总体而言,我们对共济失调性构音障碍的生理和声学观察结果与该病症现有的感知描述相符。根据当前关于小脑参与熟练运动调节的假说对该受试者的数据进行了讨论。针对可能是共济失调性构音障碍异常运动学基础的神经肌肉异常的性质提出了具体建议。

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