Cahill Louise M, Murdoch Bruce E, Theodoros Deborah G
Motor Speech Research Unit, Department of Speech Pathology and Audiology, The University of Queensland, Brisbane 4072, Australia.
Brain Inj. 2002 May;16(5):415-46. doi: 10.1080/02699050110119871.
To investigate perceptually the speech dimensions, oromotor function, and speech intelligibility of a group of individuals with traumatic brain injury (TBI) acquired in childhood.
The speech of 24 children with TBI was analysed perceptually and compared with that of a group of non-neurologically impaired children matched for age and sex.
The 16 dysarthric TBI subjects were significantly less intelligible than the control subjects, and demonstrated significant impairment in 12 of the 33 speech dimensions rated. In addition, the eight non-dysarthric TBI subjects were significantly impaired in many areas of oromotor function on the Frenchay Dysarthria Assessment, indicating some degree of pre-clinical speech impairment.
The results of the perceptual analysis are discussed in terms of the possible underlying pathophysiological bases of the deviant speech features identified, and the need for a comprehensive instrumental assessment, to more accurately determine the level of breakdown in the speech production mechanism in children following TBI.
从感知角度研究一组童年期获得性创伤性脑损伤（TBI）患者的言语维度、口面运动功能和言语可懂度。
对24名TBI儿童的言语进行感知分析，并与一组年龄和性别匹配的无神经功能障碍儿童的言语进行比较。
16名构音障碍的TBI受试者的言语可懂度显著低于对照组，在33个评定的言语维度中有12个维度表现出显著损伤。此外，8名无构音障碍的TBI受试者在Frenchay构音障碍评估的许多口面运动功能领域有显著损伤，表明存在一定程度的临床前言语损伤。
根据所发现的异常言语特征可能的潜在病理生理基础，以及进行全面仪器评估以更准确确定TBI儿童言语产生机制的受损程度的必要性，对感知分析结果进行了讨论。
