Budrewicz Sławomir, Słotwiński Krzysztof, Podemski Ryszard
Katedra i Klinika Neurologii AM we Wrocławiu.
Neurol Neurochir Pol. 2003;37 Suppl 5:47-54.
In patients with extrapyramidal diseases speech disturbances (dysarthria) are frequent. Dysarthria could have hypokinetic-hypertonic or hyperkinetic-hypotonic pattern. The frequency of them hesitates from 70 to 100% in patients with extrapyramidal symptoms. Clinimetric analysis of type and severity of dysarthria could be done by means of different scales useful in extrapyramidal diseases; Webster--Score Disability Rating Scale, Columbia Rating Scale or North Western University Disability Scale. The results obtained in these scales are subjective. Computer speech analysis could be useful in identification of speech disturbances. The waveforms and spectograms are used in assessment of speech intensity and frequency. The authors indicated to the usefulness of computer acoustic analysis in evaluations of speech disturbances in patients with extrapyramidal diseases as a repeatable and precise method.
锥体外系疾病患者经常出现言语障碍（构音障碍）。构音障碍可能呈现运动减少-张力亢进或运动增多-张力减退模式。在有锥体外系症状的患者中，其出现频率在70%至100%之间波动。可以通过适用于锥体外系疾病的不同量表对构音障碍的类型和严重程度进行临床测量分析，如韦伯斯特残疾评定量表、哥伦比亚评定量表或西北大学残疾量表。这些量表得出的结果是主观的。计算机语音分析有助于识别言语障碍。波形图和频谱图用于评估语音强度和频率。作者指出计算机声学分析作为一种可重复且精确的方法，在评估锥体外系疾病患者的言语障碍方面具有实用性。
