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帕金森病中的言语产生:II. 句子、单词和音段时长的声学及腭电图研究。

Speech production in Parkinson's disease: II. Acoustic and electropalatographic investigation of sentence, word and segment durations.

作者信息

McAuliffe Megan J, Ward Elizabeth C, Murdoch Bruce E

机构信息

Department of Communication Disorders, University of Canterbury, Christchurch, New Zealand.

出版信息

Clin Linguist Phon. 2006 Jan-Feb;20(1):19-33. doi: 10.1080/0269-9200400001069.

Abstract

Previous investigations employing electropalatography (EPG) have identified articulatory timing deficits in individuals with acquired dysarthria. However, this technology is yet to be applied to the articulatory timing disturbance present in Parkinson's disease (PD). As a result, the current investigation aimed to use EPG to comprehensively examine the temporal aspects of articulation in a group of nine individuals with PD at sentence, word and segment level. This investigation followed on from a prior study (McAuliffe, Ward and Murdoch) and similarly, aimed to compare the results of the participants with PD to a group of aged (n = 7) and young controls (n = 8) to determine if ageing contributed to any articulatory timing deficits observed. Participants were required to read aloud the phrase "I saw a _ today" with the EPG palate in-situ. Target words included the consonants /l/, /s/ and /t/ in initial position in both the /i/ and /a/ vowel environments. Perceptual investigation of speech rate was conducted in addition to objective measurement of sentence, word and segment duration. Segment durations included the total segment length and duration of the approach, closure/constriction and release phases of EPG consonant production. Results of the present study revealed impaired speech rate, perceptually, in the group with PD. However, this was not confirmed objectively. Electropalatographic investigation of segment durations indicated that, in general, the group with PD demonstrated segment durations consistent with the control groups. Only one significant difference was noted, with the group with PD exhibiting significantly increased duration of the release phase for /la/ when compared to both the control groups. It is, therefore, possible that EPG failed to detect lingual movement impairment as it does not measure the complete tongue movement towards and away from the hard palate. Furthermore, the contribution of individual variation to the present findings should not be overlooked.

摘要

以往采用电腭图描记术(EPG)的研究已确定后天性构音障碍患者存在发音时间缺陷。然而,这项技术尚未应用于帕金森病(PD)患者存在的发音时间紊乱。因此,本研究旨在使用EPG全面检查一组9名PD患者在句子、单词和音段层面的发音时间方面。本研究是在前一项研究(麦考利夫、沃德和默多克)的基础上进行的,同样旨在将PD患者的结果与一组老年对照组(n = 7)和年轻对照组(n = 8)进行比较,以确定衰老是否导致了所观察到的任何发音时间缺陷。参与者被要求在EPG上腭就位的情况下大声朗读短语“我今天看到了一个_”。目标单词在/i/和/a/元音环境中的初始位置包含辅音/l/、/s/和/t/。除了对句子、单词和音段持续时间进行客观测量外,还对语速进行了感知研究。音段持续时间包括EPG辅音发音的总音段长度以及接近、闭合/收缩和释放阶段的持续时间。本研究结果显示,PD组在感知上语速受损。然而,这在客观上并未得到证实。对音段持续时间的电腭图研究表明,总体而言,PD组的音段持续时间与对照组一致。仅发现一个显著差异,即PD组与两个对照组相比,/la/的释放阶段持续时间显著增加。因此,EPG可能未能检测到舌部运动障碍,因为它没有测量舌头朝向和远离硬腭的完整运动。此外,个体差异对本研究结果的影响也不应被忽视。

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