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中风后获得性言语失用症中发音耦合的运动学分析。

Kinematic analysis of articulatory coupling in acquired apraxia of speech post-stroke.

作者信息

Bartle-Meyer Carly J, Goozée Justine V, Murdoch Bruce E, Green Jordan R

机构信息

School of Health and Rehabilitation Sciences, The University of Queensland, St. Lucia, Queensland, Australia 4072.

出版信息

Brain Inj. 2009 Feb;23(2):133-45. doi: 10.1080/02699050802649654.

Abstract

PRIMARY OBJECTIVE

Electromagnetic articulography was employed to investigate the strength of articulatory coupling and hence the degree of functional movement independence between individual articulators in apraxia of speech (AOS).

METHODS AND PROCEDURES

Tongue-tip, tongue-back and jaw movement was recorded from five speakers with AOS and a concomitant aphasia (M = 53.6 years; SD = 12.60) during /ta, sa, la, ka/ syllable repetitions, spoken at typical and fast rates of speech. Covariance values were calculated for each articulatory pair to gauge the strength of articulatory coupling. The results obtained for each of the participants with AOS were individually compared to those obtained by a control group (n = 12; M = 52.08 years; SD = 12.52). Comparisons were made between the typical rate productions of the control group and the typical and fast rate productions of the participants with AOS.

MAIN OUTCOMES AND RESULTS

In comparison to the control group, four speakers with AOS exhibited significantly stronger articulatory coupling for alveolar and/or velar speech targets, during typical and/or fast rate conditions, suggesting decreased functional movement independence.

CONCLUSIONS

The reduction in functional movement independence might have reflected an attempt to simplify articulatory control or a decrease in the ability to differentially control distinct articulatory regions.

摘要

主要目的

采用电磁关节造影术研究言语失用症(AOS)患者发音耦合的强度,从而了解单个发音器官之间功能运动独立的程度。

方法与步骤

记录了5名患有AOS并伴有失语症的患者(平均年龄53.6岁;标准差12.60)在以正常语速和快速语速重复发/ta、sa、la、ka/音节时舌尖、舌背和下颌的运动情况。计算每对发音器官的协方差值,以评估发音耦合的强度。将每位AOS患者的结果与一个对照组(n = 12;平均年龄52.08岁;标准差12.52)的结果进行单独比较。对对照组正常语速发音与AOS患者正常语速和快速语速发音的结果进行了比较。

主要结果

与对照组相比,4名AOS患者在正常和/或快速语速条件下,对于齿龈音和/或软腭音目标表现出明显更强的发音耦合,这表明功能运动独立性降低。

结论

功能运动独立性的降低可能反映了简化发音控制的尝试,或者是区分控制不同发音区域能力的下降。

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