Fontys University of Applied sciences, Eindhoven, The Netherlands.
J Fluency Disord. 2009 Sep;34(3):137-54. doi: 10.1016/j.jfludis.2009.07.001. Epub 2009 Jul 10.
Speech-language pathologists generally agree that cluttering and stuttering represent two different fluency disorders. Differential diagnostics between cluttering and stuttering is difficult because these disorders have similar characteristics and often occur in conjunction with each other. This paper presents an analysis of the differential diagnostic characteristics of the two disorders, and a proposal for distinguishing between the two in clinical settings. The main goal of this two-part article is to set objective norms for differential diagnostic assessment of cluttering and stuttering symptoms, based on the three main characteristics of cluttering indicated/identified by St. Louis, Raphael, Myers & Bakker [St. Louis, K. O., Raphael, L. J., Myers, F. L., & Bakker, K. (2003). Cluttering updated. The ASHA leader. ASHA, 4-5, 20-22]: a fast and/or irregular articulatory rate together with errors in syllable, word or sentence structure and or a high frequency of normal disfluencies (not being stuttering). In the first half of the article objective measures are compared to the subjective clinical judgement made by fluency experts. In other words, which characteristics can be found in the speech profiles of persons who were diagnosed as people who clutter or stutter? In the second part of the article results on the Predictive Cluttering Inventory [Daly, D. A., & Cantrell, R. P. (2006). Cluttering characteristics identified as diagnostically significant by 60 fluency experts. Proceedings of second world congress on fluency disorders] are discussed in relationship to the subjective and objective measurements studied in the first half of the article.
The reader will learn about and be able to (1) describe obligatory characteristics of cluttering, (2) plan cluttering assessment on speech characteristics and (3) use and interpret a checklist on possible cluttering characteristics.
言语语言病理学家普遍认为，口吃和口吃是两种不同的流畅障碍。口吃和口吃的鉴别诊断很困难，因为这两种障碍有相似的特征，而且常常同时发生。本文分析了两种障碍的鉴别诊断特征，并提出了在临床环境中区分这两种障碍的建议。这篇由两部分组成的文章的主要目的是基于圣路易斯、拉斐尔、迈尔斯和巴克[圣路易斯、O. K.、拉斐尔、L. J.、迈尔斯、F. L. 和巴克、K. (2003)。口吃更新。ASHA 领袖。ASHA，4-5，20-22]指出的口吃的三个主要特征，为口吃和口吃症状的鉴别诊断评估制定客观标准：快速和/或不规则的发音率，以及音节、单词或句子结构的错误，或者正常不流畅的高频（不是口吃）。在文章的前半部分，客观测量与流畅专家的主观临床判断进行了比较。换句话说，在那些被诊断为口吃或口吃的人的言语特征中，可以找到哪些特征？在文章的第二部分，讨论了口吃预测清单[戴利、D. A. 和坎特雷尔、R. P. (2006)。60 位流畅专家确定的诊断意义显著的口吃特征。第二届世界口吃障碍大会论文集]的结果与文章前半部分研究的主观和客观测量结果的关系。
读者将了解并能够：（1）描述口吃的强制性特征，（2）计划基于言语特征的口吃评估，（3）使用和解释可能的口吃特征检查表。
