Theys C, van Wieringen A, Sunaert S, Thijs V, De Nil L F
ExpORL, Department of Neurosciences, Katholieke Universiteit Leuven, Belgium.
J Commun Disord. 2011 Nov-Dec;44(6):678-87. doi: 10.1016/j.jcomdis.2011.06.001. Epub 2011 Jul 2.
In this prospective study, data on incidence, stuttering characteristics, co-occurring speech disorders, and recovery of neurogenic stuttering in a large sample of stroke participants were assessed. Following stroke onset, 17 of 319 participants (5.3%; 95% CI, 3.2-8.3) met the criteria for neurogenic stuttering. Stuttering persisted in at least 2.5% (95% CI, 1.1-4.7) for more than six months following the stroke. Participants with comorbid aphasia presented with a significantly higher frequency of stuttering compared to the group without aphasia (U=13.00, p((1-tailed))=.02) but no difference was found for participants with co-occurring dysarthria and/or cognitive problems. Participants with neurogenic stuttering did not differ from those without stuttering in terms of stroke risk factors or stroke etiologic subtypes. Although the incidence of stuttering following stroke is lower than that for aphasia or dysarthria, these results show that clinicians should take neurogenic stuttering into account when assessing stroke participants' speech and language.
: Readers will be able to: (1) understand the need for systematic, prospective studies in neurogenic stuttering; (2) know the incidence and prevalence of neurogenic stuttering following stroke; and (3) know how neurogenic stuttering co-occurs with other speech-language disorders following stroke.
在这项前瞻性研究中,评估了大量中风参与者样本中神经源性口吃的发病率、口吃特征、并发言语障碍及恢复情况。中风发作后,319名参与者中有17名(5.3%;95%可信区间,3.2 - 8.3)符合神经源性口吃标准。中风后至少2.5%(95%可信区间,1.1 - 4.7)的参与者口吃持续超过六个月。与无失语症组相比,合并失语症的参与者口吃频率显著更高(U = 13.00,p(单尾)= 0.02),但在并发构音障碍和/或认知问题的参与者中未发现差异。神经源性口吃参与者与无口吃参与者在中风危险因素或中风病因亚型方面无差异。尽管中风后口吃的发病率低于失语症或构音障碍,但这些结果表明,临床医生在评估中风参与者的言语和语言时应考虑神经源性口吃。
读者将能够:(1)理解对神经源性口吃进行系统前瞻性研究的必要性;(2)了解中风后神经源性口吃的发病率和患病率;(3)了解中风后神经源性口吃如何与其他言语语言障碍并发。