Hartelius Lena
Division of Speech and Language Pathology, Institute of Neuroscience and Physiology, Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden.
Folia Phoniatr Logop. 2014;66(3):132-7. doi: 10.1159/000368751. Epub 2014 Nov 19.
The aim of this study was to investigate the incidence of developmental speech dysfluencies in individuals with Parkinson's disease (PD).
The possible relationship between PD and dysfluencies such as stuttering has engaged researchers for many years. However, whether there is a higher-than-expected incidence of reported childhood stuttering in adults with a diagnosis of PD is unknown.
A questionnaire including items regarding present and former speech difficulties was answered by 280 individuals with PD.
The total number of persons who reported that they had stuttered (often or sometimes) before the age of 10 years was 11, corresponding to 3.9%. The number of persons who reported unusually fast speech before the age of 10 years was 17, corresponding to 6.1%. The reported incidence of childhood stuttering in this group was consequently not higher than that in previously published reports on childhood stuttering (approx. 5%). The frequency of unusually fast speech was notable, but the lack of a control group made it difficult to conclude on the significance of that finding.
Although no direct comparison between self-reported incidences of childhood dysfluencies and published incidence figures regarding childhood stuttering can be made, different possible relationships between speech dysfluency and basal ganglia dysfunction are discussed.
本研究旨在调查帕金森病(PD)患者中发育性言语不流畅的发生率。
PD与口吃等言语不流畅之间的可能关系已吸引研究人员多年。然而,在被诊断为PD的成年人中,报告的童年口吃发生率是否高于预期尚不清楚。
280名PD患者回答了一份包括当前和既往言语困难相关问题的问卷。
报告在10岁之前曾有口吃(经常或有时)的人数为11人,占3.9%。报告在10岁之前语速异常快的人数为17人,占6.1%。因此,该组报告的童年口吃发生率并不高于先前发表的关于童年口吃的报告中的发生率(约为5%)。语速异常快的频率值得注意,但由于缺乏对照组,难以确定这一发现的意义。
尽管无法对自我报告的童年言语不流畅发生率与已发表的童年口吃发生率数据进行直接比较,但本文讨论了言语不流畅与基底神经节功能障碍之间不同的可能关系。