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帕金森病患者非言语和言语失用症的评估

Assessment of Nonverbal and Verbal Apraxia in Patients with Parkinson's Disease.

作者信息

Presotto Monia, Olchik Maira Rozenfeld, Shumacher Shuh Artur Francisco, Rieder Carlos R M

机构信息

Graduate School of Medicine: Medical Sciences, Federal University of Rio Grande do Sul (UFRGS), Brazil.

Department of Speech Pathology, UFRGS, Brazil.

出版信息

Parkinsons Dis. 2015;2015:840327. doi: 10.1155/2015/840327. Epub 2015 Oct 12.

Abstract

Objective. To assess the presence of nonverbal and verbal apraxia in patients with Parkinson's disease (PD) and analyze the correlation between these conditions and patient age, education, duration of disease, and PD stage, as well as evaluate the correlation between the two types of apraxia and the frequency and types of verbal apraxic errors made by patients in the sample. Method. This was an observational prevalence study. The sample comprised 45 patients with PD seen at the Movement Disorders Clinic of the Clinical Hospital of Porto Alegre, Brazil. Patients were evaluated using the Speech Apraxia Assessment Protocol and PD stages were classified according to the Hoehn and Yahr scale. Results. The rate of nonverbal apraxia and verbal apraxia in the present sample was 24.4%. Verbal apraxia was significantly correlated with education (p ≤ 0.05). The most frequent types of verbal apraxic errors were omissions (70.8%). The analysis of manner and place of articulation showed that most errors occurred during the production of trill (57.7%) and dentoalveolar (92%) phonemes, consecutively. Conclusion. Patients with PD presented nonverbal and verbal apraxia and made several verbal apraxic errors. Verbal apraxia was correlated with education levels.

摘要

目的。评估帕金森病(PD)患者中非言语性失用症和言语性失用症的存在情况,并分析这些情况与患者年龄、教育程度、病程及PD分期之间的相关性,同时评估两种类型的失用症与样本中患者言语失用性错误的频率和类型之间的相关性。方法。这是一项观察性患病率研究。样本包括在巴西阿雷格里港临床医院运动障碍门诊就诊的45例PD患者。使用言语失用症评估方案对患者进行评估,并根据Hoehn和Yahr量表对PD分期进行分类。结果。本样本中非言语性失用症和言语性失用症的发生率为24.4%。言语性失用症与教育程度显著相关(p≤0.05)。言语失用性错误最常见的类型是遗漏(70.8%)。发音方式和发音部位分析表明,大多数错误依次发生在颤音(57.7%)和齿龈音(92%)的发音过程中。结论。PD患者存在非言语性和言语性失用症,并出现了多种言语失用性错误。言语性失用症与教育水平相关。

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