Spencer Kristie A, Brown Katherine A
Department of Speech and Hearing Sciences, University of Washington, Seattle, Washington.
Semin Speech Lang. 2018 Feb;39(1):15-24. doi: 10.1055/s-0037-1608852. Epub 2018 Jan 22.
Dysarthria is a common consequence of stroke and can have a detrimental influence on communication and quality of life. Speech-language pathologists (SLPs) play an important role in the evaluation and rehabilitation of stroke survivors who present with dysarthria. An understanding of the physiologic reason behind the altered speech characteristics, such as weakness or incoordination, can facilitate differential diagnosis, guide evaluation strategies, and influence treatment approaches. An initial comprehensive speech evaluation is comprised of examination of the speech mechanism, screening of speech subsystems, perceptual assessment, and intelligibility measurement. Management strategies focus on optimizing communication through compensatory strategies as well as providing physiologic support. The SLP is also responsible for educating family and staff regarding strategies that can facilitate communication.
构音障碍是中风的常见后果，会对沟通和生活质量产生不利影响。言语治疗师在评估和康复患有构音障碍的中风幸存者方面发挥着重要作用。了解言语特征改变背后的生理原因，如无力或不协调，有助于鉴别诊断、指导评估策略并影响治疗方法。初步的全面言语评估包括言语机制检查、言语子系统筛查、感知评估和可懂度测量。管理策略侧重于通过代偿策略优化沟通并提供生理支持。言语治疗师还负责就有助于沟通的策略对家属和工作人员进行教育。
