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与小脑疾病相关的构音障碍的声学特征。

Acoustic characteristics of dysarthria associated with cerebellar disease.

作者信息

Kent R D, Netsell R, Abbs J H

出版信息

J Speech Hear Res. 1979 Sep;22(3):627-48. doi: 10.1044/jshr.2203.627.

Abstract

The speech of five individuals with cerebellar disease and ataxic dysarthria was studied with acoustic analyses of CVC words, words of varying syllabic structure (stem, stem plus suffix, stem plus two suffixes), simple sentences, the Rainbow Passage, and conversation. The most consistent and marked abnormalities observed in spectrograms were alterations of the normal timing pattern, with prolongation of a variety of segments and a tendency toward equalized syllable durations. Vowel formant structure in the CVC words was judged to be essentially normal except for transitional segments. The greater the severity of the dysarthria, the greater the number of segments lengthened and the degree of lengthening of individual segments. The ataxic subjects were inconsistent in durational adjustments of the stem syllable as the number of syllables in a word was varied and generally made smaller reductions than normal subjects as suffixes were added. Disturbances of syllable timing frequently were accompanied by abnormal contours of fundamental frequency, particularly monotone and syllable-falling patterns. These dysprosodic aspects of ataxic dysarthria are discussed in relation to cerebellar function in motor control.

摘要

对五名患有小脑疾病和共济失调性构音障碍的患者的言语进行了研究,通过对CVC单词、不同音节结构的单词(词干、词干加后缀、词干加两个后缀)、简单句子、《彩虹段落》以及对话进行声学分析。在频谱图中观察到的最一致且明显的异常是正常时间模式的改变,各种音段延长,且音节时长有趋于均等的趋势。除过渡音段外,CVC单词中的元音共振峰结构被判定基本正常。构音障碍越严重,延长的音段数量越多,单个音段的延长程度也越大。随着单词中音节数量的变化,共济失调患者在词干音节时长调整方面不一致,并且在添加后缀时,与正常受试者相比,通常减少的幅度更小。音节计时的紊乱常常伴随着基频的异常轮廓,尤其是单调和音节下降模式。本文结合小脑在运动控制中的功能,对共济失调性构音障碍的这些韵律障碍方面进行了讨论。

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