Theodoros D G, Murdoch B E, Stokes P D
Motor Speech Research Unit, University of Queensland, Australia.
Brain Inj. 1995 Oct;9(7):671-96. doi: 10.3109/02699059509008225.
The perceptual and physiological features of the dysarthric speech of five severely closed-head-injured (CHI) subjects were examined in a case-by-case analysis. The five male CHI subjects included in the study were selected to reflect the range of severity and types of dysarthria evident in the CHI population. The perceptual profiles of each subject consisted of the findings of a perceptual speech analysis, the Frenchay Dysarthria Assessment (FDA) and the Assessment of the Intelligibility of Dysarthric Speakers (ASSIDS). The subjects' physiological profiles included the results of instrumental assessments of the respiratory, laryngeal, velopharyngeal and articulatory subsystems of the speech-production mechanism. The case studies highlighted the variability among the individual subjects with respect to the location, physiological nature, and severity of impairment in their speech-production mechanisms. In addition, the interdependence of the various speech subsystems in determining speech outcome, the presence of differential subsystem impairment in dysarthria following CHI, and the varied therapeutic requirements of the individual subjects were identified. Clinically, the case studies highlighted the importance of developing individual treatment programmes based on comprehensive perceptual and physiological evaluations of the speech mechanism in each CHI subject with dysarthric speech.
通过个案分析，研究了5名重度闭合性颅脑损伤（CHI）患者构音障碍言语的感知和生理特征。本研究纳入的5名男性CHI患者，旨在反映CHI人群中明显的构音障碍严重程度范围和类型。每名患者的感知特征包括感知言语分析结果、法国ay构音障碍评估（FDA）和构音障碍者可懂度评估（ASSIDS）。患者的生理特征包括言语产生机制的呼吸、喉部、腭咽和发音子系统的仪器评估结果。这些案例研究突出了个体患者在言语产生机制的损伤位置、生理性质和严重程度方面的变异性。此外，还确定了各种言语子系统在决定言语结果方面的相互依存关系、CHI后构音障碍中不同子系统损伤的存在以及个体患者不同的治疗需求。临床上，这些案例研究突出了根据对每名有构音障碍言语的CHI患者言语机制进行全面的感知和生理评估来制定个体化治疗方案的重要性。
