Application of the ICF in Reduced Speech Intelligibility in Dysarthria

Dykstra, Allyson D.; Hakel, Mark; Adams, Scott G.

doi:10.1055/s-2007-986527

Cited by 69 publications

(48 citation statements)

References 15 publications

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“…534 Addressing environmental factors during rehabilitation is consistent with the ICF and warrants consideration. [535][536][537] For individuals with motor speech disorders, this may include providing education that addresses the knowledge and attitudes of communication partners or modifying the characteristics of the physical environment such as reducing noise levels. [535][536][537] Telerehabilitation may be used to overcome barriers of access to services.…”

Section: Winstein Et Al Guidelines For Adult Stroke Rehabilitation Anmentioning

confidence: 99%

“…[535][536][537] For individuals with motor speech disorders, this may include providing education that addresses the knowledge and attitudes of communication partners or modifying the characteristics of the physical environment such as reducing noise levels. [535][536][537] Telerehabilitation may be used to overcome barriers of access to services. 538 The quality of telerehabilitation services must be consistent with the quality of services delivered face to face.…”

Section: Winstein Et Al Guidelines For Adult Stroke Rehabilitation Anmentioning

confidence: 99%

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Guidelines for Adult Stroke Rehabilitation and Recovery

Winstein¹,

Stein²,

Arena

et al. 2016

Stroke

2,169

840

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e98Purpose-The aim of this guideline is to provide a synopsis of best clinical practices in the rehabilitative care of adults recovering from stroke. Methods-Writing group members were nominated by the committee chair on the basis of their previous work in relevant topic areas and were approved by the American Heart Association (AHA) Stroke Council's Scientific Statement Oversight Committee and the AHA's Manuscript Oversight Committee. The panel reviewed relevant articles on adults using computerized searches of the medical literature through 2014. The evidence is organized within the context of the AHA framework and is classified according to the joint AHA/American College of Cardiology and supplementary AHA methods of classifying the level of certainty and the class and level of evidence. The document underwent extensive AHA internal and external peer review, Stroke Council Leadership review, and Scientific Statements Oversight Committee review before consideration and approval by the AHA Science Advisory and Coordinating Committee. Results-Stroke rehabilitation requires a sustained and coordinated effort from a large team, including the patient and his or her goals, family and friends, other caregivers (eg, personal care attendants), physicians, nurses, physical and occupational therapists, speech-language pathologists, recreation therapists, psychologists, nutritionists, social workers, and others. Communication and coordination among these team members are paramount in maximizing the effectiveness

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Section: Winstein Et Al Guidelines For Adult Stroke Rehabilitation Anmentioning

confidence: 99%

Section: Winstein Et Al Guidelines For Adult Stroke Rehabilitation Anmentioning

confidence: 99%

Guidelines for Adult Stroke Rehabilitation and Recovery

Winstein¹,

Stein²,

Arena

et al. 2016

Stroke

2,169

840

View full text Add to dashboard Cite

show abstract

“…As the purpose of speech is to convey information, levels within the scale are also differentiated according to the extent to which the speech signal can be understood by unfamiliar people -its intelligibility. Intelligibility of speech is coded as an activity ('Producing Communication -Speaking') in the ICF (Dykstra et al, 2007). Children whose speech is delayed in development, but who do not have dysarthria would be classified as 'Level I -speech not affected by motor disorder', even though their intelligibility may be compromised.…”

Section: Discussionmentioning

confidence: 99%

“…Such a scheme should classify the perceptual characteristics of speech associated with underlying function of speech subsystems (respiration, phonation, etc.) but might also include speech intelligibility, as the purpose of speech is to convey information (Dykstra, Hakel, & Adams, 2007;HUI, 2003).…”

Section: Speech Communication and Cerebral Palsymentioning

confidence: 99%

Development of The Viking Speech Scale to classify the speech of children with cerebral palsy

Pennington

Virella

Mjøen

et al. 2013

Research in Developmental Disabilities

138

127

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A B S T R A C TSurveillance registers monitor the prevalence of cerebral palsy and the severity of resulting impairments across time and place. The motor disorders of cerebral palsy can affect children's speech production and limit their intelligibility. We describe the development of a scale to classify children's speech performance for use in cerebral palsy surveillance registers, and its reliability across raters and across time. Speech and language therapists, other healthcare professionals and parents classified the speech of 139 children with cerebral palsy (85 boys, 54 girls; mean age 6.03 years, SD 1.09) from observation and previous knowledge of the children. Another group of health professionals rated children's speech from information in their medical notes. With the exception of parents, raters reclassified children's speech at least four weeks after their initial classification. Raters were asked to rate how easy the scale was to use and how well the scale described the child's speech production using Likert scales. Inter-rater reliability was moderate to substantial (k > .58 for all comparisons). Test-retest reliability was substantial to almost perfect for all groups (k > .68). Over 74% of raters found the scale easy or very easy to use; 66% of parents and over 70% of health care professionals judged the scale to describe children's speech well or very well. We conclude that the Viking Speech Scale is a reliable tool to describe the speech performance of children with cerebral palsy, which can be applied through direct observation of children or through case note review. ß

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“…Reduced intelligibility of speech is a frequent and incapacitating manifestation of dysarthria [1,2]. Speech intelligibility (SI) can limit the communication activity and social participation of the speaker to varying degrees and, therefore, constitutes an important focus of investigation in the field of human communication.…”

Section: Introductionmentioning

confidence: 99%

Protocol for the Evaluation of Speech Intelligibility in Dysarthrias: Evidence of Reliability and Validity

Barreto

Ortiz²

2015

Folia Phoniatr Logop

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Background/Aims: Studies about the reliability and validity of intelligibility measures are fundamental to direct their use and interpretation in both clinical and research settings. The present study assessed inter-rater reliability, internal consistency and criterion validity of scores for the sentence and word subtests of the Protocol for the Evaluation of Speech Intelligibility (PESI). Methods: This study included 180 adult volunteers who were divided into three groups: 30 speakers with dysarthria, 30 control speakers and 120 listeners. Intelligibility scores were calculated according to the percentage of words correctly transcribed in each subtest: words in sentences and single words. Results: The intelligibility measurements exhibited a high level of inter-rater reliability for sentences [intraclass correlation coefficient (ICC) = 0.94] and for single words (ICC = 0.96). The items from the single words subtest of the PESI revealed high internal consistency (Cronbach's alpha = 0.93). The measurement of intelligibility of sentences and single words had a high discriminatory power (0.82 and 0.95, respectively), with high sensitivity and specificity, particularly for scores in the single words subtest. Conclusion: This study provides preliminary evidence of the reliability and validity of the PESI.

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Application of the ICF in Reduced Speech Intelligibility in Dysarthria

Cited by 69 publications

References 15 publications

Guidelines for Adult Stroke Rehabilitation and Recovery

Guidelines for Adult Stroke Rehabilitation and Recovery

Development of The Viking Speech Scale to classify the speech of children with cerebral palsy

Protocol for the Evaluation of Speech Intelligibility in Dysarthrias: Evidence of Reliability and Validity

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