Spastic/spasmodic vs. tremulous vocal quality: motor speech profile analysis

Lundy, Donna S.; Roy, Soham; Xue, Jun; Casiano, Roy R.; Jassir, Daniel

doi:10.1016/j.jvoice.2003.12.001

Cited by 42 publications

(25 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Some authors have reported that vocal deterioration is common in individuals with ALS, and it is an important clinical feature in the diagnostic process of the disease as it signals bulbar involvement 15 . The main vocal symptom in ALS is hoarseness 17 ; however, other symptoms can also be observed, such as: tension, breathiness, roughness, hypernasality, low frequency, low intensity, monotonous voice 18 and tremor 19 .…”

Section: Discussionmentioning

confidence: 99%

Dysarthria and quality of life in patients with amyotrophic lateral sclerosis

Neto

Constantini

2017

Rev. CEFAC

View full text Add to dashboard Cite

Purpose: to analyze the impact of dysarthria on the quality of life in patients with amyotrophic lateral sclerosis.Methods: the study consisted of 32 subjects, divided into two groups (control group and study group) who underwent an initial interview for background information, followed by an evaluation based on the Dysarthria Assessment Protocol and completion of quality of life questionnaire "Living with Dysarthria -(LwD)". Exploratory data analysis was collected through mean, median, SD, minimum and maximum measures. A comparison was performed between the studied groups and a correlation was carried out between scores. The significance level adopted was 5%.Results: according to the findings, all sub-items analyzed by the dysarthria assessment protocol were statically significant (p <0.001) when comparing the groups. Regarding quality of life, a moderate positive correlation (p = 0.0008; Spearman's coefficient = 0.75202) was observed between the total score of the two protocols used, indicating that the higher the degree of dysarthria, the worse the Quality of Life (QOL) of the subject, according to the parameters evaluated.Conclusion: dysarthria affects all speech parameters herein assessed, in varying degrees, negatively impacting communication and quality of life.

show abstract

Section: Discussionmentioning

confidence: 99%

Dysarthria and quality of life in patients with amyotrophic lateral sclerosis

Neto

Constantini

2017

Rev. CEFAC

View full text Add to dashboard Cite

show abstract

“…Polkey et al [15]) did not describe the unequivocal pattern of laryngological disturbances in ALS. The abnormalities reported so far included nonperiodical vibrations of vocal cords, paradoxical hyperadduction of false folds, and incomplete abduction of vocal folds during the respiratory phase [2,8,10,16,17,18,19]. …”

Section: Discussionmentioning

confidence: 99%

The Evaluation of Abnormal Voice Qualities in Patients with Amyotrophic Lateral Sclerosis

Tomik¹,

Tomik

Wiatr³

et al. 2015

Neurodegener Dis

View full text Add to dashboard Cite

Objective: Voice abnormalities are among the symptoms occurring in patients with amyotrophic lateral sclerosis (ALS). They are divergent and range from hoarseness, through the excessive adduction of false folds, up to the weakness of the vocal folds. The aim of the study was to analyze the phonatory function of the larynx in ALS patients. Methods: Seventeen patients with ALS were evaluated with subjective perceptual voice assessment (including the GRBAS scale), videolaryngostroboscopy including voice range and maximum phonation time (MPT), and objective acoustic voice analysis with IRIS software (including evaluation of jitter, shimmer, mean fundamental frequency, and noise-to-harmonics ratio (NHR)). Examinations were performed three times at 6-month intervals. Results: Hoarseness, roughness, and breathiness of voice were all found more frequently in the majority of these patients. Voice range, amplitude of vibration, mucosal wave, and glottal closure showed significant abnormalities with repeated examinations. MPT was shortened especially among women with ALS. Acoustic analysis of voice among men showed increased jitter value in the first examination only, while jitter, shimmer, and NHR in women with ALS were increased in all examinations. Conclusions: Analysis of voice qualities among patients with ALS allows for the detection of various abnormalities associated with the natural progression of the disease.

show abstract

“…Other studies employed acoustic techniques to examine the timing of dysarthric speech [27][28][29][30] , acoustic correlates of intelligibility [31][32][33][34] , and diadochokinesis [35] . Voice [36][37][38] 1 A complete listing of the references for the articles reviewed here is available on request from yorkston@u.washington.edu . and prosody [39][40][41] in degenerative dysarthria have also been studied acoustically.…”

Section: Basic Descriptionmentioning

confidence: 99%

The Degenerative Dysarthrias: A Window into Critical Clinical and Research Issues

Yorkston¹

2007

Folia Phoniatr Logop

View full text Add to dashboard Cite

Although diversity of symptoms and urgency of needs pose many challenges, management of the degenerative dysarthrias is a crucial aspect of clinical practice. The purpose of this article is to review current research literature on selected degenerative dysarthrias including those associated with Parkinson’s disease, multiple sclerosis, and amyotrophic lateral sclerosis. These dysarthrias are prevalent yet represent distinct patterns of underlying neuropathology, symptoms, age of onset, and rate of progression. Literature searches including the period 1997–2006 yielded 148 different studies reporting data on communication issues related to dysarthria. By far the largest category of studies was that which provided a basic description of speech production including the neurophysiologic, acoustic, or perceptual properties of dysarthria. Other categories included management (assessment and treatment) and the psychosocial consequences of dysarthria. While the topic of management of degenerative dysarthria is a focused one, it provides a window into many issues critical to the field of communication disorders including fundamental properties of speech production, development of evidence-based treatment techniques, the staging of these techniques into an effective management sequence, and the psychosocial consequences of communication disorders along with techniques to maintain communicative participation in the face of degenerative conditions.

show abstract

Spastic/spasmodic vs. tremulous vocal quality: motor speech profile analysis

Cited by 42 publications

References 19 publications

Dysarthria and quality of life in patients with amyotrophic lateral sclerosis

Dysarthria and quality of life in patients with amyotrophic lateral sclerosis

The Evaluation of Abnormal Voice Qualities in Patients with Amyotrophic Lateral Sclerosis

The Degenerative Dysarthrias: A Window into Critical Clinical and Research Issues

Contact Info

Product

Resources

About