The impact of stroke-related dysarthria on social participation and implications for rehabilitation

Brady, Marian; Clark, Alexander M.; Dickson, Sylvia; Paton, Gillian; Barbour, Rosaline S.

doi:10.3109/09638288.2010.517897

Cited by 103 publications

(103 citation statements)

References 16 publications

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“…527,531 The effects of motor speech disorders after stroke extend beyond the physiological characteristics of the impairment. Studies have shown that the resulting communication difficulties affect social participation and quality of life 532,533 and that the psychosocial impact of a motor speech disorder is disproportionate to the severity of the physiological impairment. …”

Section: Motor Speech Disorders: Dysarthria and Apraxia Of Speechmentioning

confidence: 99%

Guidelines for Adult Stroke Rehabilitation and Recovery

Winstein¹,

Stein²,

Arena

et al. 2016

Stroke

2,187

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: Motor Speech Disorders: Dysarthria and Apraxia Of Speechmentioning

confidence: 99%

Guidelines for Adult Stroke Rehabilitation and Recovery

Winstein¹,

Stein²,

Arena

et al. 2016

Stroke

2,187

840

View full text Add to dashboard Cite

show abstract

“…These have been described as participation restrictions and are recognized as being influenced not only by the physiologic and perceptual characteristics described above but also by contextual factors, including environmental or personal features. The psychosocial aspects of dysarthria have been examined through personal accounts (Cant, 1997) and using qualitative methods in acquired dysarthria (Brady, Clark, Dickson, Paton, & Barbour, 2011b;Dickson, Barbour, Brady, Clark, & Paton, 2008;Miller, Noble, Jones, & Burn, 2006;. Consensus exists that acquired dysarthria changes the lives of the speakers experiencing it.…”

mentioning

confidence: 99%

“…Consensus exists that acquired dysarthria changes the lives of the speakers experiencing it. Speakers with acquired dysarthria report social isolation (Brady et al, 2011b), feelings of perceived stigmatization (Dickson et al, 2008), and changes in self-identity and social relationships (Brady et al, 2011b). Everyday activities, such as conversation, are difficult even when voice or speech changes are mild and do not interfere with speech intelligibility (Miller et al, 2006).…”

mentioning

confidence: 99%

Speech Versus Speaking: The Experiences of People With Parkinson's Disease and Implications for Intervention

Yorkston

Baylor

Britton

2017

Am J Speech Lang Pathol

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Purpose In this project, we explore the experiences of people who report speech changes associated with Parkinson's disease as they describe taking part in everyday communication situations and report impressions related to speech treatment. Method Twenty-four community-dwelling adults with Parkinson's disease took part in face-to-face, semistructured interviews. Qualitative research methods were used to code and develop themes related to the interviews. Results Two major themes emerged. The first, called “speaking,” included several subthemes: thinking about speaking, weighing value versus effort, feelings associated with speaking, the environmental context of speaking, and the impact of Parkinson's disease on speaking. The second theme involved “treatment experiences” and included subthemes: choosing not to have treatment, the clinician, drills and exercise, and suggestions for change. Conclusions From the perspective of participants with Parkinson's disease, speaking is an activity requiring both physical and cognitive effort that takes place in a social context. Although many report positive experiences with speech treatment, some reported dissatisfaction with speech drills and exercises and a lack of focus on the social aspects of communication. Suggestions for improvement include increased focus on the cognitive demands of speaking and on the psychosocial aspects of communication.

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“…People with dysarthria have reported being conscious of other people's attitudes to their changed speech. 284,285 Listeners were perceived by people with dysarthria to be condescending and to negatively evaluate the person with dysarthria, due to their communication impairment. [284][285][286] The ability to work, and relationships with spouses and friends were reported to be negatively affected by communication and physical impairments.…”

Section: Discussionmentioning

confidence: 99%

“…284,285 Listeners were perceived by people with dysarthria to be condescending and to negatively evaluate the person with dysarthria, due to their communication impairment. [284][285][286] The ability to work, and relationships with spouses and friends were reported to be negatively affected by communication and physical impairments. 285 Feelings of embarrassment, reduced confidence, and inadequacy were reported by the participants with dysarthria.…”

Section: Discussionmentioning

confidence: 99%

Maintenance of speech in Parkinson’s disease: The impact of group therapy

Edwards¹

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The maintenance of communication in Parkinson's disease (PD) requires a long term management plan, due to the progressive nature of the associated communication deficits.While intensive behavioural treatment has been demonstrated to improve speech intelligibility in PD, the effects can decrease over time. People with PD also experience changes in their ability to participate in conversation and everyday communication.Methods to maintain communication after a primary speech treatment are of interest to clinicians and people with PD. The overall aim of this research was to investigate the outcomes of group therapy as a maintenance strategy following the Lee Silverman Voice There was heterogeneity in the participants' response to Loud and Proud that was not explained by dysarthria severity. Refinements to Loud and Proud were recommended following this Phase I study, to better target intelligibility, communicative effectiveness, and QOL.In Study II conversational data from a purposeful sample of six participants in Study 1 were examined using a mixed-methodology. Recorded conversations between the PD participants and the researcher obtained before and after the Loud and Proud intervention were investigated using Conversation Analysis (CA) as the primary methodology.

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The impact of stroke-related dysarthria on social participation and implications for rehabilitation

Cited by 103 publications

References 16 publications

Guidelines for Adult Stroke Rehabilitation and Recovery

Guidelines for Adult Stroke Rehabilitation and Recovery

Speech Versus Speaking: The Experiences of People With Parkinson's Disease and Implications for Intervention

Maintenance of speech in Parkinson’s disease: The impact of group therapy

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