THE USE OF A DUAL-TASK PARADIGM FOR ASSESSING SPEECH INTELLIGIBILITY IN CLIENTS WITH PARKINSON DISEASE.

Autor: Bunton K; Department of Speech, Language, and Hearing Sciences, University of Arizona., Keintz CK
Jazyk: angličtina
Zdroj: Journal of medical speech-language pathology [J Med Speech Lang Pathol] 2008 Sep 01; Vol. 16 (3), pp. 141-155.
Abstrakt: Differences in the clinical and ecological manifestations of reduced intelligibility for individuals with dysarthria related to Parkinson disease (PD) have been reported in the literature. The current study explored whether a dual-task paradigm could be used during intelligibility testing to collect speech samples that were representative of functional performance. Intelligibility was calculated for four speakers with PD and four age-matched controls (CG) based on single-word, sentences, and monologue tasks recorded in single-and dual-task conditions and a spontaneous speech sample. In the dual-task condition, speakers produced the target speech sample and performed a simultaneous motor task, turning a nut on a bolt. No significant differences in intelligibility were found for the CG. For speakers with PD, differences between conditions were statistically significant for all speech tasks. Intelligibility scores in the dual-task condition were lower, with variability between tasks and speakers noted. There was a significant difference between scores for the monologue in the single-task condition and the spontaneous sample; however, there was no significant difference between the monologue in the dual-task condition and the spontaneous sample. Findings suggest that including a simple motor task during a clinical assessment may help elicit speech samples that are representative of a speaker's typical speech production.
Databáze: MEDLINE