ERIC Number: EJ1293702
Record Type: Journal
Publication Date: 2021-Feb
Pages: 13
Abstractor: As Provided
ISBN: N/A
ISSN: ISSN-1092-4388
EISSN: N/A
Available Date: N/A
A Longitudinal Evaluation of Speech Rate in Primary Progressive Apraxia of Speech
Utianski, Rene L.; Martin, Peter R.; Hanley, Holly; Duffy, Joseph R.; Botha, Hugo; Clark, Heather M.; Whitwell, Jennifer L.; Josephs, Keith A.
Journal of Speech, Language, and Hearing Research, v64 n2 p392-404 Feb 2021
Purpose: Individuals with primary progressive apraxia of speech (PPAOS) have apraxia of speech (AOS) in which disruptions in articulation or prosody predominate the speech pattern, referred to, respectively, as phonetic or prosodic subtypes. Many develop aphasia and/or dysarthria. Past research has demonstrated that simple temporal acoustic measures are sensitive to the presence of AOS. The aim of this study was to describe the change in temporal acoustic measures over time and assess if specific patterns of AOS or co-occurring aphasia or dysarthria impact the rate of change over time. Method: Durations for multiple productions of the words "cat," "catnip," "catapult," and "catastrophe," in an imitative speech task, were recorded for 73 patients, with two to six visits each. A linear mixed-effects model was used to assess the crosssectional differences and longitudinal influence of AOS subtype and presence of aphasia/dysarthria on speech rate. Pearson correlations were calculated between rate measures and performance on other clinical measures. Results: Cross-sectionally, patients with prosodic-predominant PPAOS produced words more slowly than those with phonetic-predominant PPAOS. Patients with either aphasia or dysarthria produced words more slowly than those without. Longitudinally, the speech rate of patients with phonetic-predominant PPAOS had a reduction of 0.5 syllables per second per year. Patients with prosodic-predominant AOS changed less quickly, as did those who developed aphasia. Dysarthria did not impact rate of change. There were strong associations between speech rate measures and other clinical indices of speech and language functioning. Conclusion: Simple temporal acoustic measures may reflect the subtype of AOS (phonetic or prosodic predominant), serve as an index of progression of AOS, and inform prognostication relative to the presenting combination of speech and language features.
Descriptors: Speech Communication, Longitudinal Studies, Articulation (Speech), Intonation, Suprasegmentals, Aphasia, Phonetics, Patients, Case Studies, Acoustics, Correlation, Measurement Techniques, Neurological Impairments, Speech Impairments, Language Impairments, Clinical Diagnosis, Syllables, Speech Evaluation, Error Patterns
American Speech-Language-Hearing Association. 2200 Research Blvd #250, Rockville, MD 20850. Tel: 301-296-5700; Fax: 301-296-8580; e-mail: slhr@asha.org; Web site: http://jslhr.pubs.asha.org
Publication Type: Journal Articles; Reports - Research
Education Level: N/A
Audience: N/A
Language: English
Sponsor: National Institute on Deafness and Other Communication Disorders (NIDCD); National Institute of Neurological Disorders and Stroke (NIH)
Authoring Institution: N/A
Grant or Contract Numbers: R01DC010367; R01DC014942; R21NS094684
Author Affiliations: N/A