Comparative analysis of speech assessment tools for individuals with dysarthria in Chile and worldwide
DOI:
https://doi.org/10.56294/saludcyt2024626Keywords:
Speech, Assessment, Speech Disorders, Tests, Speech and Language TherapyAbstract
Introduction: dysarthria assessment tools should be tailored to the speech characteristics and impairments. Currently, there are many different tools in clinical practice, mainly perceptual and motor. However, this speech impairment is associated with loss of functionality, limitations in activities of daily living, and restriction in social and occupational participation. This research compares the assessment procedures of several speech assessment tools commonly used in clinical practice for individuals with dysarthria in Chile and worldwide.
Methods: a cross-sectional documentary analysis was conducted on various speech assessment tools for individuals with dysarthria. A purposive sampling was used based on the research conducted by Altaher et al.(1)
Results: the content analysis shows that all tools have procedures for assessing speech subsystems and non-speech tasks. However, the assessment of the functional characteristics of speech, mainly considering intelligibility, is scarcely addressed. Some tools incorporate tasks that assess different aspects of speech, highlighting that this complementary information can be relevant to the diagnostic process.
Conclusions: there is a lack of a standardized speech assessment and the need to incorporate tasks that allow for functional assessment to understand the performance of subsystems and the needs of individuals and their interlocutors to set baselines
References
1. Altaher AM, Chu SY, Kam R, Binti M, Rasak RA. A Report of Assessment Tools for Individuals with Dysarthria. The Open Public Health Journal. 2019; 12(1): p. 384-386. https://doi.org/10.2174/1874944501912010384
2. Duffy JR. Motor Speech Disorders Substrates, Differential Diagnosis, and Management. 4th ed.: Evolve; 2019.
3. Goswani U, Nirmala SR, Vikram CM, Kalita S, Prasanna SRM. Analysis of Articulation Errors in Dysarthric Speech. Journal of Psycholinguistic Research. 2020; 49(1), 163-174. https://doi.org/10.1007/s10936-019-09676-5
4. American Speech-Language Hearing Association. [Online]; 2019. Disponible en: https://www.asha.org/practice-portal/clinical-topics/dysarthria-in-adults/.
5. Ziegler W, Schölderle T, Brendel B, Risch V, Felber S, Ott K, et al. Speech and Nonspeech Parameters in the Clinical Assessment of Dysarthria: A Dimensional Analysis. Brain Sciences. 2023; 13(1). https://doi.org/10.3390/brainsci13010113
6. Ziegler W, Schölderle T, Staiger A, Vogel M. Gauging the Auditory Dimensions of Dysarthric Impairment: Reliability and Construct Validity of the Bogenhausen Dysarthria Scales (BoDyS). Journal of Speech, Language, and Hearing Research. 2017; 60(6), 1516-1534. https://doi.org/10.1044/2017_JSLHR-S-16-0336
7. Lehner K, Ziegler W, KommaPaS Study Group. Clinical measures of communication limitations in dysarthria assessed through crowdsourcing: specificity, sensitivity, and retest-reliability. Clinical Linguistics & Phonetics. 2022; 36(11). https://doi.org/10.1080/02699206.2021.1979658
8. Coleman JJ, Frymark T, Franceschini NM, Theodoros D. Assessment and Treatment of Cognition and Communication Skills in Adults With Acquired Brain Injury via Telepractice: A Systematic Review. American Journal of Speech-Language Pathology. 2015; 24(2): p. 295-315. https://doi.org/10.1044/2015_AJSLP-14-0028
9. Delatycki M, Corben L, Pandolfo M, Lynch D, Schulz J. Consensus clinical management guidelines for Friedreich ataxia. Orphanet Journal of Rare Diseases. 2014; 9.
10. Hanson E, Yorkston K, Britton D. Dysarthria in Amyotrophic Lateral Sclerosis: A systematic review of characteristics, speech treatment, and augmentative and alternative communication. Journal of Medical Speech-Language Pathology. 2011; 19.
11. Kalf H, Swart B, Bonnier-Baars M, Kanters J, Hofman M, Kocken J, et al. Guidelines for Speech-Language Therapy in Parkinson’s Disease. National Parkinson Foundation. 2011.
12. Morgan A, Mei C, Anderson V, Waugh MC, Cahill L, The TBI Guideline Expert Workin Comite. Evidence- and Consensus-Based Guidelines for the Management of Communication and Swallowing Disorders Following Pediatric Traumatic Brain Injury. Journal of Head Trauma Rehabilitation. 2018; 33(1).
13. Ministerio de Salud. [Online]; 2013. Disponible en: https://www.minsal.cl/portal/url/item/7222754637e58646e04001011f014e64.pdf.
14. Enderby P, Palmer R. FDA-2: Frenchay Dysarthria Assessment. 2nd ed.: Pro Ed; 2008.
15. Robertson SJ. Robertson Dysarthria Profile: Communication Skill Builders/Therapy Skill Builders. 1987.
16. Pert S. An Evaluation of the Robertson Dysarthria Profile (Revised) with Reference to Cerebral Vascular Accident, Head Injury and Motor Neurone Disease Client Groups. 1995.
17. Ziegler W, Schölderle T, Staiger A, Vogel M. Die Bogenhausener Dysarthrieskalen (BoDyS): A Standardized Test for the Clinical Assessment of Dysarthria in Adults. Sprache Stimme Gehör. 2015; 39(4). https://doi.org/10.1055/s-0041-102792
18. González R, Bevilacqua J. Las disartrias. Revista del Hospital Clínico de la Universidad de Chile. 2012; 23: p. 299-309.
19. Toledo L. Evaluación de las funciones orofaciales de la persona con disartria. Universitaria; 2017.
20. Sandoval M, Henríquez C, Henríquez L, Elizalde A, Rodríguez D. Rendimiento de habla espontánea y canto en usuarios con accidente cerebro vascular cerebeloso: un estudio de caso. Revista de Investigación en Logopedia. 2020; 10(1). https://doi.org/10.5209/rlog.64278
21. Pommée T, Balaguer M, Mauclair J, Pinquier J, Woisard V. Assessment of adult speech disorders: current situation and needs in French-speaking clinical practice. Logopedics Phoniatrics Vocology. 2022; 47(2). https://doi.org/10.1080/14015439.2020.1870245
22. Brendel B, Ackermann H, Berg D, Linding T, Schölderle T, Schöls L, et al. Friedreich Ataxia: Dysarthria Profile and Clinical Data. The Cerebellum. 2013; 12(4): p. 475-484. https://doi.org/10.1007/s12311-012-0440-0
23. Kent RD. Nonspeech Oral Movements and Oral Motor Disorders: A Narrative Review. American Journal of Speech-Language Pathology. 2015; 24(4): p. 763-789. https://doi.org/10.1044/2015_AJSLP-14-0179
24. Weismer G. Philosophy of research in motor speech disorders. Clinical Linguistics & Phonetics. 2006; 20(5): p. 315-349. https://doi.org/10.1080/02699200400024806
25. Rumbach AF, Finch E, Stevenson G. What are the usual assessment practices in adult non-progressive dysarthria rehabilitation? A survey of Australian dysarthria practice patterns. Journal of Communication Disorders. 2019; 79: p. 46-57. https://doi.org/10.1016/j.jcomdis.2019.03.002
26. Martínez-Cifuentes R, Torres-Bustos V, Sáez-Carrillo K. Textos utilizados en la evaluación de adultos chilenos con trastornos del habla de origen neurológico. Revista de Logopedia, Foniatría y Audiología. 2020; 40(2): p. 77-82. https://doi.org/10.1016/j.rlfa.2019.11.002
27. Walsh K. Documentary research and evaluation in medical education. Journal of Educational Evaluation for Health Professions. 2014; 11(18). https://doi.org/10.3352/jeehp.2014.11.18
28. Flick U. An Introduction to Qualitative Research. Sage; 2018.
29. Nicola F, ZW & VM, Nicola F, Ziegler W, Vogel M. Bogenhausener Dysarthrieskalen (BODYS): An instrument for the clinical assessment of dysarthria. Forum Logopadie. 2004; 18: p. 14-22.
30. Yorkston KM, Beukelman DR. Communication Efficiency of Dysarthric Speakers as Measured by Sentence Intelligibility and Speaking Rate. CC Publications. 1981.
31. Duffy J. Motor Speech disorders-E-Book: Substrates, differential diagnosis, and management. 3rd ed.: Elsevier; 2012.
32. Lancheros M, Jouen A, Laganaro M. Neural dynamics of speech and non-speech motor planning. Brain and Language. 2020; 203. https://doi.org/10.1016/j.bandl.2020.104742
33. Jacobson BH, Johnson A, Grywalski C, Silbergleit A, Jacobson G, et al. The Voice Handicap Index (VHI): Development and Validation. American Journal of Speech-Language Pathology. 1997; 6(3): p. 66-69. https://doi.org/10.1044/1058-0360.0603.66
34. Walshe M, Peach RK, Miller N. Dysarthria Impact Profile: development of a scale to measure psychosocial effects. International Journal of Language & Communication Disorders. 2009; 44(5): p. 693-715. https://doi.org/10.1080/13682820802317536
35. Schreier, M. Qualitative Content Analysis. London. Sage Publication Ed. (2012).
36. Hsieh H-F, Shannon SE. Three Approaches to Qualitative Content Analysis. Qualitative Health Research. 2005;15(9):1277-1288. doi:10.1177/1049732305276687
37. Juárez-Belaúnde A, Orcajo E, Lejarreta S, Davila-Pérez P, León N, Oliviero A. La fatiga en el daño cerebral sobrevenido. Neurología. 2021. https://doi.org/10.1016/j.nrl.2021.05.011
38. Schmuckler MA. What Is Ecological Validity? A Dimensional Analysis. Infancy. 2001; 2(4): p. 419-436. https://doi.org/10.1207/S15327078IN0204_02
39. Powell TW, Elbert M, Forrest K. Listeners' Familiarity and Perception of an Idiosyncratic Phonologic Pattern. Perceptual and Motor Skills. 1990; 70(3): p. 859-864. https://doi.org/10.2466/pms.1990.70.3.859
40. Susanibar F, Dioses A, Tordera JC. Principios para la evaluación e intervención de los Trastornos de los Sonidos del Habla. Trastornos del habla: de los fundamentos a la evaluación. 3rd ed.: Eos; 2016.
41. Bunton K, Weismer G. Evaluation of a Reiterant Force-Impulse Task in the Tongue. Journal of Speech, Language, and Hearing Research. 1994; 37(5): p. 1020-1031. https://doi.org/10.1044/jshr.3705.1020
42. Ruark JL, Moore CA. Coordination of Lip Muscle Activity by 2-Year-Old Children During Speech and Nonspeech Tasks. Journal of Speech, Language, and Hearing Research. 1997; 40(6): p. 1373-1385. https://doi.org/10.1044/jslhr.4006.1373
43. Feliú E. Morfología. Enciclopedia de Lingüística Hispánica; 2016.
44. Weismer G. Oromotor Nonverbal Performance and Speech Motor Control: Theory and Review of Empirical Evidence. Brain Sciences. 2023; 13(5). https://doi.org/10.3390/brainsci13050768
45. Llau M, González J. Medida de la inteligibilidad en el habla disártrica. Revista de Logopedia, Foniatría y Audiología. 2004; 24(1): p. 33-43. https://doi.org/10.1016/S0214-4603(04)75773-3
46. Ortega C. Comunicación y calidad de vida integral. Calidad de Vida y Salud. 2012; 1(8): p. 33-43.
47. Aceituno C, Aranda S, Palma G, Pino C, Villegas P, Quezada C, et al. Calidad de vida en personas con disartria. Revista de Logopedia, Foniatría y Audiología. 2019; 39(1): p. 27-31. https://doi.org/10.1016/j.rlfa.2018.07.002
48. Riepe MW, Riss S, Bittner D, Huber R. Screening for Cognitive Impairment in Patients with Acute Stroke. Dementia and geriatric cognitive disorders. 2004; 17(1-2): p. 49-53. https://doi.org/10.1159/000074082
49. Oh BM, Seok H, Kim SH, Lee SY, Park SJ, Kim HJ, et al. Correlation Between Articulatory Diadochokinetic Parameters and Dysphagia Parameters in Subacute Stroke Patients. Annals of Rehabilitation Medicine. 2023; 47(3): p. 192-204. https://doi.org/10.5535/arm.23018
50. Wang BJ, Carter FL, Altman KW. Relationship between Dysarthria and Oral-Oropharyngeal Dysphagia: The present evidence. Ear, Nose & Throat Journal. 2020. https://doi.org/10.1177/0145561320951647
51. Daniels SK, Schroeder MF, McClain M, Corey DM, Rosenbek JC, Foundas AL. Dysphagia in stroke: Development of a standard method to examine swallowing recovery. Journal of Rehabilitation Research and Development. 2006; 43(3): p. 347-356. https://doi.org/10.1682/jrrd.2005.01.0024
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