Frequency and Cooccurrence of Vocal Tract Dysfunctions in the Speech of a Large Sample of Parkinson Patients
1978; American Speech–Language–Hearing Association; Volume: 43; Issue: 1 Linguagem: Inglês
10.1044/jshd.4301.47
ISSN2163-6184
AutoresJeri A. Logemann, Hilda B. Fisher, Benjamin Boshes, E. Richard Blonsky,
Tópico(s)Dysphagia Assessment and Management
ResumoNo AccessJournal of Speech and Hearing DisordersResearch Article1 Feb 1978Frequency and Cooccurrence of Vocal Tract Dysfunctions in the Speech of a Large Sample of Parkinson Patients Jeri A. Logemann, Hilda B. Fisher, Benjamin Boshes, and E. Richard Blonsky Jeri A. Logemann Northwestern University Medical School, Chicago, Illinois Google Scholar More articles by this author , Hilda B. Fisher Northwestern University, Evanston, Illinois Google Scholar More articles by this author , Benjamin Boshes Northwestern University Medical School, Chicago, Illinois Google Scholar More articles by this author and E. Richard Blonsky Northwestern University Medical School, Chicago, Illinois Google Scholar More articles by this author https://doi.org/10.1044/jshd.4301.47 SectionsAboutPDF ToolsAdd to favoritesDownload CitationTrack Citations ShareFacebookTwitterLinked In In this study, the frequency of occurrence of speech and voice symptoms in 200 Parkinson patients was defined by two expert listeners from high-fidelity tape recordings of conversational speech samples and readings of the sentence version of the Fisher-Logemann Test of Articulation Competence. Specific phonemes that were misarticulated were catalogued. Other vocal-tract dysfunctions, including laryngeal disorders, rate disorders, and hypernasality, were also recorded. Cooccurrence of symptoms in each patient was tabulated. Examination of the patterns of co-occurring dysfunctions permitted classifying the 200 patients into five groups: Group 1 (45% of the patients) with laryngeal dysfunction as their only vocal-tract symptom; Group 2 (13.5% of the patients) with laryngeal and back-tongue involvement; Group 3 (17% of the patients) with laryngeal, back-tongue, and tongue-blade dysfunction; Group 4 (5.5% of the patients) with laryngeal dysfunction, back-tongue involvement, tongue-blade dysfunction, and labial misarticulations; and Group 5 (9% of the patients) with laryngeal dysfunction and misarticulations of the back tongue, tongue blade, lips, and tongue tip. Disfluencies and hypernasality did not follow a systematic pattern of cooccurrence with other vocal-tract dysfunctions. 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