脑卒中后构音障碍患者构音器官运动功能与言语清晰度的相关性

doi:10.3969/j.issn.1006-9771.2024.07.010

Abstract

Abstract:

Objective To investigate the relationship between motor function of articulation organs and speech intelligibility (SI) in patients with dysarthria after stroke.
Methods A total of 67 patients with dysarthria after stroke in Beijing Bo'ai Hospital from November, 2020 to October, 2023 were collected. They were assessed with SI test and Frenchay Dysarthria Assessment (FDA). The patients were divided into low SI group (SI ≤ 65%) and high SI group (SI > 65%).
Results All the sub-scores of FDA were lower in the high SI group than in the low SI group (Z > 1.543, P < 0.05), except that of the jaw; and the SI was negatively pairwise correlated with FDA sub-scores (r < -0.343, P < 0.001), especially with the lip, tongue and laryngeal (r < -0.6).
Conclusion The motor function of articulation organs may be related to SI in patients with dysarthria after stroke, especially the lip, tongue and laryngeal.

Key words: stroke, dysarthria, articulation organs, motor function, speech intelligibility

CLC Number:

R743.3

LUO Wei, HE Yi, ZHANG Qingsu. Relationship between motor function of articulation organs and speech intelligibility in poststroke dysarthria[J]. Chinese Journal of Rehabilitation Theory and Practice, 2024, 30(7): 818-822.

Figures/Tables 4

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References 25

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组别	n	性别(男/女)/n	年龄/岁	病程/d	卒中类型(梗死/出血)/n
高SI组	34	26/8	54(45.75, 69.25)	46.5(27, 65.75)	11/23
低SI组	33	28/5	61(55, 66)	60(37, 96)	8/25
χ²/Z值		0.752	1.306	1.020	0.542
P值		0.386	0.066	0.248	0.462

变量	组别	n	最小值	最大值	均值	标准差	偏度	峰度
反射	低SI组	33	3	10	7.12	1.88	-0.604	-0.083
反射	高SI组	34	3	13	5.26	2.42	1.629	3.205
呼吸	低SI组	33	2	8	4.97	1.47	0.055	-0.404
呼吸	高SI组	34	2	8	3.44	1.56	1.285	1.266
唇运动	低SI组	33	6	19	13.40	3.06	-0.315	0.003
唇运动	高SI组	34	5	16	8.97	2.99	0.645	-0.549
颌位置	低SI组	33	2	8	3.40	1.68	1.065	0.257
颌位置	高SI组	34	2	6	2.59	1.16	2.013	3.177
软腭运动	低SI组	33	3	11	6.27	2.11	0.530	-0.016
软腭运动	高SI组	34	3	9	4.62	1.67	0.860	-0.031
喉控制	低SI组	33	7	20	13.36	2.97	0.172	-0.425
喉控制	高SI组	34	4	16	9.38	3.30	0.054	-0.701
舌运动	低SI组	33	10	23	16.58	3.40	-0.099	-0.03
舌运动	高SI组	34	6	22	11.91	4.20	0.495	-0.111
言语	低SI组	33	5	20	13.82	3.71	-0.265	-0.592
言语	高SI组	34	4	14	7.62	2.77	0.622	-0.161
a级项目数	低SI组	33	0	15	4.94	3.00	1.031	2.563
a级项目数	高SI组	34	1	28	12.44	7.75	0.271	-0.921

组别	n	反射	呼吸	唇运动	颌位置	软腭运动	喉控制	舌运动	言语	a级项目数
高SI组	34	5(3, 6)	3(2, 4)	8.5(6, 11)	2(2, 3)	4(3, 6)	9.5(6.75, 12)	12(8, 14.25)	7.5(5.75, 9.25)	12.5(5, 17.5)
低SI组	33	7(6, 8)	5(4, 6)	14(11.5, 15)	3(2, 4)	6(5, 7.5)	13(11, 15.5)	17(15, 18.5)	14(10.5, 16.5)	5(3, 7)
Z值		2.130	1.904	2.258	1.149	1.543	1.798	2.261	2.757	2.393
P值		< 0.001	0.001	< 0.001	0.143	0.017	0.003	< 0.001	< 0.001	< 0.001

FDA领域	r值	P值
反射	-0.464	< 0.001
呼吸	-0.526	< 0.001
唇运动	-0.649	< 0.001
颌位置	-0.343	< 0.001
软腭运动	-0.566	< 0.001
喉控制	-0.668	< 0.001
舌运动	-0.664	< 0.001
言语	-0.829	< 0.001

Relationship between motor function of articulation organs and speech intelligibility in poststroke dysarthria

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