Basic parameters of spontaneous speech as a sensitive method for measuring change during the course of aphasia.

Background: Spontaneous speech of aphasic persons is often scored on rating scales assessing aphasic symptoms. Rating scales have the advantage of an easy and fast scoring system, but might lack sensitivity. Quantitative analysis of either aphasic symptoms or basic parameters provides a useful alter...

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Publicado en:International Journal of Language & Communication Disorders Vol. 43; no. 4; pp. 408 - 427
Autores principales: Grande M, Hussmann K, Bay E, Christoph S, Piefke M, Willmes K, Huber W
Formato: equations & formulas research tables/charts Journal Article
Publicado: Wiley-Blackwell Jul/Aug2008
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul/Aug2008
      vid: 43
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        atl: Basic parameters of spontaneous speech as a sensitive method for measuring change during the course of aphasia.
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          Grande M
          Hussmann K
          Bay E
          Christoph S
          Piefke M
          Willmes K
          Huber W
        affil: Neurolinguistics, Department of Neurology, University Hospital, Aachen University, Aachen, Germany
      sug:
        subj:
          Aphasia Symptoms
          Recovery Evaluation
          Speech Sample Utilization
          Adult
          Aged
          Analysis of Variance
          Coefficient alpha
          Data Analysis, Computer Assisted
          Descriptive Statistics
          Female
          Funding Source
          Intraclass Correlation Coefficient
          Language Tests
          Language Therapy
          Male
          Middle Age
          Multimethod Studies
          Pearson's Correlation Coefficient
          Post Hoc Analysis
          Repeated Measures
          Scales
          Stroke Patients
          T-Tests
          Validation Studies
          Human
          Adult: 19-44 years
          Aged: 65+ years
          Middle Aged: 45-64 years
          Female
          Male
      ab: Background: Spontaneous speech of aphasic persons is often scored on rating scales assessing aphasic symptoms. Rating scales have the advantage of an easy and fast scoring system, but might lack sensitivity. Quantitative analysis of either aphasic symptoms or basic parameters provides a useful alternative. Basic parameters are essential units of language like word categories or syntactic completeness and can be identified in both impaired and unimpaired adult and child language. Aims: To examine whether basic parameters of spontaneous speech are more sensitive to change during the course of recovery from aphasia than conventional spontaneous speech rating scales. Methods & Procedures: Spontaneous speech samples of 28 aphasic participants were analysed using a quantitative computer-assisted method as well as conventional spontaneous speech rating scales before and after 7 weeks of intensive language treatment. The analysis focused on the following basic parameters: percentage words, percentage open class words, syntactic completeness, complexity, and mean length of utterances. The participants were also tested with the Aachen Aphasia Test before and after treatment. Outcome & Results: Significant change in at least one basic parameter was observed in 20 participants, while only four participants showed significant change in one of the spontaneous speech rating scales. Conclusions: In comparison with conventional spontaneous speech rating scales, the basic parameters proved to be more sensitive to change. For the time being, however, some limitations remain with regard to the specificity of the basic parameters. Thus, additional data are needed to provide further support of the clinical significance of the measured changes.
      pubtype: Academic Journal
      doctype:
        equations & formulas
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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