Word-level prosodic measures and the differential diagnosis of apraxia of speech.

Impaired production of prosody is considered a primary diagnostic criterion for apraxia of speech. In this study, we examined diagnostic relevance for five word-level prosody measures. Seven speakers with AOS, nine with aphasia and no AOS, and 19 age-matched neurotypical controls produced nine words...

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Publicado en:Clinical Linguistics & Phonetics Vol. 33; no. 5; pp. 479 - 496
Autores principales: Haley, Katarina L., Jacks, Adam
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd 2019
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Taylor & Francis Ltd
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        10.1080/02699206.2018.1550813
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        atl: Word-level prosodic measures and the differential diagnosis of apraxia of speech.
      aug:
        au:
          Haley, Katarina L.
          Jacks, Adam
        affil: Department of Allied Health Sciences, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC, USA
      sug:
        subj:
          Apraxia of Speech (Developmental) Diagnosis
          Speech Acoustics Evaluation
          Human
          Adult
          Middle Age
          Aged
          Comparative Studies
          Speech Perception
          Interrater Reliability
          Aphasia
          Vocabulary
          Phonology
          Descriptive Statistics
          Speech Production Measurement
          Language Processing
          Intraclass Correlation Coefficient
          Two-Way Analysis of Variance
          Post Hoc Analysis
          Paired T-Tests
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
      ab: Impaired production of prosody is considered a primary diagnostic criterion for apraxia of speech. In this study, we examined diagnostic relevance for five word-level prosody measures. Seven speakers with AOS, nine with aphasia and no AOS, and 19 age-matched neurotypical controls produced nine words consisting of three or four syllables. Lexical stress indices were computed based on relative values for duration, fundamental frequency, and intensity across pairs of unstressed-stressed syllables with varying intrinsic vowel duration contrast patterns. A simple average syllable duration measure was also obtained. AOS speakers differed from the other two groups on three metrics that were solely or primarily derived from duration measures. The degree of diagnostic overlap was smallest for the syllable duration metric, which also showed the strongest inter-observer reliability and most complete overlap between neurotypical speakers and speakers with aphasia and no AOS. Vowel intrinsic durational properties affected lexical stress metrics significantly, indicating a need to select word targets purposefully. Based on these results, it appears that the average syllable duration metric is a more stable and informative alternative for differential diagnostic purposes. The results will, however, need to be replicated in a larger sample.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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