Patterns of Misidentified Vowels in Individuals With Dysarthria Secondary to Amyotrophic Lateral Sclerosis.

Purpose: The current study examines the pattern of misidentified vowels produced by individuals with dysarthria secondary to amyotrophic lateral sclerosis (ALS). Method: Twenty-three individuals with ALS and 22 typical individuals produced 10 monophthongs in an /h/-vowel-/d/ context. One hundred thi...

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Publicado en:Journal of Speech, Language & Hearing Research Vol. 63; no. 8; pp. 2649 - 2667
Autores principales: Jimin Lee, Heejin Kim, Yong Jung
Formato: Artículo
Publicado: American Speech-Language-Hearing Association Aug2020
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: Aug2020
      vid: 63
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      pub: American Speech-Language-Hearing Association
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        10.1044/2020_JSLHR-19-00237
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        atl: Patterns of Misidentified Vowels in Individuals With Dysarthria Secondary to Amyotrophic Lateral Sclerosis.
      aug:
        au:
          Jimin Lee
          Heejin Kim
          Yong Jung
        affil:
          Department of Communication Sciences and Disorders, The Pennsylvania State University, University Park
          Department of Linguistics, University of Illinois at Urbana--Champaign, Urbana
          Graduate Program in Bioinformatics and Genomics, The Pennsylvania State University, University Park
      su:
        Amyotrophic lateral sclerosis
        Sound
        Speech perception
        Vowels
      sug:
        subj:
          Amyotrophic lateral sclerosis
          Sound
          Speech perception
          Vowels
      ab: Purpose: The current study examines the pattern of misidentified vowels produced by individuals with dysarthria secondary to amyotrophic lateral sclerosis (ALS). Method: Twenty-three individuals with ALS and 22 typical individuals produced 10 monophthongs in an /h/-vowel-/d/ context. One hundred thirty-five listeners completed a forced-choice vowel identification test. Misidentified vowels were examined in terms of the target vowel categories (front-- back; low--mid--high) and the direction of misidentification (the directional pattern when the target vowel was misidentified, e.g., misidentification "to a lower vowel"). In addition, acoustic predictors of vowel misidentifications were tested based on log first formant (F1), log second formant, log F1 vowel inherent spectral change, log second formant vowel inherent spectral change, and vowel duration. Results: First, high and mid vowels were more frequently misidentified than low vowels for all speaker groups. Second, front and back vowels were misidentified at a similar rate for both the Mild and Severe groups, whereas back vowels were more frequently misidentified than front vowels in typical individuals. Regarding the direction of vowel misidentification, vowel errors were mostly made within the same backness (front--back) category for all groups. In addition, more errors were found toward a lower vowel category than toward a higher vowel category in the Severe group, but not in the Mild group. Overall, log F1 difference was identified as a consistent acoustic predictor of the main vowel misidentification pattern. Conclusion: Frequent misidentifications in the vowel height dimension and the acoustic predictor, F1, suggest that limited tongue height control is the major articulatory dysfunction in individuals with ALS. Clinical implications regarding this finding are discussed.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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