Picture Description in the Assessment of Connected Speech Intelligibility in Parkinson's Disease: A Pilot Study.

Introduction: Assessment of intelligibility in dysarthria tends to rely on oral reading of sentences or words. However, self-generated utterances are closer to a client's natural speech. This study investigated how transcription of utterances elicited by picture description can be used in the assess...

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Publicado en:Folia Phoniatrica et Logopaedica Vol. 74; no. 5; pp. 320 - 335
Autores principales: Johansson, Inga-Lena, Samuelsson, Christina, Müller, Nicole
Formato: research tables/charts Journal Article
Publicado: Karger AG 2022
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Picture Description in the Assessment of Connected Speech Intelligibility in Parkinson's Disease: A Pilot Study.
      aug:
        au:
          Johansson, Inga-Lena
          Samuelsson, Christina
          Müller, Nicole
        affil: Department of Biomedical and Clinical Sciences/Speech and Language Pathology, Linköping University, Linköping, Sweden
      sug:
        subj:
          Photography
          Task Performance and Analysis
          Speech Intelligibility Evaluation
          Speech and Language Assessment Methods
          Dysarthria Diagnosis
          Parkinson Disease Complications
          Human
          Male
          Female
          Aged
          Pilot Studies
          Speech Sample
          Audiorecording
          Vocabulary
          Speech Articulation Tests
          Aged: 65+ years
          Male
          Female
      ab: Introduction: Assessment of intelligibility in dysarthria tends to rely on oral reading of sentences or words. However, self-generated utterances are closer to a client's natural speech. This study investigated how transcription of utterances elicited by picture description can be used in the assessment of intelligibility in speakers with Parkinson's disease. Methods: Speech samples from eleven speakers with Parkinson's disease and six neurologically healthy persons were audio-recorded. Forty-two naive listeners completed transcriptions of self-generated sentences from a picture description task and orally read sentences from the Swedish Test of Intelligibility, as well as scaled ratings of narrative speech samples. Results: Intelligibility was higher in orally read than self-generated sentences and higher for content words than for the whole sentence in self-generated sentences for most of the speakers, although these within-group differences were not statistically significant at the group level. Adding contextual leads for the listeners increased intelligibility in self-generated utterances significantly but with individual variation. Although correlations between the intelligibility measures were at least moderate or strong, there was a considerable inter- and intra-speaker variability in intelligibility scores between tasks for the speakers with Parkinson's disease, indicating individual variation of factors that impact intelligibility. Intelligibility scores from neurologically healthy speakers were generally high across tasks with no significant differences between the conditions. Conclusion: Within-speaker variability supports literature recommendations to use multiple methods and tasks when assessing intelligibility. The inclusion of transcription of self-generated utterances elicited by picture description to the intelligibility assessment has the potential to provide additional information to assessment methods based on oral reading of pre-scripted sentences and to inform the planning of interventions.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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