Data-Driven Classification of Dysarthria Profiles in Children With Cerebral Palsy

被引:32
作者
Allison, Kristen M. [1 ,2 ]
Hustad, Katherine C. [1 ,2 ]
机构
[1] Univ Wisconsin, Dept Commun Sci & Disorders, Madison, WI 53706 USA
[2] Univ Wisconsin, Waisman Ctr, Madison, WI 53706 USA
来源
JOURNAL OF SPEECH LANGUAGE AND HEARING RESEARCH | 2018年 / 61卷 / 12期
关键词
GROSS MOTOR FUNCTION; SPEAKING YOUNG-ADULTS; TREATMENT LSVT LOUD; VOICE ONSET TIME; SPEECH-INTELLIGIBILITY; LANGUAGE-DEVELOPMENT; 4-YEAR-OLD CHILDREN; OLDER CHILDREN; AGED CHILDREN; SYSTEM;
D O I
10.1044/2018_JSLHR-S-17-0356
中图分类号
R36 [病理学]; R76 [耳鼻咽喉科学];
学科分类号
100104 ; 100213 ;
摘要
Purpose: The objectives of this study were to examine different speech profiles among children with dysarthria secondary to cerebral palsy (CP) and to characterize the effect of different speech profiles on intelligibility. Method: Twenty 5-year-old children with dysarthria secondary to CP and 20 typically developing children were included in this study. Six acoustic and perceptual speech measures were selected to quantify a range of segmental and suprasegmental speech characteristics and were measured from children's sentence productions. Hierarchical cluster analysis was used to identify naturally occurring subgroups of children who had similar profiles of speech features. Results: Results revealed 4 naturally occurring speech clusters among children: 1 cluster of children with typical development and 3 clusters of children with dysarthria secondary to CP. Two of the 3 dysarthria clusters had statistically equivalent intelligibility levels but significantly differed in articulation rate and degree of hypemasality. Conclusion: This study provides initial evidence that different speech profiles exist among 5-year-old children with dysarthria secondary to CP, even among children with similar intelligibility levels, suggesting the potential for developing a pediatric dysarthria classification system that could be used to stratify children with dysarthria into meaningful subgroups for studying speech motor development and efficacy of interventions.
引用
收藏
页码:2837 / 2853
页数:17
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