An acoustic study of the relationships among neurologic disease, dysarthria type, and severity of dysarthria.

PURPOSE This study examined acoustic predictors of speech intelligibility in speakers with several types of dysarthria secondary to different diseases and conducted classification analysis solely by acoustic measures according to 3 variables (disease, speech severity, and dysarthria type). METHOD Speech recordings from 107 speakers with dysarthria due to Parkinson's disease, stroke, traumatic brain injury, and multiple system atrophy were used for acoustic analysis and for perceptual judgment of speech intelligibility. Acoustic analysis included 8 segmental/suprasegmental features: 2nd formant frequency slope, articulation rate, voiceless interval duration, 1st moment analysis for fricatives, vowel space, F0, intensity range, and Pairwise Variability Index. RESULTS The results showed that (a) acoustic predictors of speech intelligibility differed slightly across diseases and (b) classification accuracy by dysarthria type was typically worse than by disease type or severity. CONCLUSIONS These findings were discussed with respect to (a) the relationship between acoustic characteristics and speech intelligibility and (b) dysarthria classification.

[1]  I. P. Christensen,et al.  Psychophysics , 2019, Encyclopedia of Evolutionary Psychological Science.

[2]  G. Canter SPEECH CHARACTERISTICS OF PATIENTS WITH PARKINSON'S DISEASE: I. INTENSITY, PITCH, AND DURATION. , 1963, The Journal of speech and hearing disorders.

[3]  A. Aronson,et al.  Clusters of deviant speech dimensions in the dysarthrias. , 1969, Journal of speech and hearing research.

[4]  A. Aronson,et al.  Differential diagnostic patterns of dysarthria. , 1969, Journal of speech and hearing research.

[5]  A. Carter All About Strokes , 1970 .

[6]  A. Aronson,et al.  Motor Speech Disorders , 2014 .

[7]  George A. Gescheider,et al.  Psychophysics: Method and theory , 1976 .

[8]  R. B. Monsen,et al.  The oral speech intelligibility of hearing-impaired talkers. , 1983, The Journal of speech and hearing disorders.

[9]  D. V. Cramon,et al.  Spastic dysarthria after acquired brain injury: an acoustic study. , 1986, The British journal of disorders of communication.

[10]  Christy L. Ludlow,et al.  Speech timing in Parkinson's and Huntington's disease , 1987, Brain and Language.

[11]  B. Weisiger,et al.  Identification of dysarthria types based on perceptual analysis. , 1987, Journal of communication disorders.

[12]  Raymond D. Kent,et al.  The acoustic signature for intelligibility test words. , 1988, The Journal of the Acoustical Society of America.

[13]  R J Morris,et al.  VOT and dysarthria: a descriptive study. , 1989, Journal of communication disorders.

[14]  G. Weismer,et al.  Kinematic, acoustic, and perceptual analyses of connected speech produced by parkinsonian and normal geriatric adults. , 1989, The Journal of the Acoustical Society of America.

[15]  Raymond D. Kent,et al.  Relationships between speech intelligibility and the slope of second-formant transitions in dysarthric subjects , 1989 .

[16]  Raymond D. Kent,et al.  Acoustic Analysis of Speech , 2009 .

[17]  Raymond D. Kent,et al.  Quantitative description of the dysarthria in women with amyotrophic lateral sclerosis. , 1992, Journal of speech and hearing research.

[18]  Raymond D. Kent,et al.  Formant trajectory characteristics of males with amyotrophic lateral sclerosis. , 1992, The Journal of the Acoustical Society of America.

[19]  Raymond D. Kent,et al.  Acoustic-phonetic contrasts and intelligibility in the dysarthria associated with mixed cerebral palsy. , 1992, Journal of speech and hearing research.

[20]  N. Solomon,et al.  Speech breathing in Parkinson's disease. , 1993, Journal of speech and hearing research.

[21]  G Weismer,et al.  Characteristics of speaking rate in the dysarthria associated with amyotrophic lateral sclerosis. , 1993, Journal of speech and hearing research.

[22]  G. Badger,et al.  Intelligibility and the acoustic characteristics of speech in amyotrophic lateral sclerosis (ALS). , 1994, Journal of speech and hearing research.

[23]  H. Ackermann,et al.  Acoustic Analysis of Speech Timing in Huntington′s Disease , 1994, Brain and Language.

[24]  T Hehr,et al.  Oral diadochokinesis in neurological dysarthrias. , 1995, Folia phoniatrica et logopaedica : official organ of the International Association of Logopedics and Phoniatrics.

[25]  M J Chiu,et al.  Clinical Correlates of Quantitative Acoustic Analysis in Ataxic Dysarthria , 1996, European Neurology.

[26]  Hermann Ackermann,et al.  Voice Onset Time in Ataxic Dysarthria , 1997, Brain and Language.

[27]  Low Ee Ling,et al.  Q uantitative Characterizations of Speech Rhythm: Syllable-Timing in Singapore English , 2000, Language and speech.

[28]  Didier Hannequin,et al.  Measurement of Voice Onset Time in Dysarthric Patients: Methodological Considerations , 2000, Folia Phoniatrica et Logopaedica.

[29]  Raymond D. Kent,et al.  Ataxic dysarthria. , 2000, Journal of speech, language, and hearing research : JSLHR.

[30]  Francis Eustache,et al.  Voice onset time in aphasia, apraxia of speech and dysarthria: a review , 2000 .

[31]  C. Tseng,et al.  Perceptual and acoustic analysis of speech intelligibility in Mandarin-speaking young adults with cerebral palsy , 2000 .

[32]  Yoshiaki Ozawa,et al.  Symptomatic Differences in Decreased Alternating Motion Rates between Individuals with Spastic and with Ataxic Dysarthria: An Acoustic Analysis , 2001, Folia Phoniatrica et Logopaedica.

[33]  Raymond D. Kent,et al.  Acoustic and intelligibility characteristics of sentence production in neurogenic speech disorders. , 1997, Folia phoniatrica et logopaedica : official organ of the International Association of Logopedics and Phoniatrics.

[34]  M. Niimi,et al.  Speaking rate and its components in dysarthric speakers , 2001 .

[35]  Kris Tjaden,et al.  Acoustic and perceptual consequences of articulatory rate change in Parkinson disease. , 2002, Journal of speech, language, and hearing research : JSLHR.

[36]  M. Bodt,et al.  Intelligibility as a linear combination of dimensions in dysarthric speech. , 2002 .

[37]  Marc S De Bodt,et al.  Intelligibility as a linear combination of dimensions in dysarthric speech. , 2002, Journal of communication disorders.

[38]  Eduardo Castillo Guerra,et al.  Suboptimal Classifier for Dysarthria Assessment , 2003, CIARP.

[39]  K. Tjaden,et al.  Rate and loudness manipulations in dysarthria: acoustic and perceptual findings. , 2004, Journal of speech, language, and hearing research : JSLHR.

[40]  Michael P. Robb,et al.  Prosodic characteristics of Parkinsonian speech: the effect of levodopa-based medication , 2005 .

[41]  Raymond D. Kent,et al.  Dysarthria associated with traumatic brain injury: speaking rate and emphatic stress. , 2005, Journal of communication disorders.

[42]  A. Goberman,et al.  Relative Speech Timing in Parkinson Disease , 2005 .

[43]  Gary Weismer,et al.  Philosophy of research in motor speech disorders , 2006, Clinical linguistics & phonetics.

[44]  G. Weismer Motor Speech Disorders , 2006 .

[45]  Laurence White,et al.  Calibrating rhythm: First language and second language studies , 2007, J. Phonetics.

[46]  P. Maat,et al.  Accuracy and inter-observer variation in the classification of dysarthria from speech recordings , 2008, Journal of Neurology.

[47]  A. Zwinderman,et al.  Clinical Identification of Dysarthria Types among Neurologists, Residents in Neurology and Speech Therapists , 2009, European Neurology.

[48]  Raymond D. Kent,et al.  Statistical Models of F2 Slope in Relation to Severity of Dysarthria , 2009, Folia Phoniatrica et Logopaedica.

[49]  S. Spitzer,et al.  Quantifying speech rhythm abnormalities in the dysarthrias. , 2009, Journal of speech, language, and hearing research : JSLHR.

[50]  Gary Weismer,et al.  Classification and taxonomy of motor speech disorders: what are the issues? , 2010 .

[51]  Paul Van de Heyning,et al.  Effect of Rate Control on Speech Production and Intelligibility in Dysarthria , 2010, Folia Phoniatrica et Logopaedica.