title: Intelligibility and the acoustic characteristics of speech in amyotrophic lateral sclerosis (ALS).
abstract: The purpose of this study was to analyze the changes in specific speech parameters in 14 patients, 7 dysarthric and 7 non-dysarthric, with amyotrophic lateral sclerosis (ALS), over a 6-month period. Measurements of single word intelligibility, F2 formant trajectories (extent, duration and rate) and diadochokinetic rate showed decreased performance in dysarthric patients as compared to non-dysarthric patients at baseline. F2 transition rates of less than 4 Hz/msec were seen only in dysarthric ALS patients. A relationship between the F2 transition rate and single word intelligibility was noted for patients with moderate to high intelligibility, but at lower levels of intelligibility the F2 rate reached a plateau despite continued decline in intelligibility. Our results support the need for frequent evaluation of dysarthric ALS patients to better understand the relationship between intelligibility and the acoustic parameters of speech.
authors.affiliation: Center for Disorders of Communication, Medical Center Hospital of Vermont, Burlington.
authors.forename: M
authors.initials: M
authors.lastname: Mulligan
authors.forename: J
authors.initials: J
authors.lastname: Carpenter
authors.forename: J
authors.initials: J
authors.lastname: Riddel
authors.forename: M K
authors.initials: MK
authors.lastname: Delaney
authors.forename: G
authors.initials: G
authors.lastname: Badger
authors.forename: P
authors.initials: P
authors.lastname: Krusinski
authors.forename: R
authors.initials: R
authors.lastname: Tandan
mesh_terms: D000328:Adult; D000368:Aged; D000690:Amyotrophic Lateral Sclerosis / Q000150:complications*; D004401:Dysarthria / Q000209:etiology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D013018:Sound Spectrography; D013061:Speech Acoustics; D013065:Speech Intelligibility; D013068:Speech Production Measurement