Neuromotor Speech Deficits in Children and Adults with Spina Bifida and Hydrocephalus

Acquired cerebellar lesions are associated with motor speech deficits. Spina bifida with hydrocephalus (SBH) is a neurodevelopmental disorder that involves significant dysmorphology of the cerebellum. Videotaped narratives produced by 40 children and adults with SBH and their 40 age-matched controls...

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Veröffentlicht in:Brain and language 2002-03, Vol.80 (3), p.592-602
Hauptverfasser: Huber-Okrainec, Joelene, Dennis, Maureen, Brettschneider, Jane, Spiegler, Brenda J.
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container_title Brain and language
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creator Huber-Okrainec, Joelene
Dennis, Maureen
Brettschneider, Jane
Spiegler, Brenda J.
description Acquired cerebellar lesions are associated with motor speech deficits. Spina bifida with hydrocephalus (SBH) is a neurodevelopmental disorder that involves significant dysmorphology of the cerebellum. Videotaped narratives produced by 40 children and adults with SBH and their 40 age-matched controls were coded for three motor speech deficits: dysfluency, ataxic dysarthria (articulatory inaccuracy, prosodic excess, and phonatory–prosodic insufficiency) (Brown, Darley, & Aronson, 1970; Darley, Aronson, & Brown, 1969a), and speech rate. Individuals with SBH had more motor speech deficits than controls. Dysfluency was related to an interaction between chronological age and SBH. Speech rate was related independently to chronological age and SBH. Ataxic dysarthria was related to the biology of SBH, and was associated with both physical phenotype (level of spinal cord lesion) and medical history (number of shunt revisions). The data show that developmental as well as acquired lesions of the cerebellum disrupt motor speech, and add to the developmental role of the cerebellum in the automatization of motor skills, including speech.
doi_str_mv 10.1006/brln.2001.2620
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Psychiatry</topic><topic>Speech Production Measurement</topic><topic>spina bifida</topic><topic>Spinal Dysraphism - complications</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Huber-Okrainec, Joelene</creatorcontrib><creatorcontrib>Dennis, Maureen</creatorcontrib><creatorcontrib>Brettschneider, Jane</creatorcontrib><creatorcontrib>Spiegler, Brenda J.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>ComDisDome</collection><collection>Linguistics and Language Behavior Abstracts (LLBA)</collection><jtitle>Brain and language</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Huber-Okrainec, Joelene</au><au>Dennis, Maureen</au><au>Brettschneider, Jane</au><au>Spiegler, Brenda J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Neuromotor Speech Deficits in Children and Adults with Spina Bifida and Hydrocephalus</atitle><jtitle>Brain and language</jtitle><addtitle>Brain Lang</addtitle><date>2002-03-01</date><risdate>2002</risdate><volume>80</volume><issue>3</issue><spage>592</spage><epage>602</epage><pages>592-602</pages><issn>0093-934X</issn><eissn>1090-2155</eissn><coden>BRLGAZ</coden><abstract>Acquired cerebellar lesions are associated with motor speech deficits. Spina bifida with hydrocephalus (SBH) is a neurodevelopmental disorder that involves significant dysmorphology of the cerebellum. Videotaped narratives produced by 40 children and adults with SBH and their 40 age-matched controls were coded for three motor speech deficits: dysfluency, ataxic dysarthria (articulatory inaccuracy, prosodic excess, and phonatory–prosodic insufficiency) (Brown, Darley, &amp; Aronson, 1970; Darley, Aronson, &amp; Brown, 1969a), and speech rate. Individuals with SBH had more motor speech deficits than controls. Dysfluency was related to an interaction between chronological age and SBH. Speech rate was related independently to chronological age and SBH. Ataxic dysarthria was related to the biology of SBH, and was associated with both physical phenotype (level of spinal cord lesion) and medical history (number of shunt revisions). 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subjects Adult
Adult and adolescent clinical studies
Ataxia - etiology
ataxic dysarthria
Biological and medical sciences
cerebellum
Child
Dysarthria - diagnosis
Dysarthria - etiology
dysfluency
Female
Humans
hydrocephalus
Hydrocephalus - complications
Key Words: neuromotor disorders
Male
Medical sciences
motor speech
Organic mental disorders. Neuropsychology
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Speech Production Measurement
spina bifida
Spinal Dysraphism - complications
title Neuromotor Speech Deficits in Children and Adults with Spina Bifida and Hydrocephalus
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