Clinical Identification of Dysarthria Types among Neurologists, Residents in Neurology and Speech Therapists
Background: Classification of dysarthria types comprises flaccid, spastic, ataxic, hypo- and hyperkinetic and mixed dysarthria. This study focussed on the ability of neurologists to clinically identify the correct type of dysarthria in neurological patients. Methods: Eighteen patients with dysarthri...
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| Veröffentlicht in: | European neurology 2009-01, Vol.61 (5), p.295-300 |
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| container_title | European neurology |
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| creator | Van der Graaff, M. Kuiper, T. Zwinderman, A. Van de Warrenburg, B. Poels, P. Offeringa, A. Van der Kooi, A. Speelman, H. De Visser, M. |
| description | Background: Classification of dysarthria types comprises flaccid, spastic, ataxic, hypo- and hyperkinetic and mixed dysarthria. This study focussed on the ability of neurologists to clinically identify the correct type of dysarthria in neurological patients. Methods: Eighteen patients with dysarthria and 4 healthy controls were enrolled in the study. The gold standard for dysarthria type was the underlying neurological disease. Recordings of a standard reading passage and free speech were made. Raters were neurologists, residents in neurology and speech therapists, whose scores were compared. Results: Neurologists correctly identified 40% of the recordings, residents 41%, and speech therapists 37%. Interrater agreement was fair among all 3 groups; intrarater agreement was fair to moderate. Conclusion: This study suggests that neurologists should be aware of the unreliability of identifying the dysarthria type without the use of additional validated instruments or rating scales in a clinical setting. |
| doi_str_mv | 10.1159/000206855 |
| format | Article |
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This study focussed on the ability of neurologists to clinically identify the correct type of dysarthria in neurological patients. Methods: Eighteen patients with dysarthria and 4 healthy controls were enrolled in the study. The gold standard for dysarthria type was the underlying neurological disease. Recordings of a standard reading passage and free speech were made. Raters were neurologists, residents in neurology and speech therapists, whose scores were compared. Results: Neurologists correctly identified 40% of the recordings, residents 41%, and speech therapists 37%. Interrater agreement was fair among all 3 groups; intrarater agreement was fair to moderate. Conclusion: This study suggests that neurologists should be aware of the unreliability of identifying the dysarthria type without the use of additional validated instruments or rating scales in a clinical setting.</description><identifier>ISSN: 0014-3022</identifier><identifier>EISSN: 1421-9913</identifier><identifier>DOI: 10.1159/000206855</identifier><identifier>PMID: 19295217</identifier><identifier>CODEN: EUNEAP</identifier><language>eng</language><publisher>Basel, Switzerland: S. Karger AG</publisher><subject>Adolescent ; Adult ; Aged ; Clinical Competence ; Dysarthria - diagnosis ; Female ; Humans ; Internship and Residency ; Male ; Medical Staff ; Middle Aged ; Neurology ; Observer Variation ; Original Paper ; Reading ; Speech ; Speech Therapy</subject><ispartof>European neurology, 2009-01, Vol.61 (5), p.295-300</ispartof><rights>2009 S. Karger AG, Basel</rights><rights>Copyright 2009 S. Karger AG, Basel.</rights><rights>Copyright (c) 2009 S. Karger AG, Basel</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c362t-c69ffd7cd8c844cad650d65c07f8ee5fb24ffc12c35151d801f6ec24398ae3d3</citedby><cites>FETCH-LOGICAL-c362t-c69ffd7cd8c844cad650d65c07f8ee5fb24ffc12c35151d801f6ec24398ae3d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,2423,27905,27906</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19295217$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Van der Graaff, M.</creatorcontrib><creatorcontrib>Kuiper, T.</creatorcontrib><creatorcontrib>Zwinderman, A.</creatorcontrib><creatorcontrib>Van de Warrenburg, B.</creatorcontrib><creatorcontrib>Poels, P.</creatorcontrib><creatorcontrib>Offeringa, A.</creatorcontrib><creatorcontrib>Van der Kooi, A.</creatorcontrib><creatorcontrib>Speelman, H.</creatorcontrib><creatorcontrib>De Visser, M.</creatorcontrib><title>Clinical Identification of Dysarthria Types among Neurologists, Residents in Neurology and Speech Therapists</title><title>European neurology</title><addtitle>Eur Neurol</addtitle><description>Background: Classification of dysarthria types comprises flaccid, spastic, ataxic, hypo- and hyperkinetic and mixed dysarthria. This study focussed on the ability of neurologists to clinically identify the correct type of dysarthria in neurological patients. Methods: Eighteen patients with dysarthria and 4 healthy controls were enrolled in the study. The gold standard for dysarthria type was the underlying neurological disease. Recordings of a standard reading passage and free speech were made. Raters were neurologists, residents in neurology and speech therapists, whose scores were compared. Results: Neurologists correctly identified 40% of the recordings, residents 41%, and speech therapists 37%. Interrater agreement was fair among all 3 groups; intrarater agreement was fair to moderate. Conclusion: This study suggests that neurologists should be aware of the unreliability of identifying the dysarthria type without the use of additional validated instruments or rating scales in a clinical setting.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Clinical Competence</subject><subject>Dysarthria - diagnosis</subject><subject>Female</subject><subject>Humans</subject><subject>Internship and Residency</subject><subject>Male</subject><subject>Medical Staff</subject><subject>Middle Aged</subject><subject>Neurology</subject><subject>Observer Variation</subject><subject>Original Paper</subject><subject>Reading</subject><subject>Speech</subject><subject>Speech Therapy</subject><issn>0014-3022</issn><issn>1421-9913</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqF0c9LwzAUB_AgipvTg3eR4EEQrCZp0jZHmb8GQ0F3L1n6smV2TU3aQ_97OzYmeJEQ8kI-70H4InROyR2lQt4TQhhJMiEO0JByRiMpaXyIhoRQHsWEsQE6CWHVX4VMs2M0oJJJwWg6ROW4tJXVqsSTAqrGmr5urKuwM_ixC8o3S28VnnU1BKzWrlrgN2i9K93Chibc4g8IdtMZsK32Tx1WVYE_awC9xLMleFVv9Ck6MqoMcLY7R2j2_DQbv0bT95fJ-GEa6ThhTaQTaUyR6iLTGedaFYkg_dYkNRmAMHPGjdGU6VhQQYuMUJOAZjyWmYK4iEfoeju29u67hdDkaxs0lKWqwLUhT1LCZcqTfyEjkmRpvIFXf-DKtb7q_5BTySXtl-zRzRZp70LwYPLa27XyXU5Jvskp3-fU28vdwHa-huJX7oLpwcUWfCm_AL8Hu_4fxfOXNA</recordid><startdate>20090101</startdate><enddate>20090101</enddate><creator>Van der Graaff, M.</creator><creator>Kuiper, T.</creator><creator>Zwinderman, A.</creator><creator>Van de Warrenburg, B.</creator><creator>Poels, P.</creator><creator>Offeringa, A.</creator><creator>Van der Kooi, A.</creator><creator>Speelman, H.</creator><creator>De Visser, M.</creator><general>S. 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Kuiper, T. ; Zwinderman, A. ; Van de Warrenburg, B. ; Poels, P. ; Offeringa, A. ; Van der Kooi, A. ; Speelman, H. ; De Visser, M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c362t-c69ffd7cd8c844cad650d65c07f8ee5fb24ffc12c35151d801f6ec24398ae3d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Clinical Competence</topic><topic>Dysarthria - diagnosis</topic><topic>Female</topic><topic>Humans</topic><topic>Internship and Residency</topic><topic>Male</topic><topic>Medical Staff</topic><topic>Middle Aged</topic><topic>Neurology</topic><topic>Observer Variation</topic><topic>Original Paper</topic><topic>Reading</topic><topic>Speech</topic><topic>Speech Therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Van der Graaff, M.</creatorcontrib><creatorcontrib>Kuiper, T.</creatorcontrib><creatorcontrib>Zwinderman, A.</creatorcontrib><creatorcontrib>Van de Warrenburg, B.</creatorcontrib><creatorcontrib>Poels, P.</creatorcontrib><creatorcontrib>Offeringa, A.</creatorcontrib><creatorcontrib>Van der Kooi, A.</creatorcontrib><creatorcontrib>Speelman, H.</creatorcontrib><creatorcontrib>De Visser, M.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><jtitle>European neurology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Van der Graaff, M.</au><au>Kuiper, T.</au><au>Zwinderman, A.</au><au>Van de Warrenburg, B.</au><au>Poels, P.</au><au>Offeringa, A.</au><au>Van der Kooi, A.</au><au>Speelman, H.</au><au>De Visser, M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinical Identification of Dysarthria Types among Neurologists, Residents in Neurology and Speech Therapists</atitle><jtitle>European neurology</jtitle><addtitle>Eur Neurol</addtitle><date>2009-01-01</date><risdate>2009</risdate><volume>61</volume><issue>5</issue><spage>295</spage><epage>300</epage><pages>295-300</pages><issn>0014-3022</issn><eissn>1421-9913</eissn><coden>EUNEAP</coden><abstract>Background: Classification of dysarthria types comprises flaccid, spastic, ataxic, hypo- and hyperkinetic and mixed dysarthria. This study focussed on the ability of neurologists to clinically identify the correct type of dysarthria in neurological patients. Methods: Eighteen patients with dysarthria and 4 healthy controls were enrolled in the study. The gold standard for dysarthria type was the underlying neurological disease. Recordings of a standard reading passage and free speech were made. Raters were neurologists, residents in neurology and speech therapists, whose scores were compared. Results: Neurologists correctly identified 40% of the recordings, residents 41%, and speech therapists 37%. Interrater agreement was fair among all 3 groups; intrarater agreement was fair to moderate. Conclusion: This study suggests that neurologists should be aware of the unreliability of identifying the dysarthria type without the use of additional validated instruments or rating scales in a clinical setting.</abstract><cop>Basel, Switzerland</cop><pub>S. Karger AG</pub><pmid>19295217</pmid><doi>10.1159/000206855</doi><tpages>6</tpages></addata></record> |
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| source | MEDLINE; Karger Journals; Alma/SFX Local Collection |
| subjects | Adolescent Adult Aged Clinical Competence Dysarthria - diagnosis Female Humans Internship and Residency Male Medical Staff Middle Aged Neurology Observer Variation Original Paper Reading Speech Speech Therapy |
| title | Clinical Identification of Dysarthria Types among Neurologists, Residents in Neurology and Speech Therapists |
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