Dysarthria in stroke: A narrative review of its description and the outcome of intervention

@article{Mackenzie2011DysarthriaIS,
  title={Dysarthria in stroke: A narrative review of its description and the outcome of intervention},
  author={Catherine Mackenzie},
  journal={International Journal of Speech-Language Pathology},
  year={2011},
  volume={13},
  pages={125 - 136}
}
  • C. Mackenzie
  • Published 1 April 2011
  • Medicine, Psychology
  • International Journal of Speech-Language Pathology
Dysarthria is a frequent and persisting sequel to stroke and arises from varied lesion locations. Although the presence of dysarthria is well documented, for stroke there are scant data on presentation and intervention outcome. A literature search was undertaken to evaluate (a) the features of dysarthria in adult stroke populations relative to the conventional Mayo system for classification, which was developed from diverse pathological groups, and (b) the current status of evidence for the… 
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    International journal of stroke : official journal of the International Stroke Society
  • 2015
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The association between persistent aphasia at three-months and poor modified Rankin Scale renders this impairment a major therapeutic target for recovery and restitution.
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Impact of central facial palsy and dysarthria on quality of life in patients with stroke: The KOSCO study.
TLDR
The results of this study revealed that central facial palsy clearly has a more negative impact on QOL than dysarthria in chronic stroke patients with functional independence.
The living with dysarthria group: implementation and feasibility of a group intervention for people with dysarthria following stroke and family members.
TLDR
The participant engagement and performance results from the piloting of the programme indicate that the Living with Dysarthria programme is viable and has potential for effecting positive change, and further testing is justified.
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References

SHOWING 1-10 OF 62 REFERENCES
Patients' experiences of disruptions associated with post-stroke dysarthria.
TLDR
The results of the study indicate that the effects of dysarthria following stroke extend beyond the physiological characteristics of the impairment, and the resulting communication difficulties lead to changes in self-identity, relationships, social and emotional disruptions, and feelings of stigmatization or perceived stigmatization.
Dysarthria due to Supratentorial and Infratentorial Ischemic Stroke: A Diffusion-Weighted Imaging Study
TLDR
Cortical involvement was more frequent in patients with pure Dysarthria than those with dysarthria and additional neurological signs, while the frequency of pontine involvement was higher in patientsWith additional neurologicalSigns thanThose with pure dysarthia.
Speech and language therapy for dysarthria due to non-progressive brain damage.
TLDR
There is no evidence of the quality required by this review to support or refute the effectiveness of Speech and Language Therapy interventions for dysarthria following non-progressive brain damage.
Clinical study of 35 patients with dysarthria-clumsy hand syndrome
TLDR
DCHS is a rare cerebrovascular syndrome, and supports the criteria of the Lacunar hypothesis, and the prognosis is good with striking similarity compared with other types of lacunar strokes.
Clinical Identification of Dysarthria Types among Neurologists, Residents in Neurology and Speech Therapists
TLDR
It is suggested 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.
Left-hemispheric dominance for articulation: a prospective study on acute ischaemic dysarthria at different localizations.
TLDR
Dysarthria in extracerebellar infarctions was more frequently caused by left-sided lesions and that the severity of dysarthria was more pronounced in left- sided lesions independent from lesion topography.
Behavioural intervention effects in dysarthria following stroke: communication effectiveness, intelligibility and dysarthria impact.
  • C. Mackenzie, A. Lowit
  • Psychology, Medicine
    International journal of language & communication disorders
  • 2007
TLDR
It is demonstrated that some individuals with dysarthria have a capacity to respond positively to intervention, some months after stroke, and to maintain this improvement following 2 months of no intervention.
Interpreting the Physiological Bases of Dysarthria from Perceptual Analyses: An Examination of Subjects with UMN Type Dysarthria
TLDR
The results revealed that the CVA subjects presented with features consistent with spastic dysarthria; however, the incidence of the dimensions identified was lower and the severity less than previously reported in the literature.
Isolated dysarthria due to extracerebellar lacunar stroke: a central monoparesis of the tongue
TLDR
Interruption of the corticolingual pathways to the tongue is crucial in the pathogenesis of isolated dysarthria after extracerebellar lacunar stroke.
Methods of speech therapy treatment for stable dysarthria: A review
TLDR
A systematic review identifying and describing techniques for the treatment of stable dysarthria which have been the subject of published research was performed by performing a systematic review of literature published from 1966 to March 2006.
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