SLPOtherJournal of communication disorders2018

Rhythmic performance in hypokinetic dysarthria: Relationship between reading, spontaneous speech and diadochokinetic tasks.

Anja Lowit, Agata Marchetti, Stephen Corson and 1 others

PMID 29471176

WHAT IT FOUND

Spontaneous conversation separated ten men with very mild Parkinson’s speech disorder from ten matched controls on more timing measures than reading aloud.

Syllable repetition tasks did not reliably mirror speech rhythm, so they should not replace detailed speech analysis.

Key findings

01Spontaneous conversation showed more group differences than reading aloud, and each task sorted 70% of speakers into the right group in cross validation.

02DDK repetition was slower and more variable in the Parkinson group, but mean syllable repetition rate did not predict speech timing variables.

03Controls changed timing between reading and conversation on all five measures, while the Parkinson group changed on only one.

STILL TO COME

How it was doneWhat they foundWhat it means for SLPs

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What it does not show

The study analysed only ten speakers with mild Parkinson’s dysarthria and ten matched controls, so the results need confirmation in larger groups. The analysis was exploratory and did not use Bonferroni correction across many rhythm measures, so some reported differences could be chance findings. The ten Parkinson participants were selected from a larger database using intelligibility scores, so the sample may not represent all mild dysarthria. All participants were male, native British English speakers older than 50 years, and had mild intelligibility problems, so the results may not apply to women, other languages, or more severe dysarthria. The rhythm metrics used here measure segment timing only, not pitch or loudness, so they may not fully capture what a listener perceives as rhythm. DDK tasks did not consistently predict connected speech timing, and one DDK-speech correlation had an interpretation that conflicted with normal English rhythm patterns. The spontaneous speech samples were not identical in content, although the researchers selected sections and checked linguistic features to make them comparable.

The easy way to misread this

Do not use DDK syllable repetition as a stand-in for speech rhythm analysis. In this study, DDK results did not consistently correlate with connected speech timing, and mean syllable repetition rate did not predict speech timing variables.

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