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Introduction
Published in Jack Ryalls, Nick Miller, Foreign Accent Syndromes, 2014
There have been remarkably few published accounts of speech therapy with patients with FAS, and there is no clear evidence of speech therapy techniques that might prove most beneficial to individuals with FAS. Certainly we possess only anecdotal evidence of whether direct work on speech output has any real ameliorative effect. It is not known if very cutting edge and high tech methods such as electromagnetic articulography (which provides visual feedback about the largely invisible movements of the tongue) might assist speakers to achieve their former speech patterns.
Deep brain stimulation in essential tremor: targets, technology, and a comprehensive review of clinical outcomes
Published in Expert Review of Neurotherapeutics, 2020
Joshua K. Wong, Christopher W. Hess, Leonardo Almeida, Erik H. Middlebrooks, Evangelos A. Christou, Erin E. Patrick, Aparna Wagle Shukla, Kelly D. Foote, Michael S. Okun
Studies have demonstrated that dysarthria is the most common adverse effect of VIM DBS in ET [101–103]. It is more common in bilateral DBS but can occur in unilateral DBS cases. One study examining the effect of VIM DBS on speech in ET patients evaluated 12 ET patients and 12 healthy controls using electromagnetic articulography (EMA) [104]. Study participants were evaluated with a fast syllable repetition task and graded on a voice handicap index (VHI). The authors observed that ET DBS patients had coordination problems of the labial and lingual system in terms of articulatory imprecision and slowness in the DBS OFF state. In the DBS ON state, the ET patients showed prolonged syllable duration, worsened articulation rate, and frication – common features in dysarthria [105]. This study did not include non-DBS ET patients in the analysis, so the authors were unable to specify whether the speech findings were due to a lesional effect from DBS or were intrinsic to the ET disease process.
Clinical utility and reliability of instruments for measuring oral motor function: A scoping review
Published in Evidence-Based Communication Assessment and Intervention, 2021
Omid Mohamadi, Farhad Torabinezhad, Behnaz Soleimani
Articles were excluded if: (1) were non-instrumental assessment, or treatment-only articles; (2) were related to fields other than rehabilitation (e.g. dentistry); (3) did not measure oral motor function quantitatively; (4) had no numerical values for reliability; (5) pertained to the infant or child population; (6) measured oral motor function during speech (e.g. electromagnetic articulography) or swallowing (e.g. videofluoroscopy) or; (6) were book reviews, review articles, short reviews, or commentaries.