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Speech in spinocerebellar ataxia
Authors:Ellika Schalling  Lena Hartelius
Affiliation:1. Department of Clinical Science, Intervention and Technology, Division of Speech and Language Pathology, Karolinska Institutet, 141 86 Stockholm, Sweden;2. Department of Speech and Language Pathology, Karolinska University Hospital, 171 76 Stockholm, Sweden;3. Institute of Neuroscience and Physiology, Division of Speech and Language Pathology, Sahlgrenska Academy at the University of Gothenburg, Göteborg, Sweden
Abstract:Spinocerebellar ataxias (SCAs) are a heterogeneous group of autosomal dominant cerebellar ataxias clinically characterized by progressive ataxia, dysarthria and a range of other concomitant neurological symptoms. Only a few studies include detailed characterization of speech symptoms in SCA. Speech symptoms in SCA resemble ataxic dysarthria but symptoms related to phonation may be more prominent. One study to date has shown an association between differences in speech and voice symptoms related to genotype. More studies of speech and voice phenotypes are motivated, to possibly aid in clinical diagnosis. In addition, instrumental speech analysis has been demonstrated to be a reliable measure that may be used to monitor disease progression or therapy outcomes in possible future pharmacological treatments.
Keywords:Spinocerebellar ataxia   Ataxic dysarthria   Progression of dysarthria   Perceptual analysis   Instrumental acoustic analysis   Speech and language pathology intervention
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