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Recovering With Acquired Apraxia of Speech: The First 2 Years.

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Title: Recovering With Acquired Apraxia of Speech: The First 2 Years.
Authors: Haley, Katarina L.1 Katarina_Haley@med.unc.edu, Shafer, Jennifer N.1, Harmon, Tyson G.1, Jacks, Adam1
Source: American Journal of Speech-Language Pathology. 2016 SpecialIssue, Vol. 25, pS687-S696. 10p. 5 Charts, 1 Graph.
Subject Terms: *Speech therapy, *Fluency (Language learning), *Content analysis, *Qualitative research, Speech apraxia, Rehabilitation for brain injury patients, Videos, Tissue wounds, Epidemiological research, Diagnosis, Complications of brain injuries, Convalescence, Video recording, Quantitative research
Abstract: Purpose: This study was intended to document speech recovery for 1 person with acquired apraxia of speech quantitatively and on the basis of her lived experience. Method: The second author sustained a traumatic brain injury that resulted in acquired apraxia of speech. Over a 2-year period, she documented her recovery through 22 video-recorded monologues. We analyzed these monologues using a combination of auditory perceptual, acoustic, and qualitative methods. Results: Recovery was evident for all quantitative variables examined. For speech sound production, the recovery was most prominent during the first 3 months, but slower improvement was evident for many months. Measures of speaking rate, fluency, and prosody changed more gradually throughout the entire period. A qualitative analysis of topics addressed in the monologues was consistent with the quantitative speech recovery and indicated a subjective dynamic relationship between accuracy and rate, an observation that several factors made speech sound production variable, and a persisting need for cognitive effort while speaking. Conclusions: Speech features improved over an extended time, but the recovery trajectories differed, indicating dynamic reorganization of the underlying speech production system. The relationship among speech dimensions should be examined in other cases and in population samples. The combination of quantitative and qualitative analysis methods offers advantages for understanding clinically relevant aspects of recovery. [ABSTRACT FROM AUTHOR]
Copyright of American Journal of Speech-Language Pathology is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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  Data: Recovering With Acquired Apraxia of Speech: The First 2 Years.
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  Data: <searchLink fieldCode="AR" term="%22Haley%2C+Katarina+L%2E%22">Haley, Katarina L.</searchLink><relatesTo>1</relatesTo><i> Katarina_Haley@med.unc.edu</i><br /><searchLink fieldCode="AR" term="%22Shafer%2C+Jennifer+N%2E%22">Shafer, Jennifer N.</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Harmon%2C+Tyson+G%2E%22">Harmon, Tyson G.</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Jacks%2C+Adam%22">Jacks, Adam</searchLink><relatesTo>1</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22American+Journal+of+Speech-Language+Pathology%22">American Journal of Speech-Language Pathology</searchLink>. 2016 SpecialIssue, Vol. 25, pS687-S696. 10p. 5 Charts, 1 Graph.
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  Data: *<searchLink fieldCode="DE" term="%22Speech+therapy%22">Speech therapy</searchLink><br />*<searchLink fieldCode="DE" term="%22Fluency+%28Language+learning%29%22">Fluency (Language learning)</searchLink><br />*<searchLink fieldCode="DE" term="%22Content+analysis%22">Content analysis</searchLink><br />*<searchLink fieldCode="DE" term="%22Qualitative+research%22">Qualitative research</searchLink><br /><searchLink fieldCode="DE" term="%22Speech+apraxia%22">Speech apraxia</searchLink><br /><searchLink fieldCode="DE" term="%22Rehabilitation+for+brain+injury+patients%22">Rehabilitation for brain injury patients</searchLink><br /><searchLink fieldCode="DE" term="%22Videos%22">Videos</searchLink><br /><searchLink fieldCode="DE" term="%22Tissue+wounds%22">Tissue wounds</searchLink><br /><searchLink fieldCode="DE" term="%22Epidemiological+research%22">Epidemiological research</searchLink><br /><searchLink fieldCode="DE" term="%22Diagnosis%22">Diagnosis</searchLink><br /><searchLink fieldCode="DE" term="%22Complications+of+brain+injuries%22">Complications of brain injuries</searchLink><br /><searchLink fieldCode="DE" term="%22Convalescence%22">Convalescence</searchLink><br /><searchLink fieldCode="DE" term="%22Video+recording%22">Video recording</searchLink><br /><searchLink fieldCode="DE" term="%22Quantitative+research%22">Quantitative research</searchLink>
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  Label: Abstract
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  Data: Purpose: This study was intended to document speech recovery for 1 person with acquired apraxia of speech quantitatively and on the basis of her lived experience. Method: The second author sustained a traumatic brain injury that resulted in acquired apraxia of speech. Over a 2-year period, she documented her recovery through 22 video-recorded monologues. We analyzed these monologues using a combination of auditory perceptual, acoustic, and qualitative methods. Results: Recovery was evident for all quantitative variables examined. For speech sound production, the recovery was most prominent during the first 3 months, but slower improvement was evident for many months. Measures of speaking rate, fluency, and prosody changed more gradually throughout the entire period. A qualitative analysis of topics addressed in the monologues was consistent with the quantitative speech recovery and indicated a subjective dynamic relationship between accuracy and rate, an observation that several factors made speech sound production variable, and a persisting need for cognitive effort while speaking. Conclusions: Speech features improved over an extended time, but the recovery trajectories differed, indicating dynamic reorganization of the underlying speech production system. The relationship among speech dimensions should be examined in other cases and in population samples. The combination of quantitative and qualitative analysis methods offers advantages for understanding clinically relevant aspects of recovery. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of American Journal of Speech-Language Pathology is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1044/2016_AJSLP-15-0143
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        Text: English
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        StartPage: S687
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        Type: general
      – SubjectFull: Fluency (Language learning)
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      – SubjectFull: Content analysis
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      – SubjectFull: Qualitative research
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      – SubjectFull: Speech apraxia
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      – SubjectFull: Rehabilitation for brain injury patients
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      – SubjectFull: Videos
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      – SubjectFull: Quantitative research
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      – TitleFull: Recovering With Acquired Apraxia of Speech: The First 2 Years.
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              Text: 2016 SpecialIssue
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