{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T10:16:33Z","timestamp":1790504193972,"version":"4.1.0"},"reference-count":27,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2007,8,1]],"date-time":"2007-08-01T00:00:00Z","timestamp":1185926400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clin Rehabil"],"published-print":{"date-parts":[[2007,8]]},"abstract":" Objective : To discover how reliably speech and language therapists could diagnose apraxia of speech using their clinical judgement, by measuring whether they were consistent (intra-rater reliability), and whether their diagnoses agreed (inter-rater reliability). <\/jats:p> Design : Video clips of people with communication difficulties following stroke were rated by four speech and language therapists who were given no definition of apraxia of speech, no training, and no opportunity for conferring. <\/jats:p> Settings : Videos were made of people following stroke in their homes. Ratings of the videos were carried out in the university lab under controlled conditions. <\/jats:p> Subjects : Forty-two people with communication difficulties such as aphasia, apraxia of speech and dysarthria took part, and four specialist speech and language therapists acted as raters. <\/jats:p> Main measure : Speech and language therapists' ratings of the presence and severity of apraxia of speech using videos. <\/jats:p> Results : Intra-rater reliability was high for diagnosing (1) the presence of apraxia of speech (Cohen's kappas ranging from 0.90 to 1.00; 0.93 overall), and (2) the severity of apraxia of speech (kappa 0.84 to 0.92; 0.90 overall). The inter-rater reliability was also high for both the presence of apraxia of speech (kappa 0.86) and severity of apraxia of speech (0.74). <\/jats:p> Conclusion : Despite controversy over its nature and existence, specialist speech and language therapists show high levels of agreement on the diagnosis of apraxia of speech using their clinical judgement. <\/jats:p>","DOI":"10.1177\/0269215507077285","type":"journal-article","created":{"date-parts":[[2007,9,10]],"date-time":"2007-09-10T12:24:18Z","timestamp":1189427058000},"page":"760-767","source":"Crossref","is-referenced-by-count":25,"title":["Apraxia of speech: how reliable are speech and language therapists' diagnoses?"],"prefix":"10.1177","volume":"21","author":[{"given":"Katharyn","family":"Mumby","sequence":"first","affiliation":[{"name":"Central Cheshire PCT, now at School of Education, Communication and Language Sciences, University of Newcastle upon Tyne"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Audrey","family":"Bowen","sequence":"additional","affiliation":[{"name":"School of Psychological Sciences, University of Manchester"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne","family":"Hesketh","sequence":"additional","affiliation":[{"name":"School of Psychological Sciences, University of Manchester, Manchester, UK,"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2007,8,1]]},"reference":[{"key":"atypb1","unstructured":"Darley FL , Aronson EA , Brown JR Motor speech disorders. Saunders , 1975 : 304."},{"key":"atypb2","unstructured":"Miller N. Changing ideas in apraxia of speech. In P apathanasiou I ed. Acquired neurogenic communication disorders: a clinical perspective. Whurr , 2000: 173\u2014202."},{"key":"atypb3","doi-asserted-by":"publisher","DOI":"10.3109\/02699209808985212"},{"key":"atypb4","doi-asserted-by":"publisher","DOI":"10.1055\/s-2002-35800"},{"key":"atypb5","doi-asserted-by":"publisher","DOI":"10.1080\/02687030050156575"},{"key":"atypb6","doi-asserted-by":"publisher","DOI":"10.1016\/S0021-9924(00)00023-X"},{"key":"atypb7","unstructured":"McNeil MR , Robin D. , Schmidt D. Apraxia of speech: definition, differentiation and treatment. In M cNeil MR ed. Clinical management of sensorimotor speech disorders. Thieme , 1997: 311\u201444."},{"key":"atypb8","doi-asserted-by":"crossref","unstructured":"McNeil MR , Pratt SR , Fossett T. The differential diagnosis of apraxia of speech. In Maassen B et al. eds. Speech motor control in normal and disordered speech. Oxford University Press , 2004: 389\u2014413.","DOI":"10.1093\/oso\/9780198526261.003.0015"},{"key":"atypb9","volume-title":"Apraxia Battery for Adults","author":"Dabul B.","year":"2000"},{"key":"atypb10","unstructured":"Wertz RT , LaPointe LL , Rosenbek JC Apraxia of speech in adults: the disorder and its management. Grune and Stratton , 1984: 318."},{"key":"atypb11","volume-title":"Motor speech disorders: substrates, differential diagnosis and management","author":"Duffy JR","year":"1995"},{"key":"atypb12","volume-title":"Frenchay dysarthria assessment","author":"Enderby P.","year":"1983"},{"key":"atypb13","volume-title":"Boston Diagnostic Aphasia Examination","author":"Goodglass H.","year":"2001"},{"key":"atypb14","volume-title":"Relative timing of sentence repetition in apraxia of speech and conduction aphasia","author":"Kent RD","year":"1987"},{"key":"atypb15","unstructured":"Ziegler W. 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