{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T17:46:30Z","timestamp":1760982390971},"reference-count":18,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2011,3,24]],"date-time":"2011-03-24T00:00:00Z","timestamp":1300924800000},"content-version":"vor","delay-in-days":6201,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Lang &amp;amp; Comm Disor"],"published-print":{"date-parts":[[1994,4]]},"abstract":"<jats:title>ABSTRACTS<\/jats:title><jats:p>Resource management decisions by most speech and language therapists would suggest that treatment for a dysarthric client of 20 years' duration should be a low priority. This study describes the therapy of a dystonic client who had been virtually speechless for 20 years because of his severe dysarthria. Assessment of his speech revealed that lip rounding was particularly difficult for him. He was offered eight sessions of general dysarthria therapy and eight sessions of therapy specifically designed to reduce lip tension. The hypotheses driving this therapy plan were that it would be possible to effect changes in his longstanding speech patterns and that therapy focused on reducing lip tension would be more effective than non\u2010specific dysarthria therapy. An intelligibility test was designed to monitor any changes in his speech production. Therapy improved the client's intelligibility and increased his confidence and consequent functional use of speech.<\/jats:p><jats:p>Si l'on demandait \u00e0 la plupart des th\u00e9rapeutes du langage et de la parole d'\u00e9valuer Tordre de priorit\u00e9 d'un client atteint de dysarthrie depuis 20 ans, compte tenu de leurs ressources disponibles, l'on obtiendrait un chiffre assez bas. Cette \u00e9tude d\u00e9crit le traitement d'un client dystonique qu'une dysarthrie s\u00e9v\u00e8re privait pratiquement la parole depuis 20 ans. L'examen de son \u00e9locution a r\u00e9v\u00e9l\u00e9 qu'il avait des difficult\u00e9s sp\u00e9cialement \u00e0 arrondir les l\u00e8vres. Il a re\u00e7u huit s\u00e9ances de traitement g\u00e9n\u00e9ral de la dysarthrie et huit s\u00e9ances d'un traitement mis au point sp\u00e9cialement pour r\u00e9duire la tension de ses l\u00e8vres. Les hypoth\u00e8ses a la base de ce traitement \u00e9taient qu'on pourrait obtenir des changements dans ses caract\u00e9ristiques \u00e9locutoires de longue dur\u00e9e, et que la th\u00e9rapie ayant pour but de r\u00e9duire la tension des l\u00e8vres serait plus efficace qu'un traitement de dysarthrie non sp\u00e9cifique. Un test d'intelligibilit\u00e9 a \u00e9t\u00e9 mis au point pour suivre les changements dans la production de son \u00e9locution. La therapie avait am\u00e9lior\u00e9 l'intelligibilit\u00e9 du client et accru sa confiance en lui m\u0109me ainsi son utilisation fonctionnelle ult\u00e9rieure du langage parl\u00e9.<\/jats:p><jats:p>Ressourceverwaltungsentscheidungen der meisten Sprach\u2010 und Sprechtherapeutinnen lassen annehmen, da\u00df die Behandlung eines seit 20 Jahren dysarthrischen Patienten keine hohe Priorit\u00e4t h\u00e4tte. In dieser Studie wird die Therapie eines dystonischen Patienten beschrieben, der wegen seiner schweren Dysarthrie seit 20 Jahren fast nicht sprechen konnte. Die Analyse seiner gesprochenen Sprache zeigte, da\u00df die Lippenrundung besonders problematisch war. Er bekam acht Behandlungssitzungen f\u00fcr allgemeine dysarthrische Therapie und acht Sitzungen, die besonders auf die Reduktion der Lippenspannung ausgerichtet waren. Die Annahmen hinter diesem Therapieplan waren einerseits die M\u00f6glichkeit einer \u00c4nderung seiner etablierten Sprechmuster und andererseits eine gr\u00f6\u00dfere Effektivit\u00e4t von Therapiema\u00dfnahmen, die auf die Reduktion von Lippenspannung fokussieren, als von der nicht\u2010 spezifischen Dysarthrietherapie. Ein Verst\u00e4ndlichkeitstest wurde entwickelt, um eventuelle \u00c4nderungen in seiner Sprachproduktion zu erfassen. Die Therapie hat die Verst\u00e4ndlichkeit verbessert und infolgedessen den funktionalen Einsatz gesprochener Sprache erh\u00f6ht.<\/jats:p>","DOI":"10.3109\/13682829409041491","type":"journal-article","created":{"date-parts":[[2007,11,18]],"date-time":"2007-11-18T01:20:39Z","timestamp":1195348839000},"page":"183-201","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Is 20 years too long?: improving intelligibility in long\u2010standing dysarthria \u2013 a single case treatment study"],"prefix":"10.1111","volume":"29","author":[{"given":"Anna","family":"Keatley","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sheila","family":"Wirz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2011,3,24]]},"reference":[{"key":"e_1_2_1_2_1","volume-title":"Motor Speech Disorders","author":"DARLEY F.L.","year":"1975"},{"key":"e_1_2_1_3_1","volume-title":"Motor Speech Disorders \u2010 A Treatment Guide","author":"DWORKIN J.P.","year":"1991"},{"key":"e_1_2_1_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(60)92186-3"},{"key":"e_1_2_1_5_1","volume-title":"The Frenchay Dysarthria Assessment","author":"ENDERBY P.","year":"1983"},{"key":"e_1_2_1_6_1","volume-title":"Advances In Neurology, No. 50: Dystonia 2","author":"FAHN S.","year":"1988"},{"key":"e_1_2_1_7_1","volume-title":"Speech Motor Control","author":"GRILLNER S.","year":"1982"},{"key":"e_1_2_1_8_1","doi-asserted-by":"publisher","DOI":"10.3109\/13682828609018546"},{"key":"e_1_2_1_9_1","doi-asserted-by":"publisher","DOI":"10.1044\/jshd.5404.482"},{"key":"e_1_2_1_10_1","volume-title":"Dysarthria and Apraxia of Speech","author":"LUDLOW C.","year":"1991"},{"key":"e_1_2_1_11_1","volume-title":"A Neurobiological View of Speech Production and the Dysarthrias","author":"NETSELL R.","year":"1986"},{"key":"e_1_2_1_12_1","volume-title":"Textbook of the Functional Anatomy of Speech, Language and Hearing","author":"PERKINS W.H.","year":"1986"},{"key":"e_1_2_1_13_1","doi-asserted-by":"publisher","DOI":"10.3109\/13682828609018547"},{"key":"e_1_2_1_14_1","volume-title":"English Phonetics and Phonology","author":"ROACH P.","year":"1983"},{"key":"e_1_2_1_15_1","volume-title":"Dysarthria Profile","author":"ROBERTSON S.J.","year":"1992"},{"key":"e_1_2_1_16_1","volume-title":"Wechsler Adult Intelligence Scale","author":"WECHSLER D.","year":"1963"},{"key":"e_1_2_1_17_1","volume-title":"Dysarthria and Apraxia of Speech","author":"WEISMER G.","year":"1991"},{"key":"e_1_2_1_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/0021-9924(80)90018-0"},{"key":"e_1_2_1_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/0021-9924(88)90038-X"}],"container-title":["International Journal of Language &amp; Communication Disorders"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.3109%2F13682829409041491","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.3109\/13682829409041491","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,25]],"date-time":"2023-10-25T03:05:39Z","timestamp":1698203139000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.3109\/13682829409041491"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1994,4]]},"references-count":18,"journal-issue":{"issue":"2","published-print":{"date-parts":[[1994,4]]}},"alternative-id":["10.3109\/13682829409041491"],"URL":"https:\/\/doi.org\/10.3109\/13682829409041491","archive":["Portico"],"relation":{},"ISSN":["1368-2822","1460-6984"],"issn-type":[{"value":"1368-2822","type":"print"},{"value":"1460-6984","type":"electronic"}],"subject":[],"published":{"date-parts":[[1994,4]]},"assertion":[{"value":"2011-03-24","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}