Speech fluency family profile--a linguistic, acoustic and electromyographic study.

Claudia Regina Furquim de Andrade
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引用次数: 5

Abstract

Background: genetic factors as a possible cause of stuttering.

Aim: to identify the speech fluency family profile (linguistic, electromyographic and acoustic aspects) in children with and without a close family history of stuttering.

Method: the study included a total of 127 individuals, 32 children (probands) and 95 members of the immediate family (father, mother, sisters and brothers). The individuals were divided in two groups: GI (SC) was composed of 17 probands with a diagnosis of stuttering, 17 fathers, 17 mothers, 10 brothers, and 13 sisters, and GII (NSC) was composed of 15 fluent probands, 15 fathers, 15 mothers, no brothers, and 8 sisters. All testing procedures were applied to all participants as follows: 1) identification of disruption typology; 2) electromyographic analyses; and 3) acoustic analyses.

Results: the percentage of affected mothers was 41.1%, and the percentage of affected fathers was 35.3%. In addition, the percentage of affected sisters was 6.7%, and 40% of the brothers were affected. Similarity was observed in the typology of speech disruptions in all of the affected individuals of the same family; however, a trend towards a greater severity of the disorder in probands was observed. Similarity was found in muscle activation for diadochokinesia rates in all the affected individuals in the same family. This suggests the existence of a speech motor pattern within the same family that can be measured by capturing peripheral muscle activation. Similarity was found in the acoustic variation for diadochokinetic rates in all affected individuals of the same family.

Conclusion: this study represents one of the first endophenotypic research proposals on stuttering characterized by two aspects: objective inclusion criteria and the type of stuttering symptomatology manifested.

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语言流利家庭概况——一项语言、声学和肌电图研究。
背景:遗传因素是口吃的可能原因。目的:确定有或没有口吃家族史的儿童的语言流畅性家庭概况(语言、肌电图和声学方面)。方法:共纳入127名个体,32名子女(先证者)和95名直系亲属(父亲、母亲、姐妹、兄弟)。被试分为两组:GI (SC)组由17名确诊为口吃的先证者、17名父亲、17名母亲、10名兄弟和13名姐妹组成;GI (NSC)组由15名流利先证者、15名父亲、15名母亲、无兄弟和8名姐妹组成。所有测试程序适用于所有参与者如下:1)识别中断类型;2)肌电图分析;3)声学分析。结果:母亲患病比例为41.1%,父亲患病比例为35.3%。此外,姐妹患病比例为6.7%,兄弟患病比例为40%。在同一家庭的所有受影响个体的言语中断类型中观察到相似性;然而,在先证者中观察到一种更严重的疾病趋势。在同一家族的所有受影响个体中,肌肉激活对运动障碍率的影响是相似的。这表明在同一家族中存在一种语言运动模式,可以通过捕获周围肌肉激活来测量。在同一家族中所有受影响个体的双代动力学速率的声学变异中发现了相似性。结论:本研究首次提出了以客观纳入标准和表现的口吃症状类型为特征的口吃内表型研究建议。
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