Articulation contact pressures scaled to the physiologic range of the tongue in amyotrophic lateral sclerosis: A pilot study.

Abstract:

OBJECTIVE:The aim of this study was to compare the percentage of the maximum isometric lingual strength range at which lingual-alveolar consonants are produced (%Pmax) by people with amyotrophic lateral sclerosis (PALS) compared to people without the disease measured at study entry, and then 3 and 6 months later. DESIGN:Prospective cohort comparison study over time. METHODS:Ten people with ALS and nine without produced the consonants /t, d, s, z, l, n/ in real words within sentences as the articulatory contact pressure (ACP) between the tongue tip and palate was sensed by a miniature transducer. Maximum isometric tongue pressing values also were obtained to allow calculation of %Pmax. Data were analyzed to compare PALS with bulbar symptoms, PALS with spinal-only symptoms, and people without ALS. RESULTS:%Pmax did not differ between any of the three participant groups at any of the three measurement times. Maximum isometric pressure did decrease significantly in both ALS groups when comparing baseline to 3- and 6-months later. Maximum pressures remained stable for the non-ALS group at the three measurement times. CONCLUSION:The results suggest that speech motor activity of the tongue in people with ALS may be scaled relative to their overall tongue strength, such that the %Pmax does not change as the tongue gets progressively weaker.

journal_name

J Commun Disord

authors

Searl J,Knollhoff S

doi

10.1016/j.jcomdis.2019.105937

subject

Has Abstract

pub_date

2019-01-01 00:00:00

pages

105937

eissn

0021-9924

issn

1873-7994

pii

S0021-9924(19)30106-6

journal_volume

82

pub_type

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