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Laryngeal Adaptation for Speech and Swallowing

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赞助商
University of Florida
合作者
National Institute on Deafness and Other Communication Disorders (NIDCD)
National Institutes of Health (NIH)

关键词

抽象

This study will test laryngeal adaptation in speech and swallowing function in healthy adults, in patients with cerebral stroke, and in patients with spinocerebellar ataxia type 6. The findings from this proposal will be the first step toward implementing rehabilitation techniques that help patients to prevent speech and swallowing errors before they occur.

日期

最后验证: 08/31/2019
首次提交: 11/28/2018
提交的预估入学人数: 12/05/2018
首次发布: 12/09/2018
上次提交的更新: 09/05/2019
最近更新发布: 09/09/2019
实际学习开始日期: 08/23/2018
预计主要完成日期: 08/29/2019
预计完成日期: 08/29/2019

状况或疾病

Stroke
Spinocerebellar Ataxia
Cerebral Stroke
Dysphagia
Dysarthria

干预/治疗

Device: Intermittent Perturbation to Continuous Perturbation

Device: Continuous Perturbation to Intermittent Perturbation

-

手臂组

干预/治疗
Experimental: Stroke without Dysarthria
Examine laryngeal adaptation across all study groups: (1) baseline measures of speech or swallowing , (2) a clinical examination of disease/condition severity and (3) the experimental paradigm.
Experimental: Stroke with Dysarthria
Examine laryngeal adaptation across all study groups: (1) baseline measures of speech or swallowing , (2) a clinical examination of disease/condition severity and (3) the experimental paradigm.
Experimental: SCA6 without Dysarthria
Examine laryngeal adaptation across all study groups: (1) baseline measures of speech or swallowing , (2) a clinical examination of disease/condition severity and (3) the experimental paradigm.
Experimental: SCA6 with Dysarthria
Examine laryngeal adaptation across all study groups: (1) baseline measures of speech or swallowing , (2) a clinical examination of disease/condition severity and (3) the experimental paradigm.
Active Comparator: Age-Matched Controls
Examine laryngeal adaptation across all study groups: (1) baseline measures of speech or swallowing , (2) a clinical examination of disease/condition severity and (3) the experimental paradigm.

资格标准

有资格学习的年龄 21 Years 至 21 Years
有资格学习的性别All
接受健康志愿者
标准

Patient Inclusion Criteria:

All stroke and ataxia

Ataxia

- DNA diagnosis of SCA6 and phenotype consistent with the DNA diagnosis

- No recessive, X-linked or mitochondrial

Stroke

- Bilateral or unilateral middle cerebral artery (MCA) stroke

- No structural abnormalities (i.e. nodules)

- Dysphagia involving laryngeal dysfunction

Stroke and ataxia with speech and swallowing disorders

- no structural abnormalities

- dysphagia involving laryngeal dysfunction

Patient Exclusion Criteria:

- Montreal Cognitive Assess. <24

- Moderate to severe hearing loss

- Barium allergy

- Other confounding speech disorder (i.e. stuttering)

- Chemo-radiation, surgical head and neck treatment

- Smoking Hx in the past 5 yrs or >5 years at any one time

- Twenty one years of age or older

- Breathing disorders or diseases

结果

主要结果指标

1. Laryngeal Adaptation in Speech [Day 1]

To differentiate laryngeal adaptation during speech among cerebral stroke, SCA6, and healthy controls when vocal loudness is perturbed with expiratory loading.

2. Laryngeal Adaptation in Swallowing [Day 1]

To differentiate laryngeal adaptation among cerebral stroke, SCA6, and healthy controls when swallowing is perturbed with neck surface electrical stimulation to restrict laryngeal elevation.

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