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Impact of voice and communication deficits for individuals with cervical spinal cord injury living in the community.
- Source :
- International Journal of Language & Communication Disorders; Sep/Oct2016, Vol. 51 Issue 5, p568-580, 13p, 1 Diagram, 7 Charts
- Publication Year :
- 2016
-
Abstract
- Background Post-spinal cord injury (SCI), individuals may exhibit mild to moderate impairments in aspects of speech influenced by impaired respiratory support. However, limited research has been conducted into the impact of these impairments on activity and participation when living in the community. Aims To examine the nature and extent of voice and communication function in a group of individuals with cervical SCI living in the community, and to explore participant perceptions of the impact of these deficits on levels of activity and participation. Methods & Procedures Participants included 14 individuals who had sustained a SCI above C8 level and had returned to living in the community. All completed a series of speech and voice assessments, the Voice Handicap Index, the Australian Therapy Outcome Measures Voice scale, four voice perception questions, and the General Short Form of the Communicative Participation Item Bank. Outcomes & Results As a group, participants were found to have reduced vocal intensity and phonatory duration. Vocal quality was mildly altered in 93% and pitch control, breath support for speech, speech rate and phrase length impacted in one-quarter or more of the group. All reported impacts, though three individuals reported that their impairments had more extensive impact on communication in daily life. Conclusions & Implications Individuals post-SCI experience mild speech and voice deficits that can have negative impacts on functional communication. The monitoring of communication function may help to identify those individuals who could benefit from additional support and intervention on return to community life. [ABSTRACT FROM AUTHOR]
- Subjects :
- PATIENTS with spinal cord injuries
CERVICAL vertebrae injuries
SOCIAL participation
SPEECH disorders
COMMUNITY life
COMMUNICATIVE disorders
PATIENTS
SPINAL cord injuries
VOICE disorders
ANALYSIS of variance
CONFIDENCE intervals
LONGITUDINAL method
SENSORY perception
QUESTIONNAIRES
RESEARCH evaluation
STATISTICS
DATA analysis
INDEPENDENT living
INTER-observer reliability
PHYSICAL activity
DATA analysis software
DESCRIPTIVE statistics
PSYCHOLOGY
Subjects
Details
- Language :
- English
- ISSN :
- 13682822
- Volume :
- 51
- Issue :
- 5
- Database :
- Complementary Index
- Journal :
- International Journal of Language & Communication Disorders
- Publication Type :
- Academic Journal
- Accession number :
- 117760347
- Full Text :
- https://doi.org/10.1111/1460-6984.12232