listeners' perspective on ALS and HD dysarthria: A description
and strategies in understanding distorted speech
By E.R. Klasner, K.M.
Yorkston, and M. Lillvik
focus group approach was used to obtain information about listener experiences
in understanding the dysarthrias associated with Huntington disease and amyotrophic lateral
sclerosis. Listeners listened to and
transcribed recorded speech samples of both types of dysarthria and were then
asked to discuss what factors may have influenced their ability to understand
the speech samples. A thematic content
analysis was used to interpret the information from the focus groups. Listeners described their experiences in
terms of barriers and strategies.
Barriers were those features that interfered with understanding and
strategies were the approaches listeners used to facilitate understanding. Results showed that both barriers and
strategies differed based on dysarthria type.
Listeners indicated that both bottom up and top down processing
strategies were used to understand dysarthric speech. Clinical implication of these findings will