Development of an auxiliary tool for the objectification of speech therapy diagnostics «Dysarthria Type Rating Scale» and assessment of its sensitivity and specificity
O.V. LOGINOVA1, 2, E.YU. MOZHEYKO2, O.N. NIKOL‘SKAYA2, A.N. NARKEVICH2, 3
1Federal Siberian Scientific and Clinical Center of the Federal Medical and Biological Agency of Russia, Krasnoyarsk
2Krasnoyarsk State Medical University named after Prof. V. F. Voino-Yasenetsky, Krasnoyarsk
3South Ural State Medical University, Chelyabinsk
Contact details:
Loginova O.V. — post-graduate student, Assistant Lecturer of the Department of Physical and Rehabilitation Medicine, neurologist of the Department of Medical Rehabilitation No. 3
Address: 1 Partizana Zheleznyaka St., Krasnoyarsk, Russian Federation, 660022, tel.: +7-906-914-64-34, e-mail: olkalog@mail.ru
The purpose — to create a tool for objectifying the type of dysarthria, which would be simple, easy of use, and efficient in assessing the patient’s condition dynamics depending on the treatment received.
Material and methods. The authors’ scale for dysarthria type assessment was used. A total of 88 people with diagnosis of post-stroke dysarthria were assessed in 2021 to 2023 at the Federal Scientific and Clinical Center of the Federal Medical and Biological Agency of Russia in Krasnoyarsk.
Results. Sensitivity, specificity, positive predictive value and negative predictive value were assessed for each subscale characterizing a specific type of dysarthria. The results indicate that all subscales (bulbar, pseudobulbar, cerebellar and extrapyramidal) have high sensitivity (90% minimum) and high specificity (85% minimum).
Conclusions. The possibility of using this scale as an additional effective method of objectifying the diagnosis for patients with post-stroke dysarthria in the standard activity of a medical speech therapist was confirmed.
Key words: diagnosis, stroke, dysarthria, speech disorder, statistical assessment.
(For citation: Loginova O.V., Mozheyko E.Yu., Nikol’skaya O.N., Narkevich A.N. Development of an auxiliary tool for the objectification of speech therapy diagnostics «Dysarthria Type Rating Scale» and assessment of its sensitivity and specificity. Practical medicine. 2023. Vol. , № , P.)
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