Přehledový článek: Využití prokázaných strategií v klinické praxi ke zlepšení srozumitelnosti řeči u dospělých klientů

Stáhnout PDF English version

Autoři: Porcaro K. Connie, Ph.D.; Ccc-Slp ¹
Působiště autorů: Connie K. Porcaro, Ph. D., CCC-SLP, Communication Sciences and Disorders, Valdosta State University, 1500 N Patterson Street, Valdosta, 31698 Georgia, USA. ¹
Vyšlo v časopise: Listy klinické logopedie 2025; 9(1): 54-58
Kategorie: Varia
doi: https://doi.org/10.36833/lkl.2025.010

Souhrn

Tento článek shrnuje informace obsažené v knize Improving Speech Intelligibility in Adults: Clinical Application of Evidence-Based Strategies, autorky Connie Porcaro (Plural Publishing, Inc. 2023). Konkrétní podrobnosti o hodnocení a napravování srozumitelnosti, jakož i užitečné kontrolní seznamy a odkazy najdete v uvedené knize. Logopedové mohou mít významný vliv na zlepšení srozumitelnosti klientů tím, že je naučí používat strategie, jak sdělovat podstatné informace komunikačním partnerům. Logopedové by měli usnadnit vzájemné komunikační role tím, že podpoří používání strategií na straně posluchačů a všech účastníků komunikace k optimalizaci prostředí které napomáhá optimálnímu dorozumívání.

Klíčová slova:

Srozumitelnost, pochopitelnost, komunikační modely, efektivita komunikace, kontextové podněty, zvládání dysartrie

Zdroje

ACOUSTICAL SOCIETY OF AMERICA, 1977. American National Standard for Rating Noise with Respect to Speech Interference. American Institute of Physics.

BAAS, L. S., 2012. Patientand family-centered care. Online. Heart & Lung, vol. 41, no. 6, pp. 534-535. DOI: 10.1016/j.hrtlng.2012.08.001. Available from: Patientand family-centered care Heart & Lung: The Journal of Cardiopulmonary and Acute Care.

BARNLUND, D. C., 2008. A transactional model of communication. In: Mortensen, C. D. (Ed.). Communication theory. 2nd ed. New York: Transaction Publishers, pp. 47-57. ISBN 9781351527521.

BERRY, W. R. & SANDERS, S. B., 1983. Environmental education: The universal management approach for adults with dysarthria. In: BERRY, W. R. (Ed.). Clinical dysarthria. San Diego, CA: College-Hill Press, pp. 202-216. ISBN 978-0933014763.

CLARK, H. M., 2020. Treating dysarthria in adults. Webinar. American Speech-Language-Hearing Association. June 19.

DUFFY, J. R., 2019. Motor speech disorders: Substrates, differential diagnosis, and management. 4th ed. St. Louis, MO: Elsevier Mosby. ISBN 978-0323530545.

GARCIA, J. M. & CANNITO, M. P., 1996. Influence of verbal and nonverbal context on sentence intelligibility of a speaker with dysarthria. Online. Journal of Speech, Language, and Hearing Research, vol. 9, no. 4, pp. 750-760. DOI: 10.1044/jshr.3904.750. Available from: Influence of Verbal and Nonverbal Contexts on the Sentence Intelligibility of a Speaker With Dysarthria | Journal of Speech, Language, and Hearing Research.

GARCIA, J. M. & COBB, D. S., 2000. The effects of gesturing on speech intelligibility and rate in ALS dysarthria: A case study. Online. Journal of Medical Speech-Language Pathology, vol. 8, no. 4, pp. 353-357. Available from: The effects of gesturing on speech intelligibility and rate in ALS dysarthria: A case study | Request PDF.

GOLDIN, A.; WEINSTEIN, B. E. & SHIMAN, N., 2020. How do medical masks degrade speech perception? Online. Hearing Review, vol. 27, no. 5, pp. 8-9. Available from: How Do Medical Masks Degrade Speech Reception? | The Hearing Review.

HANSON, E. K.; YORKSTON, K. M. & BEUKELMAN, D. R., 2004. Speech supplementation techniques for dysarthria: A systematic review. Online. Journal of Medical Speech-Language Pathology, vol. 12, no. 2, ix-xxix. Available from: Speech supplementation techniques for dysarthria: a systematic review Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews NCBI Bookshelf.

HUSTAD, K. C. & BEUKELMAN, D. R., 2002. Listener comprehension of severely dysarthric speech: Effects of linguistic cues and stimulus cohesion. Online. Journal of Speech, Language, and Hearing Research, vol. 45, no. 3, pp. 545-558. DOI: 10.1044/1092-4388(2002/043). Available from: Listener Comprehension of Severely Dysarthric Speech: Effects of Linguistic Cues and Stimulus Cohesion: Journal of Speech, Language, and Hearing Research: Vol 45, No 3.

HUSTAD, K. C. & GEARHART, K. J., 2004. Listener attitudes toward individuals with cerebral palsy who use speech supplementation strategies. Online. American Journal of Speech-Language Pathology, vol. 13, no. 2, pp. 168-181. DOI: 10.1044/1058-0360(2004/017). Available from: Listener Attitudes Toward Individuals With Cerebral Palsy Who Use Speech Supplementation Strategies | American Journal of Speech-Language Pathology.

KEINTZ, C. K.; BUNTON, K. & HOIT, J. D., 2007. Influence of visual information on the intelligibility of dysarthric speech. Online. American Journal of Speech-Language Pathology, vol. 16, no. 3, pp. 222-234. DOI: 10.1044/1058-0360(2007/027). Available from: Influence of Visual Information on the Intelligibility of Dysarthric Speech | American Journal of Speech-Language Pathology .

KENT, R. D.; WEISMER, G.; KENT, J. F. & ROSENBEK, J. C., 1989. Toward phonetic intelligibility testing in dysarthria. Online. Journal of Speech and Hearing Disorders, vol. 54, no. 4, pp. 482-499. DOI: 10.1044/jshd.5404.482. Available from: Toward Phonetic Intelligibility Testing in Dysarthria | Journal of Speech and Hearing Disorders.

MCCOY, S. L.; TUN, P. A.; COX, L. C.; COLANGELO, M.; STEWART, R. A. & WINGFIELD, A., 2005. Hearing loss and perceptual effort: Downstream effects on older adults’ memory for speech. Online. The Quarterly Journal of Experimental Psychology: Human

Experimental Psychology, vol. 58, no. 1, pp. 22-33. DOI: 10.1080/02724980443000151. Available from: Hearing Loss and Perceptual Effort: Downstream Effects on Older Adults’ Memory for Speech Sandra L. McCoy, Patricia A. Tun, L. Clarke Cox, Marianne Colangelo, Raj A. Stewart, Arthur Wingfield, 2005.

OLMSTEAD, A. J.; LEE J. & VISWANATHAN, N., 2020. The role of the speaker, the listener, and their joint contributions during communicative interactions: A tripartite view of intelligibility in individuals with dysarthria. Online. Journal of Speech, Language, and Hearing Research, vol. 63, no. 4, pp. 1106-1114. DOI: 10.1044/2020_JSLHR-19-00233. Available from: The Role of the Speaker, the Listener, and Their Joint Contributions During Communicative Interactions: A Tripartite View of Intelligibility in Individuals With Dysarthria | Journal of Speech, Language, and Hearing Research.

PORCARO, C., 2023. Improving Speech Intelligibility in Adults: Clinical Application of Evidence-Based Strategies. San Diego, CA: Plural Publishing, Inc., ISNB: 978-1-63550-357-9.

ROTHWELL, J. D., 2016. In the Company of Others: An Introduction to Communication. 5th ed. New York, NY: Oxford University Press. ISBN 978-0190457426.

SCHRAMM, W., 1954. The Process and Effects of Mass Communication. Champaign, IL: University of Illinois Press. Available from: The process and effects of mass communication : Schramm, Wilbur, 1907-1987, ed : Free Download, Borrow, and Streaming : Internet Archive.

SHANNON, C. E. & WEAVER, W., 1949. The Mathematical Theory of Communication. Champaign, IL: University of Illinois Press. Available from: The Mathematical Theory of Communication.

SKOWRONSKI, M. D. & HARRIS, J. G., 2006. Applied principles of clear and Lombard speech for automated intelligibility enhancement in noisy environments. Online. Speech Communication, vol. 48, no. 5, pp. 549-558. DOI: 10.1016/j.specom.2005.09.003. Available from: Applied principles of clear and Lombard speech for automated intelligibility enhancement in noisy environments ScienceDirect.

THREATS, T., 2007. Access for persons with neurogenic communication disorders: Influences of personal and environmental factors of the ICF. Online. Aphasiology, vol. 21, no. 1, pp. 67-80. DOI: 10.1080/02687030600798303. Available from: Access for persons with neurogenic communication disorders: Influences of Personal and Environmental Factors of the ICF: Aphasiology: Vol 21, No 1 .

TJADEN, K.; SUSSMAN, J. E. & WILDING, G. E., 2014. Impact of clear, loud, and slow speech on scaled intelligibility and speech severity in Parkinson’s disease and multiple sclerosis. Online. Journal of Speech, Language, and Hearing Research, vol. 57, no. 3, pp. 779-792. DOI: 10.1044/2014_JSLHR-S-12-0372. Available from: Impact of Clear, Loud, and Slow Speech on Scaled Intelligibility and Speech Severity in Parkinson’s Disease and Multiple Sclerosis | Journal of Speech, Language, and Hearing Research.

WEISMER, G. & MARTIN, R. E., 1992. Acoustic and perceptual approaches to the study of intelligibility. In: KENT, R. D. (Ed.). Intelligibility in speech disorders: Theory, measurement and management. Amsterdam, Netherlands: John Benjamins, pp. 68-118. ISBN 978-1556193873.

WORLD HEALTH ORGANIZATION, 2001. International Classification of Functioning, Disability, and Health. Online. Available from: https://www.who.int/standards/classifications/international-classification-of-functioning-disability-and-health.

YOHO, S. E. & BORRIE, S. A., 2018. Combining degradations: The effect of background noise on intelligibility of disordered speech. Online. The Journal of the Acoustical Society of America, vol. 143, no. 1, pp. 281-286. DOI: 10.1121/1.5021254. Available from: Combining degradations: The effect of background noise on intelligibility of disordered speech | The Journal of the Acoustical Society of America | AIP Publishing.

YORKSTON, K. M.; HAMMEN, V. L.; BEUKELMAN, D. R. & TRAYNOR, C. D., 1990. The effect of rate control on the intelligibility and naturalness of dysarthric speech. Online. The Journal of Speech and Hearing Disorders, vol. 55. no. 3, pp. 550-560. DOI: 10.1044/ jshd.5503.550. Available from: The Effect of Rate Control on the Intelligibility and Naturalness of Dysarthric Speech | Journal of Speech and Hearing Disorders.

YORKSTON, K. M.; STRAND, E. A. & KENNEDY, M. R., 1996. Comprehensibility of dysarthric speech: Implications for assessment and treatment planning. Online. American Journal of Speech-Language Pathology, vol. 5, no. 1, pp. 55-66. DOI: 0.1044/1058-0360.0501.55. Available from Comprehensibility of Dysarthric Speech: Implications for Assessment and Treatment Planning: American Journal of Speech-Language Pathology: Vol 5, No 1.

YORKSTON, K. M.; MILLER, R. M. & STRAND, E. A., 2004. Management of Speech and Swallowing Disorders in Degenerative Diseases. 2nd ed. Austin, TX: Pro-Ed. ISBN 978-0890799666.

YORKSTON, K. M.; BAYLOR, C. R.; DIETZ, J.; DUDGEON, B. J.; EADIE, T.; MILLER, R. M. & AMTMANN, D., 2008. Developing a scale of communicative participation: A cognitive interviewing study. Online. Disability and Rehabilitation, vol. 30, no. 6, pp. 425-433. DOI: 0.1080/09638280701625328. Available from: Developing a scale of communicative participation: A cognitive interviewing study: Disability and Rehabilitation: Vol 30 , No 6 Get Access.