Evidence map›Paper›PMID 28763804›Full record

ArticleAmerican journal of speech-language pathology2017

Neurogenic Orofacial Weakness and Speech in Adults With Dysarthria.

Nancy Pearl Solomon, Matthew J Makashay, Leah B Helou, Heather M Clark

Open access · greenAbstract read
In one paragraph

Article in American journal of speech-language pathology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 31% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Tongue strength in progressive supranuclear palsy.Parkinsonism & related disorders · 2025
    Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Cerebro-Cerebellar Networks in Migraine Symptoms and Headache.Frontiers in pain research (Lausanne, Switzerland) · 2022
    Review
  10. Article
  11. Review
  12. Tongue Strength in Children With and Without Speech Sound Disorders.American journal of speech-language pathology · 2019
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Nancy Pearl SolomonNational Military Audiology & Speech Pathology Center, Walter Reed National Military Medical Center, Bethesda, MD.
Matthew J MakashayNational Military Audiology & Speech Pathology Center, Walter Reed National Military Medical Center, Bethesda, MD.
Leah B HelouNational Military Audiology & Speech Pathology Center, Walter Reed National Military Medical Center, Bethesda, MD.
Heather M ClarkDepartment of Neurology, Speech Pathology, Mayo Clinic, Rochester, MN.
Walter Reed National Military Medical Center · USAppalachian State University · USNeurosciences Institute · US

Funding

Assessment and Validation of Tongue Fatigue for SpeechR03DC006096 · NIDCD · HENRY M. JACKSON FDN FOR THE ADV MIL/MED · PI SOLOMON, NANCY PEARL · 2002 to 2004
$176k
NIDCD NIH HHS R03 DC006096
6 · The paper itself

Abstract

purposeThis study compared orofacial strength between adults with dysarthria and neurologically normal (NN) matched controls. In addition, orofacial muscle weakness was examined for potential relationships to speech impairments in adults with dysarthria.

methodMatched groups of 55 adults with dysarthria and 55 NN adults generated maximum pressure (Pmax) against an air-filled bulb during lingual elevation, protrusion and lateralization, and buccodental and labial compressions. These orofacial strength measures were compared with speech intelligibility, perceptual ratings of speech, articulation rate, and fast syllable-repetition rate.

resultsThe dysarthria group demonstrated significantly lower orofacial strength than the NN group on all tasks. Lingual strength correlated moderately and buccal strength correlated weakly with most ratings of speech deficits. Speech intelligibility was not sensitive to dysarthria severity. Individuals with severely reduced anterior lingual elevation Pmax (< 18 kPa) had normal to profoundly impaired sentence intelligibility (99%-6%) and moderately to severely impaired speech (26%-94% articulatory imprecision; 33%-94% overall severity).

conclusionsResults support the presence of orofacial muscle weakness in adults with dysarthrias of varying etiologies but reinforce tenuous links between orofacial strength and speech production disorders. By examining individual data, preliminary evidence emerges to suggest that speech, but not necessarily intelligibility, is likely to be impaired when lingual weakness is severe.

Indexed as

Muscle WeaknessSpeechAdolescentAdultAgedCase-Control StudiesDysarthriaFacial MusclesFemaleHumansJudgmentMaleMiddle AgedMuscle StrengthSpeech AcousticsSpeech Disorders

Identifiers

PMID28763804
PMCPMC5829797
OpenAlexW2741243809

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.