Evidence map›Paper›PMID 29968200›Full record

ArticleJournal of neurology2018

Coordination and timing deficits in speech and swallowing in autosomal recessive spastic ataxia of Charlevoix-Saguenay (ARSACS).

Adam P Vogel, Natalie Rommel, Andreas Oettinger, Lisa H Stoll, Eva-Maria Kraus, Cynthia Gagnon, Marius Horger, Patrick Krumm, Dagmar Timmann, Elsdon Storey and 2 more

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In one paragraph

Article in Journal of neurology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 23% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Pooled it
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  9. SARANPJ digital medicine · 2023
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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

12 authors at 7 institutions in 3 countries.

Adam P VogelDepartment of Neurodegeneration, Hertie Institute for Clinical Brain Research, University of Tübingen, Tübingen, Germany. vogela@unimelb.edu.au.ORCID http://orcid.org/0000-0002-3505-2631
Natalie RommelDepartment of Neurodegeneration, Hertie Institute for Clinical Brain Research, University of Tübingen, Tübingen, Germany.
Andreas OettingerNeurology and Rehabilitation, Kliniken Schmieder, Gailingen am Hochrhein, Germany.
Lisa H StollDepartment of Neurodegeneration, Hertie Institute for Clinical Brain Research, University of Tübingen, Tübingen, Germany.
Eva-Maria KrausDepartment of Neurodegeneration, Hertie Institute for Clinical Brain Research, University of Tübingen, Tübingen, Germany.
Cynthia GagnonGroupe de recherche interdisciplinaire sur les maladies neuromusculaires (GRIMN), Jonquière, QC, Canada.
Marius HorgerDepartment of Diagnostic and Interventional Radiology, University Hospital Tübingen, Tübingen, Germany.
Patrick KrummDepartment of Diagnostic and Interventional Radiology, University Hospital Tübingen, Tübingen, Germany.
Dagmar TimmannDepartment of Neurology, Essen University Hospital, University of Duisburg-Essen, Essen, Germany.
Elsdon StoreyDepartment of Medicine, Monash University, Melbourne, Australia.
Ludger SchölsDepartment of Neurodegeneration, Hertie Institute for Clinical Brain Research, University of Tübingen, Tübingen, Germany.
Matthis SynofzikDepartment of Neurodegeneration, Hertie Institute for Clinical Brain Research, University of Tübingen, Tübingen, Germany.
University Children's Hospital Tübingen · DEGerman Center for Neurodegenerative Diseases · DECégep de Jonquière · CAEssen University Hospital · DEKliniken Schmieder · DEMonash University · AUThe University of Melbourne · AU

Funding

BMBF 01GM1607H2020 Excellent Science 643578National Health and Medical Research Council 1082910
6 · The paper itself

Abstract

backgroundAutosomal recessive spastic ataxia of Charlevoix-Saguenay (ARSACS) is a rare early onset neurodegenerative disease that typically results in ataxia, upper motor neuron dysfunction and sensorimotor peripheral neuropathy. Dysarthria and dysphagia are anecdotally described as key features of ARSACS but the nature, severity and impact of these deficits in ARSACS are not known. A comprehensive quantitative and qualitative characterization of speech and swallowing function will support diagnostics, provide insights into the underlying pathology, and guide day-to-day clinical management.

methods11 consecutive non-Quebec ARSACS patients were recruited, and compared to healthy participants from several published and unpublished cohorts. A comprehensive behavioural assessment including objective acoustic analysis and expert perceptual ratings of motor speech, the Clinical Assessment of Dysphagia in Neurodegeneration (CADN), videofluoroscopy and standardized tests of dysarthria and swallowing related quality of life was conducted.

resultsSpeech in this ARSACS cohort is characterized by pitch breaks, prosodic deficits including reduced rate and prolonged intervals, and articulatory deficits. The swallowing profile was characterized by delayed initiation of the swallowing reflex and late epiglottic closure. Four out of ten patients were observed aspirating thin liquids on videofluoroscopy. Patients report that they regularly cough or choke on thin liquids and solids during mealtimes. Swallowing and speech-related quality of life was worse than healthy controls on all domains except sleep.

conclusionsThe dysphagia and dysarthria profile of this ARSACS cohort reflects impaired coordination and timing. Dysphagia contributes to a significant impairment in functional quality of life in ARSACS, and appears to manifest distinctly from other ARSACS dysfunctions such as ataxia or spasticity.

Indexed as

AdolescentAdultChildDeglutitionDeglutition DisordersFemaleHumansMaleMiddle AgedMuscle SpasticityQualitative ResearchQuality of LifeSpeechSpeech DisordersSpinocerebellar AtaxiasTime FactorsAcousticsAtaxic neuropathyDegenerative ataxiaRehabilitationSpeechSwallowingVideofluoroscopy

Identifiers

PMID29968200
OpenAlexW2810713673

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.