Maysa Cera, Paulo Henrique Ferreira Bertolucci, Nathani Cristine do Carmo Ramos, Camila de Castro Corrêa, Carla Dos Reis Piffer Vilela, Karin Zazo Ortiz
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引用次数: 0
Abstract
Background: Markers of phonological and articulatory processing, though at times difficult to identify, may be useful for the assessment of changes in the speech of people with mild cognitive impairment (MCI) and Alzheimer's disease (AD). Objective: To review the evidence on phonological and articulatory speech processing in older adults with MCI and AD and identify the most sensitive speech assessment tasks for detecting impairments in these abilities. Methods: This scoping review of the PubMed, Scopus, Lilacs, Web of Science, Google Scholar, ProQuest, and Embase databases was updated in April 2024. Studies of older adults with MCI and AD that evaluated articulatory or phonological aspects of speech were included in the review. Two independent reviewers used EndNote and Rayyan software to evaluate search results in a two-phase process, consisting of (1) title and abstract screening, and (2) full-text review. Results: Of the 163 studies retrieved, 41 were selected in Phase 1. At the end of Phase 2, 29 studies were included in the review. All studies included individuals with AD and only one also included participants with MCI. Normal phonological and articulatory performance was observed in MCI. In AD, phonological or articulatory alterations were associated with the speech assessment method, sample size, and diagnosis of atypical dementia. Conclusions: Phonological and articulatory changes may occur in AD but may be difficult to identify. Single repetition or naming tasks may be more sensitive for detecting these impairments.
背景:语音和发音加工的标记物,虽然有时难以识别,但可能有助于评估轻度认知障碍(MCI)和阿尔茨海默病(AD)患者的语言变化。目的:回顾老年轻度认知障碍和AD患者语音和发音处理的相关证据,并确定检测这些能力障碍的最敏感的语音评估任务。方法:本文对PubMed、Scopus、Lilacs、Web of Science、谷歌Scholar、ProQuest和Embase数据库的范围综述于2024年4月更新。对患有轻度认知障碍和阿尔茨海默病的老年人的研究评估了言语的发音或语音方面。两名独立审稿人使用EndNote和Rayyan软件对搜索结果进行评估,分为两个阶段,包括(1)标题和摘要筛选,(2)全文审查。结果:在检索到的163项研究中,41项入选i期研究。在第2期结束时,29项研究被纳入审查。所有的研究都包括AD患者,只有一项研究还包括轻度认知障碍患者。MCI患者的语音和发音表现正常。在AD中,语音或发音改变与言语评估方法、样本量和非典型痴呆的诊断有关。结论:AD患者可能出现语音和发音变化,但可能难以识别。单次重复或命名任务可能对检测这些损伤更敏感。