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<p><b>Objective.</b> To determine the incidence of various forms of poststroke dysarthria and to establish the relationship between recovery of speech and the type of dysarthria in the acute period of stroke. <b>Materials and methods.</b> A total of 246 patients (median age 68 (60; 77) years) with poststroke dysarthria were examined. The extent of recovery of speech was characterized by the absolute value of the increase in the dysarthria rating scale (ΔDRS) on day 12–14 from disease onset. Patients were divided into two groups: Group 1 consisted of patients with low levels of recovery (ΔDRS &lt;20) and Group 2 included those with high levels of recovery (ΔDRS ≥20). <b>Results.</b> Speech disorders consisted of bulbar, pseudobulbar, subcortical, cerebellar, and cortical dysarthria. The ΔDRS &lt;20 group was dominated by patients with pseudobulbar and subcortical dysarthria, accounting for 28 (60.9%) and 26 (70.3%) patients respectively. In the ΔDRS ≥20 group, cerebellar and cortical dysarthria were more common, accounting for 23 (74.2%) and 49 (75.4%) patients respectively (<i>p</i> = 0.0001). Patients with bulbar dysarthria were distributed almost equally between the groups: 35 (52.2%) in group 1 and 32 (47.8%) in group 2. <b>Conclusions.</b> Pseudobulbar and subcortical dysarthria were associated with low levels of recovery of speech in stroke, while cerebellar and cortical dysarthria were associated with high levels of recovery.</p>

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Features of Speech Rehabilitation in Various Types of Poststroke Dysarthria

  • 期刊论文

  • 发表日期：

    2026年2月25日

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  • M. N. Safronova,
  • A. V. Kovalenko

摘要

Objective. To determine the incidence of various forms of poststroke dysarthria and to establish the relationship between recovery of speech and the type of dysarthria in the acute period of stroke. Materials and methods. A total of 246 patients (median age 68 (60; 77) years) with poststroke dysarthria were examined. The extent of recovery of speech was characterized by the absolute value of the increase in the dysarthria rating scale (ΔDRS) on day 12–14 from disease onset. Patients were divided into two groups: Group 1 consisted of patients with low levels of recovery (ΔDRS <20) and Group 2 included those with high levels of recovery (ΔDRS ≥20). Results. Speech disorders consisted of bulbar, pseudobulbar, subcortical, cerebellar, and cortical dysarthria. The ΔDRS <20 group was dominated by patients with pseudobulbar and subcortical dysarthria, accounting for 28 (60.9%) and 26 (70.3%) patients respectively. In the ΔDRS ≥20 group, cerebellar and cortical dysarthria were more common, accounting for 23 (74.2%) and 49 (75.4%) patients respectively (p = 0.0001). Patients with bulbar dysarthria were distributed almost equally between the groups: 35 (52.2%) in group 1 and 32 (47.8%) in group 2. Conclusions. Pseudobulbar and subcortical dysarthria were associated with low levels of recovery of speech in stroke, while cerebellar and cortical dysarthria were associated with high levels of recovery.