Features of speech rehabilitation in various types of post-stroke dysarthria

Safronova M.N.; Kovalenko A.V.

doi:https://doi.org/10.17116/jnevro202512508261

Safronova M.N.

Kemerovo State University

ORCID: 0000-0002-5139-4121

Kovalenko A.V.

Kemerovo State Medical University

ORCID: 0000-0002-3822-1357

Features of speech rehabilitation in various types of post-stroke dysarthria

Authors:

Safronova M.N., Kovalenko A.V.

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Journal: S.S. Korsakov Journal of Neurology and Psychiatry. 2025;125(8‑2): 61‑66

DOI: 10.17116/jnevro202512508261

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To cite this article:

Safronova MN, Kovalenko AV. Features of speech rehabilitation in various types of post-stroke dysarthria. S.S. Korsakov Journal of Neurology and Psychiatry. 2025;125(8‑2):61‑66. (In Russ.)
https://doi.org/10.17116/jnevro202512508261

Подписка 2026 Журнал неврологии и психиатрии им. С.С. Корсакова. Спецвыпуски (S.S. Korsakov Journal of Neurology and Psychiatry (special issues))

Использование инфографики авторами научных работ

OBJECTIVE

To determine the prevalence of various types of post-stroke dysarthria and establish the relationship between speech recovery and the dysarthria type in the acute period of stroke.

MATERIAL AND METHODS

The study included 246 patients with post-stroke dysarthria; the median age was 68 (60; 77) years. Speech recovery was evaluated based on the dysarthria score change (ΔDS) on Days 12—14 from the disease onset. Patients were divided into two groups: Group I with poor recovery (ΔDS<20) and Group II with good recovery (ΔDS≥20).

RESULTS

Speech disorders included bulbar, pseudobulbar, subcortical, cerebellar, and cortical dysarthrias. Patients with pseudobulbar and subcortical dysarthrias were mainly in the ΔDS<20 group: 28 (60.9%) and 26 (70.3%) patients, respectively. Cerebellar and cortical dysarthrias were more common in the ΔDS≥20 group: 23 (74.2%) and 49 (75.4%) patients, respectively (p=0.0001). Patients with bulbar dysarthria were distributed almost equally among the groups: 35 (52.2%) patients in Group I and 32 (47.8%) in Group II.

CONCLUSION

In patients with stroke, pseudobulbar and subcortical dysarthrias are associated with poor speech recovery, and cerebellar and cortical dysarthrias are associated with better recovery.

Keywords:

dysarthria

bulbar dysarthria

pseudobulbar dysarthria

cortical dysarthria

subcortical dysarthria

cerebellar dysarthria

stroke

speech rehabilitation

Authors:

Safronova M.N.

Kemerovo State University

ORCID: 0000-0002-5139-4121

Kovalenko A.V.

Kemerovo State Medical University

ORCID: 0000-0002-3822-1357

Received:

28.01.2025

Accepted:

31.01.2025

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References:

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