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. 2020 Aug 12;63(9):2952–2994. doi: 10.1044/2020_JSLHR-20-00061

Table 5.

Charting of acquired apraxia of speech (AOS) studies in quantitative speech measures category.

Study Participants
Method/task Dependent measures Main results Sensitivity/specificity?
Group n
Haley & Overton (2001) strAOS + APH 10 Acoustic measures; real-word/nonword repetition (multisyllabic words) Vowel duration of mono- vs. polysyllabic words - Vowel duration is longer in di- and trisyllabic words (cf. monosyllabic words) N
strAPH 10
HC 10
Haley (2002) strAOS + APH 10 Acoustic measures; real-word/nonword repetition Fricative (/s/, /ʃ/) segment duration, first spectral moment - Fricative segment duration was longer for strAOS + APH group compared to healthy controls only
- Aberrant phonetic productions of fricatives were observed in both the strAOS + APH and strAPH groups, indicating that this type of phonetic error was not unique to individuals with a diagnosis of AOS
N
strAPH 10
HC 10
Bartle-Meyer et al. (2009) strAOS + APH 5 Kinematic measures; DDK Covariance values between articulators of interest (tongue x jaw, tongue tip x tongue back) - Articulatory coupling was greater for the majority (4/5) of strAOS + APH patients as compared healthy controls N
HC 12
Jacks et al. (2010) strAOS + APH 7 Acoustic measures; real-word/nonword repetition Vowel acoustic measures (absolute Bark formant values, vowel space area, intervowel distance, individual trial-to-trial formant variability) - No significant between-groups differences (strAOS + APH vs. HC) on any acoustic vowel measures N
HC (database)
Wilson et al. (2010) prAOS + APH 14 Acoustic measures, phonetic transcription; MRI-structural; spontaneous speech (maximum) speech rate, # distortions, # phonological paraphasias - Speech rate, particularly maximum speech rate, was reduced for the nfvPPA group compared to other subtypes and HCs
- nfvPPA patients had a greater number of sound distortions compared to other subtypes and HCs
N
prAPH 36
NOS 10
HC 10
Courson et al. (2012) strAOS (French) 4 Acoustic measures; real-word/nonword repetition (multisyllabic words) PVI for vowel duration - Both strAOS groups (English and French) had lower PVI for vowel duration values compared to HC N
strAOS (English) 9
HC (French) 4
HC (English) 9
Melle & Gallego (2012) strAOS + APH 4 Acoustic measures; DDK (+ vowel alteration) Magnitude/rate/regularity F2 variation, average AMR duration/rate, average SMR duration/rate - AMR-based measures distinguished between strAOS + APH and HC groups
- SMR-based measures distinguished between strAOS + APH and dysarthria groups
N
strDYS 4
HC 15
Patel et al. (2013) strAOS + APH 4 Acoustic measures; passage reading Passage reading rate, pause frequency, variation in F0 and intensity, error counts - Both AOS and dysarthria groups produced a greater number of errors on complex words
- Errors of inconsistency were more common among AOS compared to dysarthria participants
N
strDYS 10
HC 7
Ballard, Savage, et al. (2014) prAOS + APH 20 Acoustic measures, MRI-structural, PET (PiB); spontaneous speech, real-word/nonword repetition (multisyllabic words) PVI for vowel duration, peak intensity, syllable segregation (proportion silence time, duration of silences), VBM - PVI for vowel duration differentiated the nfvPPA group from lvPPA and HC groups and was also highly consistent with expert judgment of AOS presence
- VBM analysis showed the PVI for vowel duration was related to gray matter intensity in the precentral gyrus, SMA, and IFG regions bilaterally (for nfvPPA only)
Y
prAPH 21
HC 17
Vergis et al. (2014) strAOS + APH 9 Acoustic measures; real-word/nonword repetition (multisyllabic words) Pairwise variability index (PVI) for vowel duration and peak intensity - strAOS + APH group demonstrated significantly lower PVI for vowel duration for words with weak–strong stress compared to strAPH and HC groups
- No group differences in PVI for intensity
N
strAPH 8
HC 8
Ballard et al. (2016) strAOS + APH 35 Acoustic measures, clinician rating; spontaneous speech, real-word/nonword repetition (multisyllabic words), words of inc. length 15 model predictor variables including acoustics and clinician-rated measures - 2 measures distinguished between strAOS + APH and strAPH groups: (1) speech errors with words of increasing length and (2) relative vowel duration in 3-syllable words with weak–strong stress pattern Y
strAPH 37
Basilakos et al. (2017) strAOS + APH 20 Acoustic measures; spontaneous speech PVI for vowel duration, proportion of distortion errors, VOT variability, amplitude envelope modulation spectrum - Classification accuracy for AOS was over 90% for all variables together
- Envelope modulation spectrum variables had the greatest effect on classification
Y
strAPH 24
DC 13
Duffy et al. (2017) prAOS 21 Acoustic measures; real-word/nonword repetition (multisyllabic words), sentence repetition Repetition rate for 1- to 4-syllable words + sentences, duration of word, sentence production, PVI for vowel duration - PPAOS group had longer durations and a reduced rate for both single words and sentences compared to all other groups
- PPAOS group had a reduced PVI compared to all other groups
- Diagnostic accuracy was highest for identifying PPAOS based on acoustic metrics for longer multisyllabic words and sentences
Y
prAPH 26
HC 11
Scholl et al. (2018) strAOS + APH 20 Acoustic measures, phonetic transcription; real-word/nonword repetition (multisyllabic words) PVI for vowel duration, error variability, no. of errors, no. of errors over consecutive repetitions - strAOS + APH group had a greater number of errors overall, greater error variability, reduced improvement across consecutive repetitions, and reduced PVI compared to strAPH group
- PVI measure was a stronger predictor of AOS presence than error variability measures
Y
strAPH 21
Haley & Jacks (2019) strAOS + APH 7 Acoustic measures; real-word/nonword repetition (multisyllabic words) PVI for vowel duration, F0, and intensity, lexical stress ratio, word syllable duration - 3 duration-based acoustic measures differentiated strAOS + APH from both strAPH and HC groups: PVI for vowel duration, lexical stress ratio and word syllable duration
- Diagnostic overlap was smallest for word syllable duration measure, which also had the highest interrater reliability
N
strAPH 9
HC 19

Note. str = poststroke or other acute acquired etiology; AOS + APH = AOS with comorbid language impairment; Y/N = yes/no; APH = aphasia-only deficits (no AOS); HC = healthy control; AOS = AOS without comorbid language deficits; DDK = diadochokinetic rate; pr = progressive etiology; MRI-structural = structural magnetic resonance imaging; NOS = diagnosis not otherwise specified, e.g., semantic dementia, behavioral variant frontotemporal dementia; nfvPPA = nonfluent variant primary progressive aphasia; F2 = second formant; AMR = alternating motion rate; DYS = dysarthria-only group (no AOS, no aphasia); SMR = sequential motion rate; F0 = fundamental frequency; PET = positron emission tomography; PiB = Pittsburgh compound B; lvPPA = logopenic variant primary progressive aphasia; VBM = voxel-based morphometry; SMA = supplementary motor area; IFG = inferior frontal gyrus; VOT = voice onset time; DC = other disease control; PPAOS = primary progressive apraxia of speech.