Task-related factors in oral motor control: speech and oral diadochokinesis in dysarthria and apraxia of speech.

This study was focused on the potential influence of task-related factors on oral motor performance in patients with speech disorders. Sentence production was compared with a nonspeech oral motor task, i.e., oral diadochokinesis. Perceptual and acoustic measures of speech impairment were used as dependent variables. Between-task comparisons were made for subsamples of a population of 140 patients with different motor speech syndromes, including apraxia of speech and cerebellar dysarthria. In a further analysis subgroups were matched for speaking rate. Overall, dysdiadochokinesis was correlated with the degree of speech impairment, but there was a strong interaction between task type and motor speech syndrome. In particular, cerebellar pathology affected DDK to a relatively greater extent than sentence production, while apraxic pathology spared the ability of repeating syllables at maximum speed. Copyright 2002 Elsevier Science (USA).