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A Protocol for Comprehensive Assessment of Bulbar Dysfunction in Amyotrophic Lateral Sclerosis ALS

A Protocol for Comprehensive Assessment of Bulbar Dysfunction in Amyotrophic Lateral Sclerosis ALS

Published on: February 21, 2011

Characterizing social communication changes in amyotrophic lateral sclerosis.

Fiona Fisher¹, April Philpott¹, Sophie C Andrews^1,2

¹Calvary Health Care Bethlehem, Caulfield South, VIC, Australia.

International Journal of Language & Communication Disorders

|July 2, 2016

Summary

Individuals with amyotrophic lateral sclerosis (ALS) experience reduced social communication, often without realizing it. Informant reports reveal conversational challenges not perceived by patients, highlighting the need for comprehensive communication assessments.

Keywords:

communication disorder informant report language test motor neuron disease pragmatics social cognition

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Area of Science:

Neurology
Speech-Language Pathology

Background:

Speech and language impairments are common in amyotrophic lateral sclerosis (ALS).
Specific deficits in social communication and daily conversation in ALS are not well understood.

Purpose of the Study:

To compare self- and informant-reported social communication abilities in individuals with ALS and healthy controls.

Main Methods:

Thirty-two participants with ALS and 24 controls completed the La Trobe Communication Questionnaire (LCQ).
Informant reports were collected using the LCQ from a nominated close other.
Demographic and clinical data were gathered.

Main Results:

Informants reported greater difficulties with conversational initiation, effectiveness, and partner sensitivity in ALS participants compared to controls.
ALS participants did not rate their own social communication abilities as significantly poorer than controls.
Self- and informant-report discrepancies were observed only in the control group.

Conclusions:

Social communication abilities may be diminished in individuals with ALS, who might lack self-awareness of these deficits.
Clinical speech and language evaluations for ALS should include social communication assessments using both self- and informant-report measures for targeted interventions.