Fatigue and faulty posture connection among children, diagnosed with dysarthria


Purpose : To analyze spastic dysarthria form in children population dependency of fatigue and faulty posture relationship. Methods: Research performed with the permission of the bioethics committee (RE-BK-063). The Dutch Fatigue Scale (DUFS). Posture in standing was assessed by Hoeger and Kendall. Research subjects n=40. n=20 children diagnosed with spastic dysarthria and n=20 of children without dysarthria. Their age was 10±2.1years. Boys were n=20 and girls - n=20.Results were statistically significant at p<0.05. Microsoft Office 2013, Excel package were used to count a research results. Results: For children with dysarthria fatigue level is more significant that for children without dysarthria; results were statistically significant, p<0.05. Posture disorder for children with dysarthria was statistically significant higher than among children without dysarthria, p<0.05. Conclusions: For children with dysarthria fatigue level is higher than for healthy children, thus for the girls fatigue level is higher than for the boys. Spastic form dysarthria has an impact to a child posture, by creating a direct dependency between posture deformation and skeletal muscle system disease, which decreases muscle power and increasing fatigue for a child. To correct faulty posture thus to decrease fatigue the tight collaboration needed between rehabilitation team members.


Download data is not yet available.

| Abstract views: 57 | PDF Downloads: 15 |


Bard EG, Sotillo C, Anderson AH, Thompson HS, and Taylor MM. The DCIEM Map Task Corpus: Spontaneous dialogue under sleep deprivation and drug treatment. Speech Communication 1996;20:71–84.

Budrys V. Clinical Neurology. Compiler and scientific editor: Phramaceutical Information; 2009.

Chen Y-L. Changes in lifting dynamics after localized arm fatigue. International Journal of Industrial Ergonomics 2000,25(6):611-619.

Davidson BS, Madigan ML, Nussbaum MA. Effects of lumbar extensor fatigue and fatigue rate on postural sway. European Journal of Applied Physiology and Occupational Physiology 2004;93:183–189.

Delbono O, O'Rourke KS, Ettinger WH. Excitation-calcium release uncoupling in aged single human skeletal muscle fibers. Journal of Membrane Biology 1995;148:211–222.

Ditor DS, Hicks AL. The effect of age and gender on the relative fatigability of the human adductor pollicis muscle. Canadian Journal of Physiology and Pharmacology 2000;78:781–790.

DiSimoni FG, Keith RL, Holt DL, Darley FL. Practicality of shortening the Porch Index of Communicative Ability. Journal of Speech and Hearing Research 1975;18(3):491-497.

Edwards RH. Human muscle function and fatigue. Ciba Foundation Symposium 1981;82:1–18.

Folker JE, Murdoch BE, Cahill LM, Delatycki MB, Corben LA, and Vogel AP. Dysarthria in Friedreich's ataxia: A perceptual analysis. Folia Phoniatrica Logopaedica 2010;62: 97–103.

Friedl KE, Grate SJ, Proctor SP, Ness JW, Lukey BJ, and Kane RL. Army research needs for automated neuropsychological tests: Monitoring soldier health and performance status. Archives of Clinical Neuropsychology 2007;22(1):S7–S14.

Fulco CS, Rock PB, Muza SR, Lammi E, Cymerman A, Butterfield G, Moore LG, Braun B, Lewis SF. Slower fatigue and faster recovery of the adductor pollicis muscle in women matched for strength with men. Acta Physiologica Scandinavica 1999;167:233–239.

Grimmer Karen An investigation of poor cervical resting posture. Australian Journal of Physiotherapy 1997;43(1):7–16.

Harrison Y, and Horne JA. Sleep deprivation affects speech. Sleep 1997;20:871–877.

Hicks AL, McCartney N. Gender differences in isometric contractile properties and fatigability in elderly human muscle. Canadian Journal of Applied Physiology 1996;21:441–454.

Hoeger WWK. Principles and Laboratories for Physical Fitness and Wellness. Englewood, Colorado: Morton Publishing Company; 1988.

Hollien H, De Jong G, Martin CA, Schwartz R, and Liljegren K. Effects of ethanol intoxication on speech suprasegmentals. The Journal of the Acoustical Society of America 2001;110:3198–3206.

Hunter SK, Enoka RM. Sex differences in the fatigability of arm muscles depends on absolute force during isometric contractions. Journal of Applied Physiology 2001;91:26862694.

Josephs KA, Duffy JR, Strand EA, Whitwell JL, Layton KF, Parisi JE, Hauser MF, Witte RJ, Boeve BF, Knopman DS, Dickson DW, Jack CR, Jr, and Petersen RC. Clinico pathological and imaging correlates of progressive aphasia and apraxia of speech. Brain 2006;129:1385–1398.

Kavounoudias A, Roll R, Roll JP. Foot sole and ankle muscle inputs contribute jodintly to human erect posture regulation. Journal of Physiology 2001;532:869–878.

Keith RL, Aronson AE. Singing as therapy for apraxia of speech and aphasia: report of a case. Brain Language 1975;2(4):483-488.

Kendall HO, Kendall FP, and Boynton DA. Posture and Pain. Florida: Robert E. Krieger; 1952.

Kendall FP, McCreary EK, & Provance PG. Muscles, Testing and Function: with Posture and Pain. Publisher: Lippincott Williams & Wilkin; 1993.

Kent-Braun JA, Ng AV. Skeletal muscle oxidative capacity in young and older women and men. Journal of Applied Physiology 2000;89:1072–1078.

Lennmarken C, Bergman T, Larsson J, Larsson LE. Skeletal muscle function in man: force, relaxation rate, endurance and contraction time-dependence on sex and age. Clinical Physiology 1985;5:243–255.

Lexell J. Human aging, muscle mass, and fiber type composition. Journal of Gerontology A: Biological Science and Medical Science1995;50:11–16.

Lieberman P, Morey A, Hochstadt J, Larson M, and Mather S. Mount Everest: A space-analog for speech monitoring of cognitive deficits and stress. Aviation, Space and Environmental. Medicine 2005;76:198–207.

Ma L, Zhang W, Bennis F, Chablat D, Guillaume F. Multi-Objective Optimisation Method for Posture Prediction and Analysis with Consideration of Fatigue Effect and its Application Case. Computers & Industrial Engineering 2009;57(4):1235-1246.

Madigan ML, Davidson BS, Nussbaum MA. Postural sway and joint kinematics during quiet standing are affected by lumbar extensor fatigue. Human Movement Science 2006;25:788–799.

Meyer PF, Oddsson LIE, De Luca CJ. The role of plantar cutaneous sensation in unperturbed stance. Experimental Brain Research 2004;156:505–512.

McCully KK, Fielding RA, Evans WJ, Leigh JSJ, Posner JD. Relationships between in vivo and in vitro measurements of metabolism in young and old human calf muscles. Journal of Applied Physiology 1993;75:813–819.

Ng JKF, Parnianpour M, Richardson CA, Kippers V. Effect of fatigue on torque output and electromyographic measures of trunk muscles during isometric axial rotation. Archives of Physical Medicine and Rehabilitation 2003;84:374–381.

Mannheimer JS, and Rosenthal RM. Acute and chronic postural abnormalities as related to craniofacial pain and temporomandibular disorders. Dental Clinics of North America 1991;35:185-208.

Nunnally JC, & Bernstein IH. Psychometric Theory, 3rd edn. NewYork: McGraw-Hill; 1994.

Paslawski T, Duffy JR, Vernino S. Speech and language findings associated with paraneoplastic cerebellar degeneration. American Journal of Speech-Language Pathology 2005;14(3):200-207.

Patil SA, and Hansen JH. Detection of speech under physical stress: Model development, sensor selection, and feature fusion. Brisbane, Australia; 2008.

Pline KM, Madigan ML, Nussbaum MA, Grange RW. Lumbar extensor fatigue and circumferential ankle pressure impair ankle joint motion sense. Neuroscience Letters 2005;390:9–14.

Pline KM, Madigan ML, Nussbaum MA. Influence of fatigue time and level on increases in postural sway. Ergonomics 2006;49:1639–1648.

Potvin JR, O'Brien PR. Trunk muscle co-contraction increases during fatiguing, isometric, lateral bend exertions. Possible implications for spine stability. Spine 2002;23:774– 780.

Raine S, Twomey L. Posture of the head, shoulders and thoracic spine in comfortable erect standing. Australian Journal of Physiotherapy 1994;40:25-32.

Seidel D, Jalmarson J, Freitag S, Larsson TJ, Brayne C, Clarkson PJ. Measurement of stressful postures during daily activities: An observational study with older people. Gait Posture 2011;34(3):397-401.

Stankus A. Recommendations for fatigue diagnosis and it correction. Accessed 2013.12.21d. http://www.pri.kmu.lt/Rekomendacijos_nuovargio_1.pdf. (in Lithuanian).

Stackhouse SK, Stevens JE, Lee SC, Pearce KM, Snyder-Mackler L, Binder-Macleod SA. Maximum voluntary activation in non fatigued and fatigued muscle of young and elderly individuals. Physical Therapy 2001;81:1102–1109.

Taimela S, Kankaanpaa M, Luoto S. The effect of lumbar fatigue on the ability to sense a change in lumbar position. A controlled study. Spine 1999;24:1322–1327.

Thompson AR. Pharmacological agents with effects on voice, American. Journal of Otolaryngology 1995;16:12–18.

Tiesinga LJ, Dassen TWN, >Halfens RJG. DUFS and DEFS: development, reliability and validity of the Dutch Fatigue Scale and the Dutch Exertion Fatigue Scale. International Journal of Nursing Studies 1998;35(1–2):115–123.

Vuillerme N, Demetz S. Do ankle foot orthoses modify postural control during bipedal quiet standing following a localized fatigue at the ankle muscles? International Journal of Sports Medicine 2007;28:243–246.

Vuillerme N, Pinsault N. Re-weighting of somatosensory inputs from the foot and the ankle for controlling posture during quiet standing following trunk extensor muscles fatigue. Experimental Brain Research 2007;183:323–327.

Wilder DG, Aleksiev AR, Magnusson ML, Pope MH, Spratt K, Goel VK. Muscular response to sudden load—a tool to evaluate fatigue and rehabilitation. Spine 1996;21:2628– 2639.

Whitmore J, and Fisher SE. Speech during sustained operations, Speech Communication 1996;20:55–70.

Yorkston KM, Beukelman DR, Strand EA, Bell KR. Management of Motor Speech Disorders in Children and Adults. Austin: Pro-Ed; 1999.

Ziegler W, Hartmann E, and Hoole P. Syllabic timing in dysarthria. Journal of Speech and Hearing Research 1993;36:683–693.

Selivestrov VI. A dictionary of speech pathology and therapy. Moscow: Vlados; 1997. (in Russian).

How to Cite
Andrejeva J, Mockiene A, Zukauskiene M. Fatigue and faulty posture connection among children, diagnosed with dysarthria. Pedagogics, psychology, medical-biological problems of physical training and sports. 2015;19(8):75-1.