Tunisian Validation of the Dysarthria Clinical Evaluation Battery

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Published Feb 15, 2026
https://doi.org/10.62438/tunismed.v103i12.5942
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Vol. 103 No. 12 (2025): Tunis Med Dec 2025

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Rana Abdelhadi
Department of Functional Rehabilitation, Speech Therapy Section, Higher School of Health Sciences and Techniques of Tunis, 1007, Neurology Department, Main Military Teaching Hospital of Tunis, 1008, University of Tunis El Manar, Tunis, Tunisia.
Meriam Messelmani
Neurology Department, Main Military Training Hospital of Tunis, 1008, Tunis, Faculty of Medicine of Tunis, University of Tunis El Manar, 1007, Tunisia.
Emna Chaker
Department of Functional Rehabilitation, Speech Therapy Section, Higher School of Health Sciences and Techniques of Tunis, 1007, Neurology Department, Main Military Teaching Hospital of Tunis, 1008, University of Tunis El Manar, Tunis, Tunisia.
Sara Souissi
Department of Functional Rehabilitation, Speech Therapy Section, Higher School of Health Sciences and Techniques of Tunis, 1007, Neurology Department, Main Military Teaching Hospital of Tunis, 1008, University of Tunis El Manar, Tunis, Tunisia.
Sonia Soussi
Department of Anesthesia and Intensive Care, Anesthesia and Intensive Care Section, Higher School of Health Sciences and Techniques of Tunis, University of Tunis El Manar, Tunis, Tunisia
Salah Beldi
Higher Institute of Applied Biological Sciences of Tunis, University of Tunis El Manar, 1006, Tunis, Tunisia.
Hajer Derbali
Neurology Department, Main Military Training Hospital of Tunis, 1008, Tunis, Faculty of Medicine of Tunis, University of Tunis El Manar, 1007, Tunisia.
Malek Mansour
Neurology Department, Main Military Training Hospital of Tunis, 1008, Tunis, Faculty of Medicine of Tunis, University of Tunis El Manar, 1007, Tunisia.
Jamel Zaouali
Neurology Department, Main Military Training Hospital of Tunis, 1008, Tunis, Faculty of Medicine of Tunis, University of Tunis El Manar, 1007, Tunisia.

Abstract

Background : Dysarthria is defined as a  motor speech disorder that can cause major communication problems. Meticulous assessment of this disorder is crucial for adequate therapeutic follow-up.


Aim: To Provide tunisian speech therapists with an almost complete tool for the evaluation of dysarthria.


Methods : A single-center study adapted and validated the Dysarthria Clinical Evaluation Battery BECD 2019  in 135 dysarthric patients and 135 adult controls at different stages.


Results : Comparison of scores between all samples showed significance, hence the sensitivity of the tool. Construct validity was carried out with the help of expert neurologists and speech therapists.  Cronbach's alpha coefficient revealed a value of 0.7, indicating good internal consistency of the scale. The ROC curves of the different tests guided us in leaving the same threshold scores of the original battery.


Conclusion: Our study provided a dysarthria assessment tool, adapted to the Tunisian context, promoting a standardized clinical evaluation in order to harmonize communication amongclinicians.

Keywords:

Dysarthria , Adaptation , Validation , BECD , Evaluation , Speech Therapy

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