Abstract:
BACKGROUND:The speech intelligibility of children with dysarthria and cerebral palsy has been observed to increase following therapy focusing on respiration and phonation. AIMS:To determine if speech intelligibility change following intervention is associated with change in acoustic measures of voice. METHODS & PROCEDURES:We recorded 16 young people with cerebral palsy and dysarthria (nine girls; mean age 14 years, SD = 2; nine spastic type, two dyskinetic, four mixed; one Worster-Drought) producing speech in two conditions (single words, connected speech) twice before and twice after therapy focusing on respiration, phonation and rate. In both single-word and connected speech we measured vocal intensity (root mean square-RMS), period-to-period variability (Shimmer APQ, Jitter RAP and PPQ) and harmonics-to-noise ratio (HNR). In connected speech we also measured mean fundamental frequency, utterance duration in seconds and speech and articulation rate (syllables/s with and without pauses respectively). All acoustic measures were made using Praat. Intelligibility was calculated in previous research. OUTCOMES & RESULTS:In single words statistically significant but very small reductions were observed in period-to-period variability following therapy: Shimmer APQ -0.15 (95% CI = -0.21 to -0.09); Jitter RAP -0.08 (95% CI = -0.14 to -0.01); Jitter PPQ -0.08 (95% CI = -0.15 to -0.01). No changes in period-to-period perturbation across phrases in connected speech were detected. However, changes in connected speech were observed in phrase length, rate and intensity. Following therapy, mean utterance duration increased by 1.11 s (95% CI = 0.37-1.86) when measured with pauses and by 1.13 s (95% CI = 0.40-1.85) when measured without pauses. Articulation rate increased by 0.07 syllables/s (95% CI = 0.02-0.13); speech rate increased by 0.06 syllables/s (95% CI = < 0.01-0.12); and intensity increased by 0.03 Pascals (95% CI = 0.02-0.04). There was a gradual reduction in mean fundamental frequency across all time points (-11.85 Hz, 95% CI = -19.84 to -3.86). Only increases in the intensity of single words (0.37 Pascals, 95% CI = 0.10-0.65) and reductions in fundamental frequency (-0.11 Hz, 95% CI = -0.21 to -0.02) in connected speech were associated with gains in intelligibility. CONCLUSIONS & IMPLICATIONS:Mean reductions in impairment in vocal function following therapy observed were small and most are unlikely to be clinically significant. Changes in vocal control did not explain improved intelligibility.
journal_name
Int J Lang Commun Disordauthors
Pennington L,Lombardo E,Steen N,Miller Ndoi
10.1111/1460-6984.12336subject
Has Abstractpub_date
2018-01-01 00:00:00pages
182-195issue
1eissn
1368-2822issn
1460-6984journal_volume
53pub_type
杂志文章abstract:BACKGROUND:The psychosocial impact of acquired dysarthria on the speaker is well recognized. To date, speech-and-language therapists have no instrument available to measure this construct. This has implications for outcome measurement and for planning intervention. This paper describes the Dysarthria Impact Profile (DI...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1080/13682820802317536
更新日期:2009-09-01 00:00:00
abstract:BACKGROUND:There is a need to develop effective interventions and to compare the efficacy of different interventions for children with residual speech-sound errors (RSSEs). Rhotics (the r-family of sounds) are frequently in error American English-speaking children with RSSEs and are commonly targeted in treatment. One ...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章,随机对照试验
doi:10.1111/1460-6984.12259
更新日期:2017-01-01 00:00:00
abstract::Carers of people with non-acute aphasic and non-aphasic stroke completed questionnaires assessing their distress, perceptions of stroke, generalised self-efficacy, optimism, coping strategies, self-rated physical health and social support. At the same time, their relatives with the stroke were assessed on mood and abi...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.3109/13682829809179411
更新日期:1998-01-01 00:00:00
abstract:BACKGROUND AND AIMS:The Ward Infant Language Screening Test, Assessment, Acceleration and Remediation (WILSTAAR) comprises a programme for identifying and helping 8-10-month-old infants showing early signs of language and communication difficulty. The study addresses one of the queries raised by critics of the programm...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1080/13682820400006861
更新日期:2005-04-01 00:00:00
abstract:BACKGROUND:Language treatment for children with specific language impairment (SLI) often takes months to achieve moderate results. Interventions often do not incorporate the principles that are known to affect learning in unimpaired learners. AIMS:To outline some key findings about learning in typical populations and ...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章,评审
doi:10.1111/j.1460-6984.2012.00169.x
更新日期:2012-09-01 00:00:00
abstract::Improvement or maintenance of speech intelligibility is a central aim in a whole range of conditions in speech-language therapy, both developmental and acquired. Best clinical practice and pursuance of the evidence base for interventions would suggest measurement of intelligibility forms a vital role in clinical decis...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章,评审
doi:10.1111/1460-6984.12061
更新日期:2013-11-01 00:00:00
abstract:BACKGROUND:A survey of clinicians made by Joffe and Pring in 2008 revealed that different approaches exist between researchers and clinicians in the treatment of children with phonological problems. Researchers have examined specific approaches to treatment often giving substantial amounts of therapy and have obtained ...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章,随机对照试验
doi:10.3109/13682820902818888
更新日期:2010-03-01 00:00:00
abstract::This study was designed to provide speech-language pathologists and educators with a method for identifying children at risk for reading failure. The Early Reading Screening Instrument (ERSI) was given to 149 end-of-the-year kindergarten children. Half of the sample was tested 1 year later with standardized reading me...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1080/136828299247478
更新日期:1999-04-01 00:00:00
abstract:BACKGROUND:Research has shown that early identification of children with language issues is critical for effective intervention, and yet many children are not identified until school age. The use of parent-completed rating scales, especially in urban, minority populations, might improve early identification if parent r...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1080/13682820701261827
更新日期:2008-01-01 00:00:00
abstract:BACKGROUND:Dysarthria knowledge is predominantly impairment-based. As a result, speech and language therapists (SLTs) have traditionally adopted impairment-focused management practices. However, guidance for best practice suggests that SLTs should consider the client holistically, including the impact of dysarthria bey...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1111/j.1460-6984.2012.00183.x
更新日期:2012-11-01 00:00:00
abstract::Two stuttering subjects and two control subjects were used in a comparative pilot study using EPG. The subjects read twenty sentences and repeated three words, 'a deer', 'a clock' and 'a kitkat', ten times. These data allowed three main methods of EPG analysis: variability measures on the three words in isolation; qua...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.3109/13682829809179451
更新日期:1998-01-01 00:00:00
abstract::The potential value of a framework enabling practitioners to conceptualise speech and language therapy from a range of perspectives engendered by different theories about disability is explored. Four disability research paradigms are used to categorise professional activities, whilst the 'individual' and 'social' mode...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.3109/13682820109177928
更新日期:2001-01-01 00:00:00
abstract:BACKGROUND:Mechanical ventilatory support seriously affects speaking and communication, and earlier studies show that many ventilator-supported patients experience difficulties and frustration with their speech and voice production. Since there is a growing number of individuals who require mechanical ventilatory suppo...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1111/j.1460-6984.2011.00040.x
更新日期:2011-11-01 00:00:00
abstract::Research indicates that joint attention is an important factor in determining the rate and nature of early vocabulary development in typically developing children. Studies conducted with deaf children acquiring sign language indicate that caregivers adopt special strategies for achieving joint attention with this grou...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1080/13682820210136287
更新日期:2002-07-01 00:00:00
abstract:BACKGROUND:Narrative assessment is sensitive to the communication impairments of children with specific language impairment and those with autistic spectrum disorders. Although both groups of children tend to show deficits in narrative, it is unclear whether these deficits are qualitatively different and how language a...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1080/136820310000108133
更新日期:2003-07-01 00:00:00
abstract::Evidence is presented that immature perceptual strategies are a contributory factor to developmental phonological disorder. The findings endorse the current re-focusing of attention on the role of perception in disordered speech and language acquisition and also highlight the need for more precise assessment and remed...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章,评审
doi:10.3109/13682829809179471
更新日期:1998-01-01 00:00:00
abstract::Clinical observation that people with Parkinson's disease (PD) seem to have different training needs from other adult client-groups in developing effective use of aided augmentative and alternative communication (AAC) was the catalyst for this study. There is little good-quality research evidence available on the effe...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1080/136828200410636
更新日期:2000-07-01 00:00:00
abstract:BACKGROUND:Inter-professional collaboration (IPC) has been recommended for many years as a means by which the needs of children with developmental language disorders (DLD) can be met at school. However, effective IPC remains difficult to achieve and our knowledge of how to support it is limited. A shared understanding ...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章,评审
doi:10.1111/1460-6984.12469
更新日期:2019-07-01 00:00:00
abstract:BACKGROUND:Aphasia is an acquired language disorder that occurs secondary to brain injury, such as stroke. It causes communication difficulties that have a significant impact on quality of life and social relationships. Although the efficacy of speech-language therapy has been clearly demonstrated in this population, l...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1111/1460-6984.12439
更新日期:2019-03-01 00:00:00
abstract:BACKGROUND:Oesophageal abnormalities are common findings in a speech-language therapy videofluoroscopy clinic. Fluoroscopic screening involving oropharynx alone fails to identify these patients. Oesophageal screening as an adjunct to videofluoroscopy is gaining popularity. Yet currently, little is known about the relia...
journal_title:International journal of language & communication disorders
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更新日期:2017-07-01 00:00:00
abstract:BACKGROUND:The modifications of fluid viscosity and/or volume are common strategies in dysphagia management, with increased viscosity or reduced volume intended to reduce aspiration. Little attention has been given to whether cough response to aspiration varies across different viscosities and volumes. AIMS:This prosp...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1111/1460-6984.12401
更新日期:2018-09-01 00:00:00
abstract:BACKGROUND:Intelligibility is a speaker's ability to convey a message to a listener. Including an assessment of intelligibility is essential in both research and clinical work relating to individuals with communication disorders due to speech impairment. Assessment of the intelligibility of spontaneous speech can be us...
journal_title:International journal of language & communication disorders
pub_type: 临床试验,杂志文章
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更新日期:2014-03-01 00:00:00
abstract:BACKGROUND:Language impairments are associated with an increased likelihood of emotional difficulties later in childhood or adolescence, but little is known about the impact of LI on the growth of emotional problems. AIMS:To examine the link between early language status (language impaired (LI), typical language (TL))...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1111/1460-6984.12142
更新日期:2015-05-01 00:00:00
abstract:BACKGROUND:Late language emergence is a risk indicator for developmental language disorder. Parent-implemented early language intervention programmes (parent programmes) have been shown to have positive effects on children's receptive and expressive language skills. However, long-term effectiveness has rarely been stud...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1111/1460-6984.12451
更新日期:2019-05-01 00:00:00
abstract::Seven non-speaking preschool children with severe cerebral palsy, 5-7 years of age, were studied with respect to the amount of prelinguistic versus linguistic modes of communication used in communicative interaction with a previously unknown adult. An attempt was also made to analyse this in relation to the childrens'...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章,多中心研究
doi:10.1080/13682820110096661
更新日期:2002-01-01 00:00:00
abstract:BACKGROUND:A subset of children with Developmental Language Delay (DLD) encountered difficulties with the regulation of spoken discourse. In the conversations of caretakers with DLD children, several studies report difficulties with turn-taking, a proneness to use the non-verbal register, child and caretaker problems w...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.3109/13682820902994226
更新日期:2010-05-01 00:00:00
abstract::One approach to outcome measures for speech and language therapy is to display measures of the physical, acoustic, correlates of the perceptually salient features of the structure of speech. A difficulty with this approach is that there is no simple mapping of physical correlates onto speech percepts. In this workshop...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.3109/13682829809179441
更新日期:1998-01-01 00:00:00
abstract::Most of the literature on children with specific language impairment (SLI) is centred on the study of cross-sectional samples and little is known on how language develops in these children--that is, whether it occurs along steps and modes analogous to those observed in normal acquisition, the only difference being sig...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
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更新日期:1998-07-01 00:00:00
abstract::The primary aim of western-trained speech and language therapists (SLTs) working in the 'South' is not to train further SLTs but to transfer a range of practical skills to carers, health and education workers working directly with under-served populations. Considering current areas of service need in the UK, a model o...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.3109/13682820109177901
更新日期:2001-01-01 00:00:00
abstract:BACKGROUND:Although it is well-established that children with language impairment (LI) and children with autism spectrum disorders (ASD) both show elevated levels of emotional and behavioural problems, the level and types of difficulties across the two groups have not previously been directly compared. AIMS:To compare...
journal_title:International journal of language & communication disorders
pub_type: 杂志文章
doi:10.1111/1460-6984.12116
更新日期:2015-01-01 00:00:00