Perceptual and Articulatory Changes in Speech Production Following PROMPT Treatment.
Authors: Grigos MI, Hayden D, Eigen J Abstract PROMPT (Prompts for Restructuring Oral Muscular Phonetic Targets) is a treatment approach that is widely used to improve sound production in children with speech impairments. This approach uses tactile cues to support and shape movements of the oral articulators in order to improve the production of individual sounds, syllables, words, and eventually connected speech. The underlying assumption is that tactile cuing will facilitate changes in articulator movements. This investigation examined articulator movement as well as the accuracy of speech production, be...
Source: Journal of Medical Speech - Language Pathology - February 13, 2016 Category: Speech Therapy Tags: J Med Speech Lang Pathol Source Type: research

Early Feeding Abilities in Children with Cerebral Palsy: A Parental Report Study.
CONCLUSIONS: Children with and without oral-motor involvement initially presented with similar feeding difficulties. However, feeding problems appeared to resolve to a greater extent in children without oral-motor involvement. The difficulties identified early in life, for children with oral-motor involvement, appeared to persist with development. PMID: 20046974 [PubMed - as supplied by publisher] (Source: Journal of Medical Speech - Language Pathology)
Source: Journal of Medical Speech - Language Pathology - February 13, 2016 Category: Speech Therapy Tags: J Med Speech Lang Pathol Source Type: research

Multimodal Communication Training in Aphasia: A Pilot Study.
Authors: Purdy M, Van Dyke JA Abstract Management of patients with aph asia often focuses on training nonverbal augmentative communication strategies; however, these strategies frequently do not generalize to natural situations. The limited success may be because training waS not sufficient to produce an integrated multimodal semantic representation. The purpose of this study was to examine whether simultaneous training of stimuli in both verbal and nonverbal modalities would solidify the links within the semantic network and improve switching among modalities as needed in conversation. Two individuals wit...
Source: Journal of Medical Speech - Language Pathology - February 13, 2016 Category: Speech Therapy Tags: J Med Speech Lang Pathol Source Type: research

The Effects of Topic Knowledge on Intelligibility and Lexical Segmentation in Hypokinetic and Ataxic Dysarthria.
This study examined the benefit of providing listeners with the topic of some phases produced by speakers with either hypokinetic or ataxic dysarthria. Total and topic word accuracy, topic-related substitutions, and lexical boundary errors were calculated from the listener transcripts. Data were compared with those who underwent a familiarization process (reported by Liss, Spitzer, Caviness, & Adler, 2002) and with those inexperienced with disordered speech (reported by Liss Spitzer, Caviness, & Adler, 2000). Results revealed that listeners of ataxic speech provided with topic knowledge obtained higher intelligibil...
Source: Journal of Medical Speech - Language Pathology - February 13, 2016 Category: Speech Therapy Tags: J Med Speech Lang Pathol Source Type: research

Contributors to Intelligibility in Preschool- Aged Children with Cerebral Palsy.
CONCLUSIONS: Of children with CP who were able to talk at 30-36 months of age, 60% had clinical speech or language deficits. Production of vowels appears to make an important contribution to intelligibility; and for many children with CP, considerable deficits in intelligibility may be evident by the age of 3. Early interventions targeting both speech and language may improve intelligibility and functional communication skills. PMID: 25614727 [PubMed - as supplied by publisher] (Source: Journal of Medical Speech - Language Pathology)
Source: Journal of Medical Speech - Language Pathology - February 13, 2016 Category: Speech Therapy Tags: J Med Speech Lang Pathol Source Type: research

Relationship Between Prosody and Intelligibility in Children with Dysarthria.
Authors: Patel R, Hustad KC, Connaghan KP, Furr W Abstract Exaggerated and redundant prosodic cue use has been noted among adults with dysarthria secondary to cerebral palsy (CP) (Patel, 2004; van Doorn & Sheard, 2001). A possible explanation may be that speakers heighten prosodic contrasts to increase intelligibility. The current work examined whether children with dysarthria due to CP also produce exaggerated prosodic contours and if so, how prosodic cue use in these speakers impacts intelligibility. Acoustic analyses were conducted on a previously collected dataset of 2-7 word utterances produced by...
Source: Journal of Medical Speech - Language Pathology - February 13, 2016 Category: Speech Therapy Tags: J Med Speech Lang Pathol Source Type: research

Preservation of relational timing in speech of persons with Parkinson's disease with and without deep brain stimulation.
CONCLUSION: These results agree with previous findings for a PWPD with accelerated speech and faster rates of speech in DBS-ON. Observations that vowel duration patterns are maintained in subcortical and cerebellar but not left hemisphere damage suggest that cortical control factors play a primary role in relational timing. PMID: 25705101 [PubMed - as supplied by publisher] (Source: Journal of Medical Speech - Language Pathology)
Source: Journal of Medical Speech - Language Pathology - February 13, 2016 Category: Speech Therapy Tags: J Med Speech Lang Pathol Source Type: research

Interarticulatory Coordination of the Lips and Jaw in Childhood Apraxia of Speech.
This study explored whether coordination between the lips and jaw during speech production is impaired in this group. We used two methods to investigate interarticulatory relationships. Cross-correlation analysis directly measures spatial-temporal coupling of articulator movements. The spatiotemporal index (STI; Smith, Goffman, Zelaznik, Ying, & MeGillem, 1995) measures repetition stability and has also been used as an indirect measure of interarticulatory coordination by providing an index of the coordinative consistency of the relationship between articulators within a pair (Smith & Zelaznik, 2004). Three groups ...
Source: Journal of Medical Speech - Language Pathology - February 13, 2016 Category: Speech Therapy Tags: J Med Speech Lang Pathol Source Type: research

Frequency of Apical and Laminal /s/ in Normal and Postglossectomy Patients.
This study examines /s/ type, palate height, and related parameters in 24 control participants and 13 patients with lateral resections using cine-MRI and dental casts. Results of this dataset show that palate height affects choice of /s/ in control participants, but not in patients. Patients tend to use laminal /s/. PMID: 26157329 [PubMed - as supplied by publisher] (Source: Journal of Medical Speech - Language Pathology)
Source: Journal of Medical Speech - Language Pathology - February 13, 2016 Category: Speech Therapy Tags: J Med Speech Lang Pathol Source Type: research

Kinematic Characteristics of Speaking Rate in Individuals with Cerebral Palsy: A Preliminary Study.
Authors: Nip IS Abstract Many individuals with cerebral palsy (CP) have a slower speaking rate compared with their typically developing peers. Previous studies examining age-related changes in speaking rate in typical development suggest that (1) cognitive and linguistic processing increases account for most of these changes, and (2) changes to linguistic task demands affect the articulatory strategies used to produce the target stimuli (e.g., truncating movements for tasks with fewer linguistic demands). The purpose of this study was to determine the relations between linguistic and physiologic factors in...
Source: Journal of Medical Speech - Language Pathology - February 13, 2016 Category: Speech Therapy Tags: J Med Speech Lang Pathol Source Type: research

Severe Idiopathic Dysphagia in an Acute Hospital Setting: Assessment, Management, and Outcome.
Authors: Simning I, Simning A Abstract This case describes the course of a patient who was admitted to an acute care hospital with pneumonia and odynophagia and found to have severe, idiopathic oropharyngeal dysphagia. The assessment, treatment, and outcome are reported alongside suggestions for best practice in the treatment of dysphagia in hospital settings. Timely instrumental assessment, interdisciplinary management, and post-discharge follow-up were needed to provide optimum care and to achieve a positive outcome for this patient with life-threatening dysphagia. PMID: 25705102 [PubMed - as sup...
Source: Journal of Medical Speech - Language Pathology - February 13, 2016 Category: Speech Therapy Tags: J Med Speech Lang Pathol Source Type: research

Effects of Parkinson's Disease on Fundamental Frequency Variability in Running Speech.
Authors: Bowen LK, Hands GL, Pradhan S, Stepp CE Abstract In Parkinson's Disease (PD), qualitative speech changes such as decreased variation in pitch and loudness are common, but quantitative vocal changes are not well documented. The variability of fundamental frequency (F0) in 32 individuals (23 male) with PD both ON and OFF levodopa medication was compared with 32 age-matched healthy controls (23 male). Participants read a single paragraph and estimates of fundamental frequency (F0) variability were determined for the entire reading passage as well as for the first and last sentences of the passage sep...
Source: Journal of Medical Speech - Language Pathology - February 13, 2016 Category: Speech Therapy Tags: J Med Speech Lang Pathol Source Type: research

Effects of Deep Brain Stimulation on Pausing During Spontaneous Speech in Parkinson's Disease.
Authors: Ahn JS, Van Lancker Sidtis D, Sidtis JJ Abstract The present study examined pausing patterns in spontaneous speech as a measure of the effect of deep brain stimulation (DBS) of the subthalamic nucleus (STN) on parkinsonian speech. Pauses reflect various aspects of speech and language processes, including motor initiation and linguistic planning. Relatively little attention has been given to pauses in determining the effect of STN-DBS. An examination of pausing may be helpful to understanding how this form of therapy affects these behaviors. Seven individuals with Parkinson's disease who received s...
Source: Journal of Medical Speech - Language Pathology - February 13, 2016 Category: Speech Therapy Tags: J Med Speech Lang Pathol Source Type: research

Stroboscopic Parameters Reported as Voice Outcome Measures in Patients Treated for Laryngeal Cancer: A Systematic Review.
DISCUSSION: Major methodological differences exist in studies using stroboscopic findings as voice outcome measures in patients' post-cancer treatment. These differences lead to equivocal findings when assessing the utility of stroboscopy as an outcome measure. Standardized, reliable scoring and reporting systems for laryngeal stroboscopic examinations are needed. PMID: 25339842 [PubMed - as supplied by publisher] (Source: Journal of Medical Speech - Language Pathology)
Source: Journal of Medical Speech - Language Pathology - February 13, 2016 Category: Speech Therapy Tags: J Med Speech Lang Pathol Source Type: research

Bilingualism: A Pearl to Overcome Certain Perils of Cochlear Implants.
Authors: Humphries T, Kushalnagar P, Mathur G, Napoli DJ, Padden C, Rathmann C, Smith S Abstract Cochlear implants (CI) have demonstrated success in improving young deaf children's speech and low-level speech awareness across a range of auditory functions, but this success is highly variable, and how this success correlates to high-level language development is even more variable. Prevalence on the success rate of CI as an outcome for language development is difficult to obtain because studies vary widely in methodology and variables of interest, and because not all cochlear implant technology (which conti...
Source: Journal of Medical Speech - Language Pathology - February 13, 2016 Category: Speech Therapy Tags: J Med Speech Lang Pathol Source Type: research