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A Perceptual Learning Approach for Dysarthria Remediation: An Updated Review
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In: J Speech Lang Hear Res (2021)
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Abstract:
PURPOSE: Early studies of perceptual learning of dysarthric speech, those summarized in Borrie, McAuliffe, and Liss (2012), yielded preliminary evidence that listeners could learn to better understand the speech of a person with dysarthria, revealing a potentially promising avenue for future intelligibility interventions. Since then, a programmatic body of research grounded in models of perceptual processing has unfolded. The current review provides an updated account of the state of the evidence in this area and offers direction for moving this work toward clinical implementation. METHOD: The studies that have investigated perceptual learning of dysarthric speech (N = 24) are summarized and synthesized first according to the proposed learning source and then by highlighting the parameters that appear to mediate learning, culminating with additional learning outcomes. RESULTS: The recent literature has established strong empirical evidence of intelligibility improvements following familiarization with dysarthric speech and a theoretical account of the mechanisms that facilitate improved processing of the neurologically degraded acoustic signal. CONCLUSIONS: There are no existing intelligibility interventions for individuals with dysarthria who cannot behaviorally modify their speech. However, there is now robust support for the development of an approach that shifts the weight of behavioral change from speaker to listener, exploiting perceptual learning to ease the intelligibility burden of dysarthria. To move this work from bench to bedside, recommendations for translational studies that establish best practices and candidacy for listener-targeted dysarthria remediation, perceptual training, are provided.
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Keyword:
Speech
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URL: http://www.ncbi.nlm.nih.gov/pubmed/34289312
https://doi.org/10.1044/2021_JSLHR-21-00012
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8740677/
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| 2 |
Healthy Communication Partners Modify Their Speech When Conversing With Individuals With Parkinson's Disease
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In: J Speech Lang Hear Res (2021)
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| 3 |
A Clinical Advantage: Experience Informs Recognition and Adaptation to a Novel Talker With Dysarthria
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In: J Speech Lang Hear Res (2021)
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| 4 |
Generalized Learning of Dysarthric Speech Between Male and Female Talkers
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In: Speech and Language Pathology Faculty publications (2021)
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| 5 |
A Clinical Advantage: Experience Informs Recognition and Adaptation to a Novel Talker With Dysarthria
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In: Speech and Language Pathology Faculty publications (2021)
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| 6 |
Conversational Coordination of Articulation Responds to Context: A Clinical Test Case With Traumatic Brain Injury
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In: J Speech Lang Hear Res (2020)
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| 7 |
Syncing Up for a Good Conversation: A Clinically Meaningful Methodology for Capturing Conversational Entrainment in the Speech Domain
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| 8 |
Autoscore: An open-source automated tool for scoring listener perception of speech
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| 9 |
Going With the Flow: An Examination of Entrainment in Typically Developing Children
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| 10 |
Sync Pending: Characterizing Conversational Entrainment in Dysarthria Using a Multidimensional, Clinically Informed Approach
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In: J Speech Lang Hear Res (2019)
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| 11 |
Syncing Up for a Good Conversation: A Clinically Meaningful Methodology for Capturing Conversational Entrainment in the Speech Domain
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In: Communicative Disorders and Deaf Education Faculty Publications (2019)
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| 12 |
Autoscore: An Open-Source Automated Tool for Scoring Listener Perception of Speech
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In: Psychology Faculty Publications (2019)
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| 13 |
Syncing up for a good conversation: Objective acoustic-prosodic measures and expert clinical assessment of conversational entrainment ...
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| 14 |
Speech Rate Entrainment in Children and Adults With and Without Autism Spectrum Disorder
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In: Communicative Disorders and Deaf Education Faculty Publications (2018)
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| 15 |
Are There Sex Effects for Speech Intelligibility in American English? Examining the Influence of Talker, Listener, and Methodology
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In: Communicative Disorders and Deaf Education Faculty Publications (2018)
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| 16 |
Syncing up for a good conversation: A clinically-meaningful methodology for capturing conversational entrainment in the speech domain ...
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| 17 |
Conversational Alignment: A Study of Neural Coherence and Speech Entrainment ...
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| 18 |
Conversational Alignment: A Study of Neural Coherence and Speech Entrainment
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In: All Graduate Plan B and other Reports (2016)
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| 19 |
Disordered speech disrupts conversational entrainment: a study of acoustic-prosodic entrainment and communicative success in populations with communication challenges
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In: Communicative Disorders and Deaf Education Faculty Publications (2015)
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| 20 |
The role of linguistic and indexical information in improved recognition of dysarthric speech
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