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Speech Treatment Effects on Narrative Intelligibility in French-Speaking Children with Dysarthria.
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Effects of Speech Cues on Acoustics and Intelligibility of Korean-speaking Children with Dysarthria
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Perceptual and acoustic effects of dual-focus speech treatment in children with dysarthria
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Abstract:
Purpose: Children with dysarthria secondary to cerebral palsy (CP) may experience reduced speech intelligibility and diminished communicative participation. However, minimal research has been conducted examining the outcomes of behavioral speech treatments in this population. This study examined the effect of Speech Intelligibility Treatment (SIT), a dual-focus speech treatment targeting increased articulatory excursion and vocal intensity, on intelligibility of narrative speech, speech acoustics, and communicative participation in children with dysarthria. Method: American-English speaking children with dysarthria (n = 17) received SIT in a three-week summer camp-like setting at Columbia University. SIT follows motor-learning principles to train the child-friendly, dual-focus strategy, “Speak with your big mouth and strong voice.” Children produced a story narrative at baseline (BASE), immediate post-treatment (POST), and at 6-week follow-up (FUP). Outcomes were examined via blinded listener ratings of ease of understanding (n = 108 adult listeners), acoustic analyses, and questionnaires focused on communicative participation. Results: SIT resulted in significant increases in ease of understanding at POST, that were maintained at FUP. There were no significant changes to vocal intensity, speech rate, or vowel spectral characteristics, with the exception of an increase in second formant difference between vowels following SIT. Significantly enhanced communicative participation was evident at POST and FUP. Considerable variability in response to SIT was observed between children. Conclusion: Dual-focus treatment shows promise for improving intelligibility and communicative participation in children with dysarthria, although responses to treatment vary considerably across children. Possible mechanisms underlying the intelligibility gains, enhanced communicative participation, and variability in treatment effects are discussed.
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Keyword:
Articulation disorders in children; Articulation disorders in children--Treatment; Cerebral palsy; Speech therapy
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URL: https://doi.org/10.7916/d8-hx80-0y20
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Speech Treatment Effects on Narrative Intelligibility in French-Speaking Children with Dysarthria. ...
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Effects of Speech Cues on Acoustics and Intelligibility of Korean-speaking Children with Dysarthria ...
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Perceptual and acoustic effects of dual-focus speech treatment in children with dysarthria ...
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Neurodevelopmental outcomes among extremely premature infants with linear growth restriction.
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Utility of the Intelligibility in Context Scale for Predicting Speech Intelligibility of Children with Cerebral Palsy
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In: Brain Sciences ; Volume 11 ; Issue 11 (2021)
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Consonantal Landmarks as Predictors of Dysarthria among English-Speaking Adults with Cerebral Palsy
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In: Brain Sciences ; Volume 11 ; Issue 12 (2021)
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Prosody in Children with Atypical Development
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In: Communication Disorders Faculty Publications (2021)
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Driving Forces: Mobility and Environmental Language in Children with Cerebral Palsy
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Targeted Physical Therapy Combined with Spasticity Management Changes Motor Development Trajectory for a 2- Year-Old with Cerebral Palsy
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In: Faculty Publications from Nebraska Center for Research on Children, Youth, Families, and Schools (2021)
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Avaliação do impacto do uso de jogos digitais sérios na promoção de competências comunicativas na paralisia cerebral
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Effects of speech cues in French-speaking children with dysarthria ...
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Neurodevelopmental outcomes among extremely premature infants with linear growth restriction.
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In: Journal of perinatology : official journal of the California Perinatal Association, vol 39, iss 2 (2019)
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Integração dos sistemas aumentativos e alternativos nafamília de crianças com paralisia cerebral
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Physical, occupational, and speech therapy for children with cerebral palsy.
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In: Physical Therapy Publications (2019)
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Beyond the motor impairment in dyskinetic cerebral palsy: neuropsychological and connectome-based approach
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In: TDX (Tesis Doctorals en Xarxa) (2018)
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The Effects of Changes in Vocal Loudness on Measures of Speech Physiology in Children with Cerebral Palsy and Typically Developing Children
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