Distinctiveness among neighboring vowels is more important in determining vowel intelligibility than vowel space area. Acoustic comparison of confused vowels may be more useful in studying intelligibility of normal and disordered speech than in measuring vowel space area.

By comparing loud and amplified scores, about one third to one half of intelligibility improvement with loud speech could be attributed to increases in audibility or signal-to-noise ratio. Thus, factors other than increased intensity must be partly responsible for the loud speech benefit. Changes in articulation appear to play a relatively small role: Initial/h/was the only consonant to consistently show improvement with loud speech. Phonatory changes such as improvements in F(0) and spectral tilt may account for improved speech intelligibility using loud speech techniques.

A sour bolus has been used as a modality in the treatment of oropharyngeal dysphagia based on the hypothesis that this stimulus provides an effective preswallow sensory input that lowers the threshold required to trigger a pharyngeal swallow. The result is a more immediate swallow onset time. Additionally, the sour bolus may invigorate the oral muscles resulting in stronger contractions during the swallow. The purpose of this investigation was to compare the intramuscular electromyographic activity of the mylohyoid, geniohyoid, and anterior belly of the digastric muscles during sour and water boluses with regard to duration, strength, and timing of muscle activation. Muscle duration, swallow onset time, and pattern of muscle activation did not differ for the two bolus types. Muscle activation time was more tightly approximated across the onsets of the three muscles when a sour bolus was used. A sour bolus also resulted in a stronger muscle contraction as evidenced by greater electromyographic activity. These data support the use of a sour bolus as part of a treatment paradigm.

Maximum tongue pressure, the pressure used to produce /t/, the proportion of maximum pressure used to produce /t/, and tongue endurance were poor predictors of diadochokinetic rates and articulation rate in reading for healthy speakers. Discussion Focus must remain on factors beyond strength, such as movement precision and coordination, to improve researchers' understanding of normal and disordered speech production in adults.

This investigation provides further insight into the swallow function of patients with myopathic disease. Muscle fiber loss leads to weakness, which results in reductions in swallow function and quality of life. Weight and endurance are not greatly altered.