The basic premise central to the diagnosis and treatment of most mechanogenic foot and ankle pathologies is that a given foot will display a characteristic function depending on the biomechanical alignment of the hindfoot and forefoot. However, the effects of foot type on an individual's ability to perform comfortable cadence locomotion have not been scientifically proven. Therefore, this study was conducted on 21 healthy, young subjects (10 subjects with planus foot type and 11 subjects with rectus foot type) to test whether different foot types yield distinguishable foot functions. New methods were developed to quantify biomechanical foot function during posture and comfortable cadence locomotion. The results of the study indicate that individuals with planus and rectus foot types show statistically significant differences in the biomechanical function of the foot.
Foreign accent syndrome (FAS) is a rare disorder characterized by the emergence of a perceived foreign accent following brain damage. The symptomotology, functional bases, and neural substrates of this disorder are still being elucidated. In this case study, acoustic analyses were performed on the speech of a 46-year old monolingual female who presented with FAS of unknown aetiology. The patient had a pseudo-accent frequently described as 'Swedish' or 'Eastern European'. Stop consonant VOT, consonant burst spectra and duration, vowel durations, formant frequencies, and trajectories were analysed, along with prosodic cues for lexical stress assignment and sentence-level intonation. Results indicated VOT values were generally preserved, while there was a strong tendency to realize the English alveolar flap as a full stop, and to produce flaps that had greater-than-normal closure durations. The spectral properties of the patient's vowels resembled those of normal talkers (with the possible exceptions of decreased F1 values for /i/ and slight differences in formant dynamics for /u/, /o/, /i/, and /epsilon/). However, vowel durations were relatively long, contributing to exaggerated tense/lax contrasts. Token-to-token variability in vowel production was slightly higher than normal for duration, but not for formant frequency values. Lexical stress assignment was inaccurate and highly variable (with similar problems noted for non-speech materials), and sentence level intonation showed occasional deviations from typical American English patterns. For this patient, an underlying timing/rhythm difficulty appeared responsible for the range of segmental and suprasegmental changes leading to the impression of a foreign accent.
Individuals with Parkinson's disease (PD) experience difficulties in various motor functions due to decreased amplitude and sensory guidance. Speech production is a motoric behavior, and difficulties with oral communication are often seen in these patients. The communication problems are primarily due to decreased airflow from the lungs, incomplete vocal fold vibration, and an insufficient range of motion and coordination of the speech articulators. Current behavioral management methods for communication difficulties with PD typically address the reduced vocal intensity in "one-on-one" voice therapy sessions. The present study investigated the effects of a set of voice remediation programs for PD that includes individual and group therapy components, namely, the SPEAK OUT!® and LOUD Crowd® programs. Objective measurements of vocal intensity and perceptual measurements of the patients' ratings of the voice were recorded during the pre-and post-voice treatment phases. Statistically significant improvements were identified in both objective and perceptual measurements.
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