Relationship between speech motor control and speech intelligibility in children with speech sound disorders

Namasivayam, Aravind Kumar; Pukonen, Margit; Goshulak, Debra; Yu, Vickie Y.; Kadis, Darren S.; Kroll, Robert M.; Pang, Elizabeth W.; Nil, Luc F. De

doi:10.1016/j.jcomdis.2013.02.003

Cited by 60 publications

(75 citation statements)

References 22 publications

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“…Instrumental measurement has been shown to provide more valid and reliable description of the characteristics of speech, particularly for children whose speech sound disorder involves organic impairment (cleft palate, childhood apraxia of speech, and dysarthria) and those with voice and fluency disorders. Subtle motor control impairments can co-occur with phonological delays and disorders, making differential diagnosis difficult [20].…”

Section: Describing Speech Sound Disordermentioning

confidence: 99%

“…The conclusion that the authors reached was that 'a primary production deficit can cause decreased perceptual ability' [21, p. 259]. The production errors of some children reflect speech motor control deficits (e.g., childhood apraxia of speech, different types of dysarthria), although the relationship between motor control, speech articulation, and intelligibility is complex [20]. For example, performance on a standard test was not significantly correlated with speech motor control measures in a group of children with severe speech impairment and poor sequencing on a Verbal Motor Production Assessment for Children subtest [20].…”

Section: Associated Abilitiesmentioning

confidence: 99%

“…The production errors of some children reflect speech motor control deficits (e.g., childhood apraxia of speech, different types of dysarthria), although the relationship between motor control, speech articulation, and intelligibility is complex [20]. For example, performance on a standard test was not significantly correlated with speech motor control measures in a group of children with severe speech impairment and poor sequencing on a Verbal Motor Production Assessment for Children subtest [20]. As such, current research casts doubt on input and output deficits as a general explanation for SSD, although impaired perceptual and motor control impairments can cause speech difficulties in some cases.…”

Section: Associated Abilitiesmentioning

confidence: 99%

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Differential Diagnosis of Pediatric Speech Sound Disorder

Dodd

2014

Curr Dev Disord Rep

143

123

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Theoretical accounts and clinical management of pediatric speech sound disorders (SSD) are limited by previous research. Participants' speech difficulties have been inadequately described, reflecting the lack of clarity in existing diagnostic guidelines. Performance measures have primarily focused on the articulation of consonants in single words rather than phonological competence and the cognitivelinguistic abilities underlying speech development. Evidence-based practice reviews conflate studies of heterogeneous speech-disordered populations who received widely differing amounts of therapy using different intervention approaches. More recently, however, researchers have begun to explore assessment measures that allow differential diagnosis of subgroups of SSD in terms of qualitative analyses of speech errors and underlying cognitive linguistic abilities. These measures have allowed long-term follow-up to better predict which children will have future literacy difficulties and to identify specific underlying deficits that inform intervention.

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Section: Describing Speech Sound Disordermentioning

confidence: 99%

Section: Associated Abilitiesmentioning

confidence: 99%

Section: Associated Abilitiesmentioning

confidence: 99%

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Differential Diagnosis of Pediatric Speech Sound Disorder

Dodd

2014

Curr Dev Disord Rep

143

123

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“…Speech sound disorders derive from a variety of etiologies and result in impairment at different levels of speech production, such as the linguistic-phonological level, where omissions and substitutions (phonological disorder) are observed (1) , and/or the motor level, in which difficulties in the planning and execution of motor speech are found (childhood apraxia of speech) (2,3) . One of the many challenges for speech-language pathologists in the differential diagnosis of these deficits is to determine to what degree motor impairment affects children with these disorders (2,3) .…”

Section: Introductionmentioning

confidence: 99%

“…One of the many challenges for speech-language pathologists in the differential diagnosis of these deficits is to determine to what degree motor impairment affects children with these disorders (2,3) . Some characteristics are frequently found in speech sound disorders, such as slow development, reduced phonetic and phonemic inventories, multiple errors in sound utterance, decreased percentage of correct consonants, and speech unintelligibility (4) .…”

Section: Introductionmentioning

confidence: 99%

Desempenho de crianças com distúrbios dos sons da fala no instrumento "Avaliação dinâmica das habilidades motoras da fala"

Keske‐Soares

Uberti

Gubiani

et al. 2018

CoDAS

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RESUMO Objetivo Comparar o desempenho das crianças com aquisição de fala típica, desvio fonológico e com apraxia de fala na infância nas variáveis precisão de produção e consistência do instrumento “Avaliação dinâmica das habilidades motoras da fala” (DEMSS-BR). Método A amostra foi constituída por 18 crianças com idades entre 4 anos e 6 meses a 5 anos e 8 meses, de ambos os gêneros, divididas em três grupos: seis com aquisição típica de fala, seis com desvio fonológico e seis com apraxia de fala na infância. Todas foram avaliadas por meio do instrumento DEMSS-BR, e o desempenho foi observado a partir da análise das variáveis de precisão da produção e consistência da fala. Para comparação do desempenho entre grupos utilizou-se o teste U de Mann-Whitney. Resultados O grupo com apraxia de fala na infância apresentou desempenho inferior nas variáveis de precisão da produção e consistência da fala quando comparado aos demais grupos. Conclusão O grupo com apraxia de fala na infância apresentou pior desempenho no DEMSS-BR quando comparado aos de crianças típicas e com desvio fonológico. Desta forma, foi possível constatar que o DEMSS-BR auxilia no diagnóstico diferencial de crianças com distúrbios dos sons da fala.

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Interventions for childhood apraxia of speech

Morgan

Murray

Liégeois

2018

Cochrane Database of Systematic Reviews

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Background Childhood apraxia of speech (CAS) affects a child's ability to produce sounds and syllables precisely and consistently, and to produce words and sentences with accuracy and correct speech rhythm. It is a rare condition, affecting only 0.1% of the general population. Consensus has been reached that three core features have diagnostic validity: (1) inconsistent error production on both consonants and vowels across repeated productions of syllables or words; (2) lengthened and impaired coarticulatory transitions between sounds and syllables; and (3) inappropriate prosody (ASHA 2007). A deficit in motor programming or planning is thought to underlie the condition. This means that children know what they would like to say but there is a breakdown in the ability to programme or plan the fine and rapid movements required to accurately produce speech. Children with CAS may also have impairments in one or more of the following areas: non-speech oral motor function, dysarthria, language, phonological production impairment, phonemic awareness or metalinguistic skills and literacy, or combinations of these. High-quality evidence from randomised controlled trials (RCTs) is lacking on interventions for CAS. Objectives To assess the efficacy of interventions targeting speech and language in children and adolescents with CAS as delivered by speech and language pathologists/therapists. Search methods We searched CENTRAL, MEDLINE, Embase, eight other databases and seven trial registers up to April 2017. We searched the reference lists of included reports and requested information on unpublished trials from authors of published studies and other experts as well as information groups in the areas of speech and language therapy/pathology and linguistics. Selection criteria RCTs and quasi-RCTs of children aged 3 to 16 years with CAS diagnosed by a speech and language pathologist/therapist, grouped by treatment types. Data collection and analysis Two review authors (FL, AM) independently assessed titles and abstracts identified from the searches and obtained full-text reports of all potentially relevant articles and assessed these for eligibility. The same two authors extracted data and conducted the 'Risk of bias' and GRADE assessments. One review author (EM) tabulated findings from excluded observational studies (Table 1). 1 Interventions for childhood apraxia of speech (Review)

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Relationship between speech motor control and speech intelligibility in children with speech sound disorders

Cited by 60 publications

References 22 publications

Differential Diagnosis of Pediatric Speech Sound Disorder

Differential Diagnosis of Pediatric Speech Sound Disorder

Desempenho de crianças com distúrbios dos sons da fala no instrumento "Avaliação dinâmica das habilidades motoras da fala"

Interventions for childhood apraxia of speech

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