Ultrasound visual feedback for acquired apraxia of speech: A case report

Preston, Jonathan L.; Leaman, Marion C.

doi:10.1080/02687038.2013.852901

Cited by 32 publications

(24 citation statements)

References 33 publications

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“…All children demonstrated gains on at least two of their targets, and gains were largely maintained at the 2-month follow-up. These findings are promising, and consistent with application of biofeedback treatments in other populations [46,50–52,96–98]. Much research remains to be done regarding biofeedback treatment for CAS: younger children may not benefit from biofeedback [52] and the use of acoustic spectral biofeedback [52,97] has not yet been explored in this population.…”

Section: Motor-based Treatment Approachesmentioning

confidence: 57%

Motor-Based Intervention Protocols in Treatment of Childhood Apraxia of Speech (CAS)

Maas

Gildersleeve-Neumann

Jakielski

et al. 2014

Curr Dev Disord Rep

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This paper reviews current trends in treatment for childhood apraxia of speech (CAS), with a particular emphasis on motor-based intervention protocols. The paper first briefly discusses how CAS fits into the typology of speech sound disorders, followed by a discussion of the potential relevance of principles derived from the motor learning literature for CAS treatment. Next, different motor-based treatment protocols are reviewed, along with their evidence base. The paper concludes with a summary and discussion of future research needs.

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Section: Motor-based Treatment Approachesmentioning

confidence: 57%

Motor-Based Intervention Protocols in Treatment of Childhood Apraxia of Speech (CAS)

Maas

Gildersleeve-Neumann

Jakielski

et al. 2014

Curr Dev Disord Rep

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“…The ultrasound feedback protocol used was modified from prior work with children with CAS and an adult with acquired apraxia of speech (Preston et al, 2013; Preston & Leaman, 2014). The same certified SLP was responsible for providing treatment to all participants, although a second certified SLP who was highly familiar with the protocol provided treatment on 13% of sessions when the primary clinician was unavailable.…”

Section: Methodsmentioning

confidence: 99%

“…To date, Phase I evidence suggests that ultrasound visual feedback may have beneficial effects for individuals with RSSEs. Ultrasound feedback has been explored with children, adolescents and adults with idiopathic RSSEs (Adler-Bock, Bernhardt, Gick, & Bacsfalvi, 2007; Lipetz & Bernhardt, 2013; Modha, Bernhardt, Church, & Bacsfalvi, 2008; Shawker & Sonies, 1985), speech sound errors secondary to hearing impairment (Bacsfalvi, 2010; Bacsfalvi & Bernhardt, 2011), and speech errors following stroke (Preston & Leaman, 2014). Additionally, recent Phase II evidence of treatment effect in improving articulatory accuracy has been shown with children with speech sound errors associated with Childhood Apraxia of Speech (Preston, Brick, & Landi, 2013).…”

mentioning

confidence: 99%

Ultrasound Visual Feedback Treatment and Practice Variability for Residual Speech Sound Errors

Preston

McCabe

Rivera‐Campos

et al. 2014

J Speech Lang Hear Res

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Purpose The goals were to (1) test the efficacy of a motor-learning based treatment that includes ultrasound visual feedback for individuals with residual speech sound errors, and (2) explore whether the addition of prosodic cueing facilitates speech sound learning. Method A multiple baseline single subject design was used, replicated across 8 participants. For each participant, one sound context was treated with ultrasound plus prosodic cueing for 7 sessions, and another sound context was treated with ultrasound but without prosodic cueing for 7 sessions. Sessions included ultrasound visual feedback as well as non-ultrasound treatment. Word-level probes assessing untreated words were used to evaluate retention and generalization. Results For most participants, increases in accuracy of target sound contexts at the word level were observed with the treatment program regardless of whether prosodic cueing was included. Generalization between onset singletons and clusters was observed, as well as generalization to sentence-level accuracy. There was evidence of retention during post-treatment probes, including at a two-month follow-up. Conclusions A motor-based treatment program that includes ultrasound visual feedback can facilitate learning of speech sounds in individuals with residual speech sound errors.

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“…In the specific context of clinical research on the assessment and treatment of /r/ errors, the use of ultrasound has been reported in several studies for individuals with idiopathic speech sound disorders 2,10,11,13,19 , hearing impairment 20 , childhood apraxia of speech 12,21 , and acquired apraxia of speech following a cerebral vascular accident 22 . Studies have also reported the use of ultrasound to treat errors on other lingual phonemes such as /s k g l ʃ ʧ / 23,24 .…”

Section: Introductionmentioning

confidence: 99%

Ultrasound Images of the Tongue: A Tutorial for Assessment and Remediation of Speech Sound Errors

Preston

Byun

Boyce

et al. 2017

JoVE

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Diagnostic ultrasound imaging has been a common tool in medical practice for several decades. It provides a safe and effective method for imaging structures internal to the body. There has been a recent increase in the use of ultrasound technology to visualize the shape and movements of the tongue during speech, both in typical speakers and in clinical populations. Ultrasound imaging of speech has greatly expanded our understanding of how sounds articulated with the tongue (lingual sounds) are produced. Such information can be particularly valuable for speech-language pathologists. Among other advantages, ultrasound images can be used during speech therapy to provide (1) illustrative models of typical (i.e. "correct") tongue configurations for speech sounds, and (2) a source of insight into the articulatory nature of deviant productions. The images can also be used as an additional source of feedback for clinical populations learning to distinguish their better productions from their incorrect productions, en route to establishing more effective articulatory habits.Ultrasound feedback is increasingly used by scientists and clinicians as both the expertise of the users increases and as the expense of the equipment declines. In this tutorial, procedures are presented for collecting ultrasound images of the tongue in a clinical context. We illustrate these procedures in an extended example featuring one common error sound, American English /r/. Images of correct and distorted /r/ are used to demonstrate (1) how to interpret ultrasound images, (2) how to assess tongue shape during production of speech sounds, (3), how to categorize tongue shape errors, and (4), how to provide visual feedback to elicit a more appropriate and functional tongue shape. We present a sample protocol for using real-time ultrasound images of the tongue for visual feedback to remediate speech sound errors. Additionally, example data are shown to illustrate outcomes with the procedure.

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Ultrasound visual feedback for acquired apraxia of speech: A case report

Cited by 32 publications

References 33 publications

Motor-Based Intervention Protocols in Treatment of Childhood Apraxia of Speech (CAS)

Motor-Based Intervention Protocols in Treatment of Childhood Apraxia of Speech (CAS)

Ultrasound Visual Feedback Treatment and Practice Variability for Residual Speech Sound Errors

Ultrasound Images of the Tongue: A Tutorial for Assessment and Remediation of Speech Sound Errors

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