Issues in perceptual speech analysis in cleft palate and related disorders: a review
Issues in perceptual speech analysis in cleft palate and related disorders: a review
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DOI：
10.1080/13682820400016522
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发表时间：
2005-04-01
影响因子：
2.4
通讯作者：
Sell, D
中科院分区：
文献类型：
--
作者：
Sell, D
背景：感知言语评估对于评估与腭裂和腭咽功能障碍相关的言语结果至关重要。然而，这个过程的复杂性有时可能被低估。目的：将感知语音评估和分析的复杂过程中的许多不同部分整合在一起，并为实践提出建议。主要贡献：这篇综述研究了数据采样、数据收集/记录、归档、外行和专业听众的优点和缺点、数据分析方法、可靠性和数据解释等问题。结论：认为需要根据详细的语音分析来有意义地捕获语音。还描述了临床、审计和研究活动中言语测量的一些差异。建议由专业治疗师对言语数据进行盲目独立分析作为报告审计和研究结果时的黄金标准方法。提倡对专业治疗师进行持续的听力技能培训。还说明了仅基于损伤的测量方法的局限性，表明需要开发包含更多影响生活质量的功能问题的结果测量。
Background: Perceptual speech assessment is central to the evaluation of speech outcomes associated with cleft palate and velopharyngeal dysfunction. However, the complexity of this process is perhaps sometimes underestimated.Aims: To draw together the many different strands in the complex process of perceptual speech assessment and analysis, and make recommendations for practice.Main Contribution: This review examines issues such as data sampling, data collection/recording, archiving, the advantages and disadvantages of lay and specialist listeners, approaches to data analysis, reliability, and data interpretation.Conclusions: The need to capture meaningfully the sound of speech based on detailed phonetic analysis is argued. Also described are some of the differences in measuring speech for clinical, audit and research activities. Blind independent analysis of speech data by specialist therapists is recommended as the gold standard methodological approach when reporting audit and research outcomes. The requirement for ongoing training in listening skills for specialist therapists is advocated. The limitations of an impairment-based-only approach to measurement are also illustrated, indicating the need to develop outcome measures that incorporate more functional issues that affect quality of life.