Effects of Rate Manipulation on Intelligibility in Children With Cerebral Palsy.
Effects of Rate Manipulation on Intelligibility in Children With Cerebral Palsy.
复制标题
速率控制对脑瘫儿童清晰度的影响。
DOI:
10.1044/2019_ajslp-19-0047
复制
发表时间:
2020
影响因子:
2.6
通讯作者:
Hustad,KatherineC
中科院分区:
文献类型:
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作者:
Sakash,Ashley;Mahr,TristanJ;Natzke,PhoebeEM;Hustad,KatherineC
PurposeWe evaluated the effects of a speech supplementation strategy to reduce rate and improve intelligibility in children with cerebral palsy.MethodTwenty-five children with cerebral palsy (Mage= 12.08 years) completed a structured speaking task in 2 speech conditions: habitual speech and slow speech. Fifteen children had mild intelligibility deficits; 10 had moderate–severe intelligibility deficits. In each condition, children repeated utterances of 2–7 words in length. In the habitual speech condition, children used their natural and unaltered speaking rate. In the slow speech condition, children were cued to insert pauses between words. Intelligibility ratings were obtained from orthographic transcriptions by unfamiliar adult listeners (n= 100). Speech rate, in words per minute, was measured for each utterance.ResultsAll children, regardless of severity group, were able to reduce their rate of speech when implementing the slow speech strategy. Only children in the moderate–severe group showed an improvement in intelligibility when implementing the slow speech strategy. Although there was considerable individual variability, there was a greater improvement in intelligibility for longer utterances compared to shorter ones.ConclusionA slow speech strategy may be beneficial for children with moderate–severe intelligibility deficits who speak in longer utterances. Future studies should seek to further examine the clinical feasibility of slow speech for children with reduced intelligibility.