Speech Treatment Effects on Narrative Intelligibility in French-Speaking Children With Dysarthria.

Speech Treatment Effects on Narrative Intelligibility in French-Speaking Children With Dysarthria.
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言语治疗对患有构音障碍的法语儿童叙事清晰度的影响。

DOI:
10.1044/2020_jslhr-20-00258
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发表时间:
2021
期刊:
Journal of speech, language, and hearing research : JSLHR
影响因子:
--
通讯作者:
Erika S. Levy
Erika S. Levy
中科院分区:
--
文献类型:
--
作者:
Gemma Moya;Bryan Keller;Sergio Escorial;Erika S. Levy

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目的本研究旨在探讨言语清晰度治疗(SIT)对脑瘫所致构音障碍法语儿童叙述性言语清晰度和自然度的影响。方法将10名患有构音障碍的法语儿童随机分为两组,SIT或手臂双手强化治疗(包括下肢),一种物理治疗(PT)。两种治疗均在营地环境中进行,剂量相当。这些儿童在治疗前和治疗后被记录下来,并产生一个故事。通过60名盲听者的正字法转录准确率(正确转录单词的百分比)来测量可懂度。听众们还对孩子们的自然程度进行了视觉模拟评分。结果SIT组的可懂度在治疗前后有显著提高,而PT组则无显著提高,且个体差异较大。SIT组和PT组治疗后的自然度评分和声压级均无显著变化。两个治疗组的清晰度均增加,但治疗间无差异。结论从这第一个治疗研究的法语儿童构音障碍的可理解性的结果表明,SIT显示在这个人群中增加叙事的可理解性的承诺。提高可懂度的声学贡献者仍有待进一步探索。补充材料https://doi.org/10.23641/asha.14161943。
Purpose This study examined the effects of Speech Intelligibility Treatment (SIT) on intelligibility and naturalness of narrative speech produced by francophone children with dysarthria due to cerebral palsy. Method Ten francophone children with dysarthria were randomized to one of two treatments, SIT or Hand-Arm Bimanual Intensive Therapy Including Lower Extremities, a physical therapy (PT) treatment. Both treatments were conducted in a camp setting and were comparable in dosage. The children were recorded pre- and posttreatment producing a story narrative. Intelligibility was measured by means of 60 blinded listeners' orthographic transcription accuracy (percentage of words transcribed correctly). The listeners also rated the children's naturalness on a visual analogue scale. Results A significant pre- to posttreatment increase in intelligibility was found for the SIT group, but not for the PT group, with great individual variability observed among the children. No significant changes were found for naturalness ratings or sound pressure level in the SIT group or the PT group posttreatment. Articulation rate increased in both treatment groups, although not differentially across treatments. Conclusions Findings from this first treatment study on intelligibility in francophone children with dysarthria suggest that SIT shows promise for increasing narrative intelligibility in this population. Acoustic contributors to the increased intelligibility remain to be explored further. Supplemental Material https://doi.org/10.23641/asha.14161943.
DOI: 10.1044/jshr.3805.1001
发表时间: 1995-10-01
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