An evaluation of the effectiveness of PROMPT therapy in improving speech production accuracy in six children with cerebral palsy.

This study evaluates perceptual changes in speech production accuracy in six children (3-11 years) with moderate-to-severe speech impairment associated with cerebral palsy before, during, and after participation in a motor-speech intervention program (Prompts for Restructuring Oral Muscular Phonetic...

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Publicado en:International Journal of Speech-Language Pathology Vol. 16; no. 4; pp. 355 - 372
Autores principales: Ward, Roslyn, Leitão, Suze, Strauss, Geoff
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Aug2014
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Aug2014
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        atl: An evaluation of the effectiveness of PROMPT therapy in improving speech production accuracy in six children with cerebral palsy.
      aug:
        au:
          Ward, Roslyn
          Leitão, Suze
          Strauss, Geoff
        affil: Curtin University, Perth, Australia
      sug:
        subj:
          Treatment Outcomes
          Speech Therapy Classification
          Speech Intelligibility Evaluation
          Cerebral Palsy In Infancy and Childhood
          Phonation
          Human
          Funding Source
          Child
          Repeated Measures
          Prospective Studies
          Speech Sample
          Statistical Significance
          Systems Theory
          Sensory Motor Integration
          Descriptive Statistics
          Male
          Female
          Videorecording
          Interrater Reliability
          Child: 6-12 years
          Male
          Female
      ab: This study evaluates perceptual changes in speech production accuracy in six children (3-11 years) with moderate-to-severe speech impairment associated with cerebral palsy before, during, and after participation in a motor-speech intervention program (Prompts for Restructuring Oral Muscular Phonetic Targets). An A1BCA2 single subject research design was implemented. Subsequent to the baseline phase (phase A1), phase B targeted each participant's first intervention priority on the PROMPT motor-speech hierarchy. Phase C then targeted one level higher. Weekly speech probes were administered, containing trained and untrained words at the two levels of intervention, plus an additional level that served as a control goal. The speech probes were analysed for motor-speech-movement-parameters and perceptual accuracy. Analysis of the speech probe data showed all participants recorded a statistically significant change. Between phases A1-B and B-C 6/6 and 4/6 participants, respectively, recorded a statistically significant increase in performance level on the motor speech movement patterns targeted during the training of that intervention. The preliminary data presented in this study make a contribution to providing evidence that supports the use of a treatment approach aligned with dynamic systems theory to improve the motor-speech movement patterns and speech production accuracy in children with cerebral palsy.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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