The relationship between articulatory control and improved phonemic accuracy in childhood apraxia of speech: a longitudinal case study.

Jaw movement patterns were examined longitudinally in a 3-year-old male with childhood apraxia of speech (CAS) and compared with a typically developing control group. The child with CAS was followed for 8 months, until he began accurately and consistently producing the bilabial phonemes /p/, /b/, an...

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Published in:Clinical Linguistics & Phonetics Vol. 24; no. 1; pp. 17 - 41
Main Authors: Grigos MI, Kolenda N
Format: case study research tables/charts tracings Journal Article
Published: Taylor & Francis Ltd Jan2010
Online Access:View this record in EBSCOhost
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        atl: The relationship between articulatory control and improved phonemic accuracy in childhood apraxia of speech: a longitudinal case study.
      aug:
        au:
          Grigos MI
          Kolenda N
        affil: Department of Communicative Sciences and Disorders, New York University, 665 Broadway, 9th floor, New York, NY 10012, USA; maria.grigos@nyu.edu
      sug:
        subj:
          Apraxia of Speech (Developmental)
          Articulation Disorders
          Phonetics
          Case Studies
          Child, Preschool
          Comparative Studies
          Confidence Intervals
          Consonants
          Control Group
          Funding Source
          Human
          Interrater Reliability
          Jaw
          Kinematics
          Language Tests
          Male
          Monitoring, Physiologic
          Paired T-Tests
          Pearson's Correlation Coefficient
          Prospective Studies
          Scales
          Speech Articulation Tests
          Speech Sample
          Vowels
          Child, Preschool: 2-5 years
          Male
      ab: Jaw movement patterns were examined longitudinally in a 3-year-old male with childhood apraxia of speech (CAS) and compared with a typically developing control group. The child with CAS was followed for 8 months, until he began accurately and consistently producing the bilabial phonemes /p/, /b/, and /m/. A movement tracking system was used to study jaw duration, displacement, velocity, and stability. A transcription analysis determined the percentage of phoneme errors and consistency. Results showed phoneme-specific changes which included increases in jaw velocity and stability over time, as well as decreases in duration. Kinematic parameters became more similar to patterns seen in the controls during final sessions where tokens were produced most accurately and consistently. Closing velocity and stability, however, were the only measures to fall within a 95% confidence interval established for the controls across all three target phonemes. These findings suggest that motor processes may differ between children with CAS and their typically developing peers.
      pubtype: Academic Journal
      doctype:
        case study
        research
        tables/charts
        tracings
        Journal Article
      ougenre: Article
    language: English
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