Volubility, Consonant Emergence, and Syllabic Structure in Infants and Toddlers Later Diagnosed With Childhood Apraxia of Speech, Speech Sound Disorder, and Typical Development: A Retrospective Video Analysis.

Purpose: Studies of infants' early vocalizations have proven helpful in describing the developmental characteristics of various communication disorders. However, few studies have addressed the early vocalizations of infants and toddlers who were later diagnosed, as older children, with childhood apr...

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Publicado en:Journal of Speech, Language & Hearing Research Vol. 62; no. 6; pp. 1657 - 1676
Autores principales: Overby, Megan S., Caspari, Susan S., Schreiber, James
Formato: Artículo
Publicado: American Speech-Language-Hearing Association Jun2019
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2019
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      pub: American Speech-Language-Hearing Association
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        10.1044/2019_JSLHR-S-18-0046
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        atl: Volubility, Consonant Emergence, and Syllabic Structure in Infants and Toddlers Later Diagnosed With Childhood Apraxia of Speech, Speech Sound Disorder, and Typical Development: A Retrospective Video Analysis.
      aug:
        au:
          Overby, Megan S.
          Caspari, Susan S.
          Schreiber, James
        affil:
          Department of Speech-Language Pathology, Duquesne University, Pittsburgh, PA
          Department of Communication Sciences and Disorders, Temple University, Philadelphia, PA
          School of Nursing, Duquesne University, Pittsburgh, PA
      su:
        Children's language
        Retrospective studies
        Analysis of variance
        Language acquisition
        Syllabication
        Speech apraxia
        Speech disorders in children
        Consonants
        Speech evaluation
        Phonological awareness
        Inter-observer reliability
      sug:
        subj:
          Children's language
          Retrospective studies
          Analysis of variance
          Language acquisition
          Syllabication
          Speech apraxia
          Speech disorders in children
          Consonants
          Speech evaluation
          Phonological awareness
          Inter-observer reliability
      ab: Purpose: Studies of infants' early vocalizations have proven helpful in describing the developmental characteristics of various communication disorders. However, few studies have addressed the early vocalizations of infants and toddlers who were later diagnosed, as older children, with childhood apraxia of speech (CAS). We refer to these infants and toddlers as LCAS. Extant studies also often lack a comparison group of infants and toddlers who were later diagnosed, as older children, with a speech sound disorder (SSD). We refer to these infants and toddlers as LSSD. We aimed to compare the volubility, consonant emergence, and syllabic structure from birth to age of 2 years, as observed in home videos, among 3 groups of infants and toddlers: LCAS, LSSD, and typically developing (TD). Method: We assessed the speech-language skills of 17 children (3.5-8.8 years old; 7 with CAS, 5 with SSD, and 5 TD) and transcribed home videos (obtained from parents) of these same children from birth to age of 2 years. Early vocalizations were coded as nonresonant or resonant. Nonresonant vocalizations could not be transcribed with the International Phonetic Alphabet. Resonant (speechlike) vocalizations were broadly transcribed, and resonant consonants were categorized by place, manner, and voicing. Results: Effect size comparisons revealed LCAS infants and toddlers were less voluble, used fewer resonant consonants, had a less diverse phonetic repertoire, and acquired resonant consonants later than either the LSSD or TD participants. For LSSD infants and toddlers, means for these dependent variables were lower than the means demonstrated by the TD group, but effect size were not strong due to LSSD variability. Conclusions: Findings imply there might be clinical "red flags" that could assist the identification of infants and toddlers at risk for later diagnosis of CAS. Data did not support red flags for identifying infants and toddlers at risk for later diagnosis of SSD. Because of significant study limitations, results obtained should be considered preliminary.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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