Speech rehabilitation in post-stroke aphasia using visual illustration of speech articulators: A case report study.

Recent studies on the remediation of speech disorders suggest that providing visual information of speech articulators may contribute to improve speech production. In this study, we evaluate the effectiveness of an illustration-based rehabilitation method on speech recovery of a patient with non-flu...

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Publicado en:Clinical Linguistics & Phonetics Vol. 35; no. 3; pp. 253 - 277
Autores principales: Haldin, Célise, Loevenbruck, Hélène, Hueber, Thomas, Marcon, Valérie, Piscicelli, Céline, Perrier, Pascal, Chrispin, Anne, Pérennou, Dominic, Baciu, Monica
Formato: case study diagnostic images research tables/charts Journal Article
Publicado: Taylor & Francis Ltd 2021
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Speech rehabilitation in post-stroke aphasia using visual illustration of speech articulators: A case report study.
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          Haldin, Célise
          Loevenbruck, Hélène
          Hueber, Thomas
          Marcon, Valérie
          Piscicelli, Céline
          Perrier, Pascal
          Chrispin, Anne
          Pérennou, Dominic
          Baciu, Monica
        affil: Laboratoire De Psychologie Et Neurocognition, UMR CNRS 5105, Université Grenoble Alpes, Grenoble, France
      sug:
        subj:
          Stroke
          Aphasia
          Rehabilitation, Speech and Language
          Recovery
          Chronic Disease
          Speech Production Measurement
          Human
          Male
          Adult
          Software
          Neuropsychological Tests
          Speech and Language Assessment
          Acoustics
          Descriptive Statistics
          Logistic Regression
          Language Processing
          Clinical Assessment Tools
          Adult: 19-44 years
          Male
      ab: Recent studies on the remediation of speech disorders suggest that providing visual information of speech articulators may contribute to improve speech production. In this study, we evaluate the effectiveness of an illustration-based rehabilitation method on speech recovery of a patient with non-fluent chronic aphasia. The Ultraspeech-player software allowed visualization by the patient of reference tongue and lip movements recorded using ultrasound and video imaging. This method can improve the patient's awareness of their own lingual and labial movements, which can increase the ability to coordinate and combine articulatory gestures. The effects of this method were assessed by analyzing performance during speech tasks, the phonological processes identified in the errors made during the phoneme repetition task and the acoustic parameters derived from the speech signal. We also evaluated cognitive performance before and after rehabilitation. The integrity of visuospatial ability, short-term and working memory and some executive functions supports the effectiveness of the rehabilitation method. Our results showed that illustration-based rehabilitation technique had a beneficial effect on the patient's speech production, especially for stop and fricative consonants which are targeted (high visibility of speech articulator configurations) by the software, but also on reading abilities. Acoustic parameters indicated an improvement in the distinction between consonant categories: voiced and voiceless stops or alveolar, post-alveolar and labiodental fricatives. However, the patient showed little improvement for vowels. These results confirmed the advantage of using illustration-based rehabilitation technique and the necessity of detailed subjective and objective intra-speaker evaluation in speech production to fully evaluate speech abilities.
      pubtype: Academic Journal
      doctype:
        case study
        diagnostic images
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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