Speech and Music Therapy in the Treatment of Childhood Apraxia of Speech: An Introduction and a Case Study.

Purpose: Speech-Music Therapy for Aphasia (SMTA), a method that combines speech therapy and music therapy, is introduced as a treatment method for childhood apraxia of speech (CAS). SMTA will be evaluated in a proof-of-principle study. The first case study is presented herein. Method: SMTA was evalu...

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Publicado en:Journal of Speech, Language & Hearing Research Vol. 67; pp. 3269 - 3288
Autores principales: van Tellingen, Mirjam, Hurkmans, Joost, Terband, Hayo, van de Zande, Anne Marie, Maassen, Ben, Jonkers, Roel
Formato: Artículo
Publicado: American Speech-Language-Hearing Association 2024 Supplement
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2024 Supplement
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      pub: American Speech-Language-Hearing Association
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        10.1044/2023_JSLHR-22-00619
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        atl: Speech and Music Therapy in the Treatment of Childhood Apraxia of Speech: An Introduction and a Case Study.
      aug:
        au:
          van Tellingen, Mirjam
          Hurkmans, Joost
          Terband, Hayo
          van de Zande, Anne Marie
          Maassen, Ben
          Jonkers, Roel
        affil:
          Rehabilitation Centre "Revalidatie Friesland," Beetsterzwaag, the Netherlands
          University of Groningen, the Netherlands
          University of Iowa, Iowa City
          Rehabilitation Centre "Rijndam Revalidatie," Rotterdam, the Netherlands
      su:
        Task performance
        Communication
        Vocabulary
        Phonetics
        Vowels
        Medical protocols
        Music therapy
        Consonants
        Treatment effectiveness
        Intelligibility of speech
        Descriptive statistics
        Experimental design
        Pre-tests & post-tests
        Rehabilitation centers
        Physiological aspects of speech
        Speech evaluation
        Quality assurance
        Speech apraxia
        Speech therapy
      sug:
        subj:
          Task performance
          Communication
          Vocabulary
          Phonetics
          Other Individual and Family Services
          Psychiatric and Substance Abuse Hospitals
          Residential Mental Health and Substance Abuse Facilities
          Vowels
          Medical protocols
          Music therapy
          Consonants
          Treatment effectiveness
          Intelligibility of speech
          Descriptive statistics
          Experimental design
          Pre-tests & post-tests
          Rehabilitation centers
          Physiological aspects of speech
          Speech evaluation
          Quality assurance
          Speech apraxia
          Speech therapy
      ab: Purpose: Speech-Music Therapy for Aphasia (SMTA), a method that combines speech therapy and music therapy, is introduced as a treatment method for childhood apraxia of speech (CAS). SMTA will be evaluated in a proof-of-principle study. The first case study is presented herein. Method: SMTA was evaluated in a study with a single-subject experimental design comparing 10 weeks of treatment with 2 months of no treatment. The research protocol included a pretest, baseline phase, treatment phase, posttest, no-treatment phase, and follow-up test. The participant was a boy with CAS aged 5;8 (years;months). Outcome measures were selected to reflect both intelligibility in daily communication as well as features of CAS and speech motor planning and programming. Results: Results on the Intelligibility in Context Scale-Dutch (ICS-Dutch) and in the analysis of a spontaneous speech sample suggest generalization of treatment effects. Improvements were found in measures that reflect complex speech motor skills, that is, the production of consonant clusters and consistency. Conclusions: This case study showed that speech production of the participant improved after treatment with SMTA. Although intelligibility as measured with the ICS-Dutch improved over the study period, objectifying changes at the level of intelligibility in daily communication proved to be difficult. Additional measures may be necessary to gain more insight into treatment effects at this level. Overall, the results of this first case study provide sufficient support and important leads for further evaluation of SMTA in the treatment of CAS in a proof-of-principle study.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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