Dynamic Temporal and Tactile Cueing: Quantifying Speech Motor Changes and Individual Factors That Contribute to Treatment Gains in Childhood Apraxia of Speech.

Purpose: Speech motor skill is refined over the course of practice, which is commonly reflected by increased accuracy and consistency. This research examined the relationship between auditory-perceptual ratings of word accuracy and measures of speech motor timing and variability at pre- and posttrea...

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Publicado en:Journal of Speech, Language & Hearing Research Vol. 67; pp. 3359 - 3377
Autores principales: Grigos, Maria I., Case, Julie, Ying Lu, Zhuojun Lyu
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-22-00658
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        atl: Dynamic Temporal and Tactile Cueing: Quantifying Speech Motor Changes and Individual Factors That Contribute to Treatment Gains in Childhood Apraxia of Speech.
      aug:
        au:
          Grigos, Maria I.
          Case, Julie
          Ying Lu
          Zhuojun Lyu
        affil:
          Department of Communicative Sciences and Disorders, New York University, NY
          Department of Speech-Language-Hearing Sciences, Hofstra University, Hempstead, NY
          Department of Applied Statistics, Social Science, and Humanities, New York University, NY
      su:
        New York (State)
        Motor ability
        Clinical trials
        Language acquisition
        Children
        Jaw physiology
        Prompts (Psychology)
        Cognitive testing
        Research funding
        Differential diagnosis
        Touch
        Kinematics
        Treatment effectiveness
        Descriptive statistics
        Pre-tests & post-tests
        Physiological aspects of speech
        Speech evaluation
        Auditory perception
        Body movement
        Speech apraxia
        Regression analysis
      sug:
        subj:
          Motor ability
          Clinical trials
          Language acquisition
          Children
          New York (State)
          Research and Development in the Physical, Engineering, and Life Sciences (except Biotechnology)
          Jaw physiology
          Prompts (Psychology)
          Cognitive testing
          Research funding
          Differential diagnosis
          Touch
          Kinematics
          Treatment effectiveness
          Descriptive statistics
          Pre-tests & post-tests
          Physiological aspects of speech
          Speech evaluation
          Auditory perception
          Body movement
          Speech apraxia
          Regression analysis
      ab: Purpose: Speech motor skill is refined over the course of practice, which is commonly reflected by increased accuracy and consistency. This research examined the relationship between auditory-perceptual ratings of word accuracy and measures of speech motor timing and variability at pre- and posttreatment in children with childhood apraxia of speech (CAS). Furthermore, the degree to which individual patterns of baseline probe word accuracy, receptive language, and cognition predicted response to treatment was explored. Method: Probe data were collected from seven children with CAS (aged 2;5-5;0 [years;months]) who received 6 weeks of Dynamic Temporal and Tactile Cueing (DTTC) treatment. Using a multidimensional approach to measuring speech performance, auditory-perceptual (whole-word accuracy), acoustic (whole-word duration), and kinematic (jaw movement variability) analyses were conducted on probe words produced pre- and posttreatment. Standardized tests of receptive language and cognition were administered pretreatment. Results: There was a negative relationship between auditory-perceptual measures of word accuracy and movement variability. Higher word accuracy was associated with lower jaw movement variability following intervention. There was a strong relationship between word accuracy and word duration at baseline, which became less robust posttreatment. Furthermore, baseline word accuracy was the only child-specific factor to predict response to DTTC treatment. Conclusions: Following a period of motor-based intervention, children with CAS appeared to refine speech motor control in conjunction with improvements in word accuracy. Those who demonstrated the poorest performance at treatment onset displayed the greatest degree of gains. Taken together, these results reflect a system-wide change following motor-based intervention.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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