Biomedical subjects

Peter Flipsen

Publications and source records attributed to Peter Flipsen.

9 recordsLinked to original sources

PubMed2006

Intelligibility of conversational speech produced by children with cochlear implants.

UNLABELLED: The intelligibility of conversational speech produced by six children fitted with cochlear implants before age 3 years was measured longitudinally. Samples were obtained every 3 months during periods of 12-21 months. Intelligibility was measured using both an utterance-by-utterance approach and an approach to the sample as a whole. Statistically significant differences were observed between the two approaches, but the differences were all within the realm of measurement error. Findings indicated that intelligible speech emerges quite rapidly in these children. Conversational intelligibility appears to be superior to that reported in the literature for similar children who use hearing aids but not necessarily as good as in children with normal hearing. Both intelligibility measures were significantly correlated with chronological age, hearing age, and amount of implant use, but were most strongly correlated with chronological age. LEARNING OUTCOMES: The reader will be able to (1) describe some of the issues involved in measuring speech intelligibility in children with cochlear implants and (2) describe the pattern of outcomes for the intelligibility of speech produced by children receiving cochlear implants before age 3 years.

Age Factors↗

PubMed2006

Syllables per word in typical and delayed speech acquisition.

A number of authors have presented data on the word length (measured in syllables) in the spontaneous speech of children across the developmental period. These data suggest a developmental trend of increasing length with age. The current study sought to examine this possibility in more detail. Conversational speech data from 320 children with normal (or normalized) speech confirmed that the number of syllables per word in conversational speech increases significantly from age 3-8 years. Data from the conversational speech of 202 children with speech delay however showed no such trend. Reasons for the differences between the two groups are discussed.

Analysis of Variance↗

PubMed2006

Measuring the intelligibility of conversational speech in children.

Conversational speech is the most socially-valid context for evaluating speech intelligibility, but it is not routinely examined. This may be because it is difficult to reliably count the number of words in the unintelligible portions of the sample. In this study four different approaches to dealing with this problem are examined. Each is based on the assumption that it is possible to perceive syllables in unintelligible strings even when the target words are unknown; these unintelligible syllables can then be used to estimate the number of unintelligible words in these samples using at least four different approaches. Preliminary data are presented for each of the four approaches based on conversational speech from two convenience samples including 320 children with normal (or normalized) speech and 202 children with speech delay. Differences among the four approaches are discussed.

Case-Control Studies↗

PubMed2005

Measuring severity of involvement in speech delay: segmental and whole-word measures.

PURPOSE: This study examined whether any of a series of segmental and whole-word measures of articulatory competence captured more of the variance in impressionistic ratings of severity of involvement in speech delay. It also examined whether knowing the age of the child affected severity ratings. METHOD: Ten very experienced speech-language pathologists rated severity of involvement from conversational speech samples obtained from 17 children with delayed speech. The ratings were then correlated with the candidate measures. The ratings by those who knew the ages of the children were also compared with the ratings by those who did not. RESULTS: The severity ratings showed considerable variability. Ratings from 6 clinicians who largely agreed with each other (a "tin standard" group) were significantly associated with several of the candidate measures. Clinicians appeared to pay attention to number, type, and consistency of errors when rating severity. They also attended to both segmental and whole-word levels. Knowledge of the children's ages did not appear to affect the ratings. CONCLUSIONS: The observed variability in the severity ratings raises significant questions about their usefulness. Objective measures such as some of those examined herein offer potential as more valid and reliable severity indexes.

Adult↗

PubMed2003

Articulation rate and speech-sound normalization failure.

Not all children with speech delay (SD) of unknown origin develop fully normal speech even with intervention. Many retain residual distortion errors into adolescence and ultimately into adulthood. The current study examined whether articulation rate distinguishes those children who retain residual errors from those who normalize. Two groups of speech-delayed children originally identified at preschool age were retested at age 9 years (the early follow-up group) and at age 12-16 years (the late follow-up group), respectively. No differences in articulation rate were observed at either test time in conversational speech between those children who continued to produce residual distortion errors (RE) compared to those children who had fully normalized speech (NSA). For the late follow-up group, children in the RE outcome group articulated speech at significantly slower rates than the children in the NSA outcome group in an embedded words task using both syllables per second and phones per second measures. Findings suggested that children with SD of unknown origin who fail to normalize may have relative speech-motor deficits and possibly deficits in language formulation skill. Alternatively, slower articulation rate in structured tasks may represent some sort of compensation for the continuing presence of speech-sound errors. Possible motivations for such compensation are discussed.

Adolescent↗

PubMed2002

Longitudinal changes in articulation rate and phonetic phrase length in children with speech delay.

This study examined long-term changes in articulation rate (the pace at which speech segments are produced) and phonetic phrase length in the conversational speech of two groups of children with speech delay (SD) of unknown origin. Initial testing for both groups occurred at preschool age, with follow-up testing conducted for the Early Follow-Up Group (n = 17) at age 9 years and for the Late Follow-Up Group (n = 36) at age 12-16 years. At follow-up testing both groups produced significantly faster articulation rates (measured in both syllables per second and phones per second) and significantly longer phonetic phrases (measured in both syllables and phones) than at initial testing. Articulation rates at both test times were also judged to be similar to published values from typically developing children of similar ages when measured in syllables per second. However, findings for rate in phones per second suggested that at least at initial testing the children were articulating speech at a slower rate than their typically developing peers. This latter finding, however, may have been an artifact of the high frequency of errors--such as cluster reduction and final consonant deletion--observed in the initial samples. It would appear, therefore, that children with SD of unknown origin may start out with slower than normal articulation rates but eventually catch up to their typically developing peers.

Adolescent↗

PubMed2002

Acoustic phenotypes for speech-genetics studies: toward an acoustic marker for residual /s/ distortions.

Findings in a prior study series indicate that acoustic markers may have the requisite sensitivity and specificity to discriminate speakers with histories of several types of speech disorders, one of which is posited to be genetically inherited. The present study in this series compares acoustic data from three groups of adolescent speakers. Group 1 speakers had residual dentalized /s/ distortions in conversational speech and histories of significant age-inappropriate deletion and substitution errors. Group 2 speakers also had residual dentalized /s/ distortions in conversational speech, but their speech histories were limited to dentalized distortions of /s/ and other fricatives/affricates. Group 3 speakers had typical speech on assessment and no histories of speech errors. Owing to the limited number of perceptually dentalized /s/ tokens produced by Groups 1 and 2 speakers in a phrase-level speech task, acoustic analyses were completed on /s/ tokens transcribed as correct for speakers in all groups. Moments analyses of /s/ spectra in three words with /s/-initial clusters yielded statistically significant differences and consistent trends for mean spectral frequency and spectral variance for Group 1 compared with Group 2 speakers. These findings for perceptually normal /s/ tokens are interpreted as additional support for the potential of acoustic markers to discriminate speakers' speech-error histories. The discussion considers possible developmental and normalization correlates of the acoustic findings for speakers with each of the two types of speech-error histories studied in this paper.

Adolescent↗

PubMedDate not supplied

Prosody and voice characteristics of children with cochlear implants.

This descriptive, longitudinal study involved the analysis of the prosody and voice characteristics of conversational speech produced by six young children with severe to profound hearing impairments who had been fitted with cochlear implants. A total of 40 samples were analyzed using the Prosody-Voice Screening Profile (PVSP; Shriberg, L. D., Kwiatkowski, J., & Rasmussen, C. (1990). Prosody-Voice Screening Profile (PVSP). Tuscon, AZ: Communication Skill Builders). Overall, the children presented with noticeable problems with stress and resonance quality. There were some difficulties noted with rate, loudness, and laryngeal quality, but there were no consistent difficulties with phrasing or pitch. This suggested that prosody and voice characteristics in this population are different from those typically observed in children with severe to profound hearing impairments though some problem areas remain. Some developmental trends were also observed. These findings suggest that cochlear implants offer some significant benefits to children with hearing impairment in terms of prosody and voice outcomes.

Child↗

PubMedDate not supplied

A diagnostic marker for speech delay associated with otitis media with effusion: the intelligibility-speech gap.

The goal of this study was to determine if notably reduced intelligibility is a potential diagnostic marker for children with speech delay and histories of early recurrent otitis media with effusion (SD-OME). Intelligibility was assessed in one 5-10 minute conversational speech sample from each of 281 speakers. The OME histories of 148 of these children with normal speech acquisition were described in two prior reports. OME histories of 85 additional children with speech delay were obtained from case history reports. For both groups, the children with positive OME (OME+) histories had significantly lower intelligibility scores but significantly higher speech production scores than children with negative OME (OME-) histories. Findings for a diagnostic marker to discriminate speech delayed children with OME+ versus OME- histories were promising, considering that the data were obtained retrospectively and did not include audiological information characterizing children's concurrent fluctuant hearing loss. The formula for the diagnostic marker, termed the Intelligibility-Speech Gap, was identified by a machine learning routine. Diagnostic accuracy findings for the marker were as follows: positive predictive value = 74%, negative predictive value = 86%, sensitivity = 79%, specificity = 83%, positive likelihood ratio = 4.6 and negative likelihood ratio = 0.25. Discussion considers speech processing perspectives on the source of the intelligibility-speech gap in children with suspected SD-OME, and methodological perspectives on its development as a diagnostic marker of one etiological subtype of speech delay.

Child↗