Hemispheric language dominance of language-disordered, articulation-disordered, and normal children.
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Although Developmental Apraxia of Speech (DAS) often is considered a severe communication disorder, speech-language pathology literature supports the idea that DAS also can be exhibited in children with mildly disordered articulation. The case study is that of an elementary age client with a seemingly mild "r" articulation problem but who also presented characteristics consistent with DAS. Awareness of the possible presence of DAS when assessing and planning remediation for clients exhibiting mild articulation problems could increase the effectiveness of our professional services to these children.
The two studies presented here examine the relationship between speech perception and speech production errors in children who have a functional articulation disorder. In both experiments, speech perception was assessed with a word identification test, based upon a synthesized continuum of speech stimuli, contrasting the specific phonemes that were associated with production errors in our sample of articulation-disordered subjects. Experiment 1 required subjects to identify words that contrasted the phonemes /s/ and /S/. In this test, adults, normal speaking 5-year-olds, and some articulation-disordered 5-year-olds identified the words seat and sheet appropriately and reliably. However, a subgroup of articulation-disordered children were unable to identify the test stimuli appropriately. Experiment 2 required a second group of subjects to identify words that contrasted the phonemes /s/ and /theta/. Although both adults and normal speaking children responded appropriately to the words sick and thick, in this test, none of the articulation-disordered children was able to identify these words appropriately. It is concluded that, for a subgroup of children who have a functional articulation disorder, production errors may reflect speech perception errors.
The phonation and articulation disorders in a group of aphasics with aphonia/dysarthrophonia could be considerably reduced by the use of medication. The group consisted of 10 apoplectic patients whose resulting aphasia could not be classified because of the vocal impairment. Extrapyramidal motion disorders were proved by laryngoscopy and stroboscopy. A definite improvement of phonation and articulation was observed after L-dopa medication.
Traditional auditory-based assessment procedures for diagnosing articulation disorders are limited in that they provide no direct information on activities of the speech organs. In this study electropalatography (EPG) was used to obtain details of tongue contacts with the hard palate in 4 articulation-disordered children, 2 of whom had been categorized as dysarthric. Their lingual-palatal contact patterns during four repetitions of word lists containing lingual consonants in different phonetic environments, were compared with each other and with a group of normal speakers. EPG provided relevant diagnostic information in that all 4 experimental subjects showed patterns that differed from the normals in both spatial configuration and variability. The nature of their distorted patterns allowed a tentative diagnosis of 2 of the children as verbal dyspraxic.
This study was designed to examine the relationship between articulation disorders, soft neurological signs, and motor abilities. Fifteen children with articulation problems, as measured by the Templin-Darley Articulation Screening Test and a connected speech sample, were compared with a normal control group (matched for sex and age) on the Quick Neurological Screening Test, the Imitation of Postures test (from the Southern California Sensory Integration Tests), and the 1984 version of the Stott Test of Motor Impairment that has been revised by Henderson. A significant difference was found between the groups on the Motor Impairment Test and the Quick Neurological Screening Test, supporting the hypothesis that the articulation disorder children would have more motor coordination problems and soft neurological signs than the normal children in the control group. There was no between-group difference on the Imitation of Postures test, suggesting that as a group, children with articulation deficits are not dyspraxic. This study supports other research findings stating a relationship between articulation problems and motor impairment, but it also indicates that this motor impairment is not necessarily dyspraxia.
The present study was done to assess differences between children with diagnosed functional articulation disorders and a control group on the variable of visual-motor ability. A group of 34 elementary children with articulation problems were matched with a control group of 34 for sex, age, and grade. Both groups were administered the Goldman-Fristoe Test of Articulation and the Minnesota Percepto-Diagnostic Test--Revised. Analysis indicated that children with articulation problems performed significantly lower on visual-motor skills.
The dynamic palatograph is an electrical apparatus that generates a visual display of constantly changing palatolingual contact as a function of time, using an artificial palatal plate with affixed electrodes. This paper describes a technique of speech therapy incorporating dynamic palatography for a cleft palate patient. The patient, a 6-year-old Japanese girl with a repaired unilateral cleft lip and palate, had been judged to demonstrate articulation disorders involving contact of the tongue with the hard palate or alveolus following surgical improvement of velopharyngeal function. Prior to therapy the tongue tended to contact the hard palate more posteriorly than normal. After therapy with the dynamic palatograph, palatolingual contact was normal in comparison with average speakers. Our findings suggest that the facility of constant visual indication of tongue posture to the clinician and patient during corrective speech therapy using dynamic palatography may expedite results with cleft palate patients in the speech clinic when implemented in a carefully structured treatment plan.
Apical trill was regarded as the correct pronunciation of R in 17th-century German, but malarticulations of this difficult sound were widespread. Two of the most common substitutions were the uvular trill and L. The first was satirically described in a novel by Christian Weise (1673), while Rosinus Lentilius (1698), a physician, dealt with the L-substitution in a more scholarly but no less humorous manner. Annotated translations of these texts are presented here along with an introduction. The study suggests there may be more to the earlier history of speech disorders than is generally supposed.
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Selective deficit of verbal output not associated to other anomalies of language, represents a syndrome in which articulatory as well as linguistic aspects can be independently affected. The critical lesion for pure articulatory deficit appears to involve left prerolandic cortico-subcortical structures. Nevertheless, in relation to individual differences in cerebral organization, damage in these structures can be responsible for a simultaneous deficit of articulatory and linguistic mechanisms.
A five year old boy who had received logopedic treatment for more than two years was seen as an outpatient because of speech retardation. He presented with myopathic face, incomplete closure of both lids and severe weakness of facial muscles, bilateral winging of scapulae and hyperlordosis. Extraocular and pharyngeal muscles were not affected. Motor and sensory nerve fibre conductions and electromyography were within normal limits. CPK was moderately elevated (320 U/I). Muscle biopsy of right deltoid muscle revealed unspecific myopathic changes. The patients brother aged 7 also presented with facial weakness, elevated CPK and neurogenic changes in EMG of deltoid muscle. Both parents were clinically and electrophysiologically unremarkable. Although problems to speak distinctly are usually not the first manifestation, we found in this family facio-scapulo-humeral muscular dystrophy.
There has been presented a possibility of application of ultrasound examination of the tongue in the diagnosis and phoniatric rehabilitation exemplified by exposing shapes of the lateral surface of the tongue during correct articulation of the Polish vowels and articulatory exercises in the system of visual feedback in a normally hearing child and in a deaf one.
The recordings of 20 speech defective speakers' readings of a standard prose passage were presented to 36 student speech clinicians under three listening conditions: (1) unaltered; (2) time expanded to 150% of the original recording time; and (3) time-expanded to 200% of the original recording time. Results of their evaluations indicate that the expanded versions of the recordings elicited more accurate evaluations by the student clinicians. Implications of these findings concerning the possible usefulness of time-expanded speech as an aid in the training of listening skills in student speech clinicians are discussed.
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