Speech. Report of a seminar. C. What is the orthodontic relationship to speech and speech defects? a. Speech and the teeth.
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Cleft Lip↗
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Comparing Traditional Motor Speech Practice to Contextualized Speech Practice in Preschoolers With Childhood Apraxia of Speech.
PURPOSE: The aim of this study was to compare retention of real-word targets across practice conditions (contextualized vs. motor-only) within a modified integral stimulation treatment for preschoolers with childhood apraxia of speech (CAS). METHOD: A single-subject experimental design with alternating treatments was used with matched target sets randomly assigned to contextualized practice, motor-only practice, or no treatment. Three preschoolers with CAS completed 18 therapy sessions, each consisting of two 25-min blocks: one contextualized practice and one motor-only practice. Order of practice was randomized each visit. Changes in percent phonemes correct (PPC) and lexical stress accuracy, derived from blinded transcription, were explored with visual analysis and effect sizes (standardized mean difference, d statistic). RESULTS: Meaningful improvements (d > 1) were observed in PPC across words treated in contextualized practice for all three children immediately posttreatment and for two of three children at the 1-month follow-up. Meaningful improvements in the motor-only condition were observed in two of three children immediately posttreatment and at follow-up. No meaningful changes were observed in lexical stress across any conditions in any participant. CONCLUSIONS: This study provides preliminary support for the feasibility of a modified integral stimulation therapy that incorporates elements of linguistically grounded therapies (linguistic retrieval, recasts, expansions) that may facilitate target retention in some preschoolers with CAS. However, other elements should be explored in conjunction with integral stimulation to maximize clinical outcomes. SUPPLEMENTAL MATERIAL: https://doi.org/10.23641/asha.33228981.
Humans↗
Simple reaction-times to speech and non-speech stimuli.
Two experiments were carried out involving the measurement of simple reaction-time when subjects responded to speech and to non-speech stimuli. In the first, subjects were required to make a speech response (uttering the vowel [a: ]) to one speech stimulus (the vowel [a: ]) and three non-speech stimuli (a complex tone, a telephone bell and a click). The click stimulus gave significantly longer reaction-times than the other three stimuli; since all stimuli were equated for peak intensity delivered to the subjects' ears, this was due to the short duration of the click (25 msec). There was no evidence that compatibility between the speech stimulus and the speech response had any influence on reaction-time. The second experiment employed a 2 X 2 design with 2 stimuli and 2 response modes. The stimuli were the vowel [a: ] and the telephone bell; the response modes were key-pressing and uttering the vowel [a: ]. The speech stimulus and the speech response gave significantly longer reaction-times than the non-speech simtulus and response. The minimum time for a reaction requiring speech reception is of the order of 180 msec. and the use of the motor speech mechanism adds about 30 msec. to reaction-time. Again no interaction was found between stimulus and response and this is probably due to the extremely simple nature of the speech tasks imposed.
Adolescent↗
[Dependence of 'audio-phonatoric coupling' of speech rate and speech loudness].
The 'audio-phonatoric coupling' (APC) was investigated in two independent experiments. Slightly delayed auditory feedback (delay time 40 ms) of the subjects' own speech was used as experimental method. The first experiment was conducted to examine whether the strength of the APC depends on the speech rate. In this experiment 16 male Subjects (Ss) were required to utter the testword/tatatas/either with stress placing on the first or second syllable at two different speech rates (fast and slow). In 16% of the randomly chosen speech trials, the delayed auditory feedback (DAF; 40 ms delay) was introduced. It could be shown that the stressed phonation was significantly lengthened under the DAF condition. This lengthening was greater when Ss spoke slowly. The unstressed phonations were not influenced by the DAF condition. The second experiment was conducted to examine whether or not speech intensity effects APC. Nine male Ss were required to utter the testword/tatatas/either with stress placing on the first or second syllable using three different speech intensities (30 dB, 50 dB and 70 dB). In 16% of the randomly chosen speech trials DAF condition was introduced. It could be shown that speech intensity does not influence the DAF effect (lengthening of stressed phonation). These findings were taken as evidence that the auditory feedback of the subjects' own speech can be incorporated into speech control during ongoing speech. Obviously, this feedback information is efficient only during the production of stressed syllables, and varies as a function of speech rate. In addition, the significance of stressed syllables for the structuring of speech is discussed.
Adult↗
Acoustical changes of loudly spoken speech and their effects on speech recognition in hearing-impaired listeners.
The level of speech is usually increased in conversations with unaided hearing-impaired listeners. However, the speaker may talk at conversational levels to aided hearing-impaired persons. In this case, the level of speech is electronically increased by the hearing aid. In the present study, the acoustical changes of loudly spoken speech and their effects on speech recognition were investigated in 20 patients with sensorineural hearing loss. Eight test words of the German Speech Intelligibility Test ('Freiburger Sprachtest') were recorded at original levels of 60 and 75 dB SPL by a male speaker. Both recordings were presented to hearing-impaired subjects at a playback level of 75 dB SPL. Thus, the level of the 60 dB SPL recording was increased electronically by 15 dB. For the 75 dB SPL recording, playback and recording levels were identical. The average whole-word score was 49% for the 60 dB SPL recording and 39% for the 75 dB SPL recording. This difference was statistically significant (0.002 less than P less than 0.005). The results of the speech recognition ability tests could be explained by the acoustical changes of the loudly spoken speech. In the 75 dB SPL recording, the levels of voiceless fricatives, nasals and plosives were significantly lower than in the 60 dB SPL recording. Spectrally, the fundamental frequency was increased and the configuration of the first formant was altered in the 75 dB SPL recording. The significance of the findings for clinical speech audiometry and hearing aid evaluation is discussed.
Acoustic Stimulation↗
Structural design of hidden Markov model speech recognizer using multivalued phonetic features: comparison with segmental speech units.
A novel approach to speech recognition, on the basis of a multidimensional multivalued phonetic-feature description of speech signals, is presented and evaluated. The hidden Markov model (HMM) framework is used to provide the recognition algorithm, which assumes that the underlying Markov chain tracks the temporal evolution of the features. It is shown that this approach can naturally accommodate such coarticulatory effects as feature spreading and formant transition in the functionality of the recognizer, and can provide a high degree of acoustic data sharing that makes effective use of training data. Use of phonetic features as the basic speech units creates a framework where the Markov model's state topology in the recognizer can be designed with guidance of detailed speech knowledge. Details of such a design for a stop consonant-vowel vocabulary are described. Experimental results on the task of speaker-dependent stop consonant discrimination, evaluated from speech data from a total of ten male and five female speakers, demonstrate effectiveness of this feature-based recognizer. Over the 15 speakers, the error rates were shown to be reduced by 23%, 37%, 42%, and 38%, respectively, compared with the conventional HMM-based recognition methods using words, phonemes, allophones, and microsegments as the primary speech units.
Communication↗
Validation norms for speech discrimination scores of normal-hearing subjects in wide-band and in speech-spectrum noise at S/N 0 DB.
W-22 lists were given at 40 db re SRT with a Maico MA-24B audiometer and attachments to 20 normal-hearing adults in quiet and in combination with either wide-band or speech-spectrum noise at S/N = 0, monaurally by earphone and binaurally by loudspeaker(s). No systematic L-R differences were observed. DS in quiet by any condition was at or near 100%. Mean DS in noise by monaural earphone was 79.80 +/- 13.3 for wide-band noise and 54.7 +/- 12.7 for speech-spectrum noise. When speech and noise were from two different loudspeakers placed +/- 45 degrees from midline, DS was 90.8 +/- 9.5 for wide-band noise and 88.1 +/- 7.8 for speech-spectrum noise. When both speech and noise came from the same loudspeaker, DS was 79.10 +/- 10.3 for wide-band noise and 57.0 +/- 21.8 for speech-spectrum noise. These values are proposed as provisional norms for clinical facilities using these conditions and employing similar instrumentation.
Adult↗
Normal-hearing and hearing-impaired subjects' ability to just follow conversation in competing speech, reversed speech, and noise backgrounds.
The performance on a conversation-following task by 24 hearing-impaired persons was compared with that of 24 matched controls with normal hearing in the presence of three background noises: (a) speech-spectrum random noise, (b) a male voice, and (c) the male voice played in reverse. The subjects' task was to readjust the sound level of a female voice (signal), every time the signal voice was attenuated, to the subjective level at which it was just possible to understand what was being said. To assess the benefit of lipreading, half of the material was presented audiovisually and half auditorily only. It was predicted that background speech would have a greater masking effect than reversed speech, which would in turn have a lesser masking effect than random noise. It was predicted that hearing-impaired subjects would perform more poorly than the normal-hearing controls in a background of speech. The influence of lipreading was expected to be constant across groups and conditions. The results showed that the hearing-impaired subjects were equally affected by the three background noises and that normal-hearing persons were less affected by the background speech than by noise. The performance of the normal-hearing persons was superior to that of the hearing-impaired subjects. The prediction about lipreading was confirmed. The results were explained in terms of the reduced temporal resolution by the hearing-impaired subjects.
Audiometry↗
Speech intelligibility in and speech interference levels of traffic noise in hearing-impaired and normal listeners.
Speech intelligibility (phonetically balanced monosyllables = PB words) in traffic-like noise (random noise) as well as the speech interference levels (75% intelligibility) of this noise were investigated in three common listening situations, two indoors and one outdoors. A total of 279 persons were examined; 56 had normal hearing, 90 a presbycusic-type hearing loss, 95 noise-induced hearing loss, and 38 conductive hearing loss. In the indoor situation the hearing-impaired groups mainly retained their intelligibility in 40 dBA. Lowering of the noise level to less than 40 dBA resulted in only a minor, mostly insignificant improvement in speech intelligibility. Normal-hearing listeners maintained good speech intelligibility in the outdoor listening situation with noise levels up to 60 dBA, without lip-reading. For hearing-impaired groups, representing more than 1/2 million (8% of the population) people in Sweden, with hearing loss due to age and/or noise, the noise level outdoors must be lowered to 45 dBA in order to achieve good speech intelligibility at 1 m, without lip-reading.
Adolescent↗
Behavioral responses in 7 to 9 month old infants to speech and non-speech stimuli.
A comparison was made of the behavioral responses of 36 infants (18 M, 18 F) aged 7--9 mo, to natural speech, warbled tone of 3 kc/s. and a noise band of 2--4 kc/s. The intensity level for speech was significantly lower, and the number of responses for speech was significantly higher, than for the other two stimuli. Girls demonstrated a significantly lower mean threshold and a significantly higher number of responses than boys. The threshold means for all three stimuli were significantly lower and the number of responses were significantly higher for the R ear than for the L ear in girls, but not in boys. There was no difference in threshold means for speech between the L and the R ears for the whole population, but there was a significantly higher number of responses to speech stimuli by girls, but not for boys, in the R ear than in the L ear.
Acoustic Stimulation↗
Reliability of speech naturalness ratings of stuttered speech during treatment.
This study evaluated the reliability with which relatively sophisticated and unsophisticated judges used a 9-point scale to rate the speech naturalness of speech samples from 10 clients in a treatment program for stuttering that employed prolonged speech. Judges rated repeated speech samples from different speakers during various phases of the program. Different groups of sophisticated and unsophisticated judges made ratings at either 15 sec, 30 sec, or 60 sec intervals while listening to the samples. Of the reliability indices, intraclass correlations were significantly higher for sophisticated judges although the consistency and agreement of unsophisticated judges were generally equivalent to that of sophisticated judges. Both agreement scores and intraclass correlations were higher when ratings were made at 60 sec rather than 30 sec intervals. The predominant variable that influenced judgement reliability appeared to be differences among the subjects. The methodology partially replicated Martin, Haroldson, and Triden's (1984) initial investigation on the use of this scale. However, the levels of intra- or interjudge reliability in this study were lower than the levels achieved by Martin et al.'s judges. There were important differences between the Martin et al. study and this one that may account for the findings, and these are discussed.
Adult↗
Comparison of speech recognition ability with different speech processing strategies by Korean cochlear implantees.
Many variables affect the audiologic performance of cochlear implantees. With current methods of evaluation, it is difficult to directly compare auditory function with different speech coding strategies. We compared the audiologic performance directly with F0F1F2 and multipeak speech coding strategies in the same implanted ear of eight Korean cochlear implantees. We tested word and phoneme recognition abilities using Korean word lists for speech audiometry and two-syllable nonsense words, respectively. With the multipeak coding strategy, a significant difference in discrimination ability was found in the initial fricative consonant phonemes (/s/,/ss/,/h/). Our results suggest that the improvement of speech recognition ability with the multipeak coding strategy comes primarily from the better understanding of the initial fricative consonants.
Adult↗
Speech audiometry by a speech synthesizer. I. A preliminary report.
A preliminary report on speech test results with a portable, text-to-speech synthesizer is presented. The differentiation scores achieved at speed 80 words/min vary. So far the best mean differentiation scores in normal material are 75%. The increase of the presentation level improves the differentiation score, as does the decrease of word speed and training. The future and present uses of this system are discussed. These include: devices for the handicapped, e.g. to produce speech for the mute, man-machine communication through speech in industry control, data processing systems and uses in audiological diagnostics. The study is continued.
Adult↗
Effects of interaural speech-recognition differences on binaural advantage for speech in noise.
The relationship between interaural differences in speech-recognition performance and binaural advantage for speech in noise was studied. Subjects were five hearing-impaired listeners with symmetrical pure-tone air-conduction audiograms and significant interaural differences in speech recognition. All subjects repeated nonsense syllables in the presence of competing noise in monaural and binaural conditions. Binaural advantage was calculated as the difference in signal-to-noise ratio that afforded 50 percent correct performance between the monaural and binaural conditions. The results were diverse. Although the majority of the subjects retained some degree of binaural advantage, a conclusive relationship between interaural differences in speech recognition and binaural advantage could not be established. The implications for binaural hearing aid fittings are discussed.
Aged↗
Sedation and topical anesthetics in audiology and speech-language pathology. Ad Hoc Committee on Advances in Clinical Practice. American Speech-Language-Hearing Association.
Audiologists and speech-language pathologists who participate in or perform procedures on patients who have been medicated for sedation or topical anesthesia should appreciate the complex factors which may expose their patients to risk or harm. Administration of medications to achieve a desired patient state is a medical procedure requiring physician or dentist prescription, physician or dentist approval on the conditions of administration and monitoring, and physician or dentist availability for provision of emergency care that may be required. For these reasons, audiologists and speech-language pathologists should address issues of scope of practice as defined by state licensing boards and institutional regulatory committees, professional liability, and patient and practitioner safety before engaging in procedures on individuals medicated for sedation or topical anesthesia. These issues should be defined in specific, written protocols that the audiologist and speech-language pathologist develop in collaboration with physicians, dentists, and other medical professionals who are responsible for patient care. The protocols should specify responsibility for each aspect of care and limit procedures to professional settings with immediate access to emergency medical care. In all instances, both in development of written protocols and in actual professional practice, the comfort and safety of the patient must be paramount.
Administration, Topical↗
A comparison of speech discrimination scores by using PB-50 lists and the speech discrimination scale with hearing-impaired adults.
Performance-intensity functions were drawn for each of the 5 progressively more difficult 8-word subtests of Gaeth's Speech Discrimination Scale (SDS) with 16 limited-hearing Ss aged 20-88 yrs. Prior examination with the NU-6 test at 24 db SL revealed speech discrimination ability groupings, unrelated either to pure-tone ac hearing losses or to age. The largest (middle) group achieved scored of 50%-correct at -5, 0, 11, and 14 db SL (re pure-tone ac HTL averaged for the better 2 of the frequencies .5, 1, and 2 kc/s) for the subtests Digits, Easy Letters, Easy Words and Hard Letters respectively, as compared with 30 db SL for full PB lists; and never achieved 50%-correct for the Hard Words subtest. The possibility was suggested that the clinician might initiate speech testing with the East Words subtest and proceed to either more or less difficult subtests/levels as S responds. Each item would contain more statistical power than a single item in a 50-word PB list at a single SL.
Adult↗
Speech considerations in oral surgery. Part I. Speech physiology.
A brief overview of the physiologic process associated with speech is presented. The areas of respiration, phonation, and articulation are defined, along with the role each plays in the production of speech sounds. Finally, a discussion is presented as to why an understanding of the dynamics of speech production is needed when ablative surgery is the preferred course of management for oral malignancies.
Humans↗
Speech considerations in oral surgery. Part II. Speech characteristics of patients following surgery for oral malignancies.
The characteristics of speech following ablative surgery for oral malignancies are presented. The speech following cheilotomy, maxillectomy, mandibulectomy, nasopharyngeal excavation, and glossectomy is described. Emphasis is placed on glossectomy because of the prevalence of this surgery and the nature of the research being done in this area. Finally, a discussion of research needs involving the oral surgeon, dentist, and speech pathologist is presented.
Articulation Disorders↗