Intensive dysarthria therapy for younger children with cerebral palsy
TLDR
If intervention targeting breath support, phonation, and speech rate increases speech intelligibility and participation in the conversational interactions of younger children with dysarthria and cerebral palsy is investigated.Abstract:
Aim
The aim of this study was to investigate if intervention targeting breath support, phonation, and speech rate increases speech intelligibility and participation in the conversational interactions of younger children with dysarthria and cerebral palsy (CP).
Method
Fifteen children with dysarthria and CP (nine males, six females; age range 5–11y, mean age 8y, SD 2y; CP type: eight spastic, four dyskinetic, one ataxia, two Worster Drought syndrome; Gross Motor Function Classification System levels II–IV, median level II) participated in this study. Children received three sessions of individual therapy per week for 6 weeks. Intelligibility of single words and connected speech was compared across five points: 1 and 6 weeks before therapy and 1, 6, and 12 weeks after therapy. Three familiar listeners and three unfamiliar listeners scored each recording. Participation in communicative interactions was measured using the Focus on the Outcomes of Communication Under Six (FOCUS) tool. Analyses of variance and paired t-tests were used to investigate change.
Results
Mean speech intelligibility increased after therapy to familiar listeners (single words 10.8%, 95% confidence interval [CI] 7.2–14.4; connected speech 9.4%, 95% CI 4.8–14.1) and unfamiliar listeners (single words 9.3%, 95% CI 6.8–11.8; connected speech 10.5%, 95% CI 7.3–13.8). FOCUS scores increased following therapy for parents (mean increase 30.3, 95% CI 10.2–50.4) and for teachers (28.25, 95% CI 14.4–42.1), but changes did not correlate with intelligibility. A wide variation was seen in individual responses to therapy.
Interpretation
Brief intensive therapy is associated with gains in intelligibility and communicative interactions for some younger children with dysarthria.read more
Citations
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Journal ArticleDOI
Motor speech impairment, activity, and participation in children with cerebral palsy
TL;DR: The results of this study suggested that children with mild motor speech impairments are more likely to demonstrate superior activity and participation outcomes compared to children with moderate or severe deficits.
Journal ArticleDOI
Speech therapy for children with dysarthria acquired before three years of age
TL;DR: This review found no evidence from randomised trials of the effectiveness of speech and language therapy interventions to improve the speech of children with early acquired dysarthria.
Journal ArticleDOI
Consonant production and overall speech characteristics in school-aged children with cerebral palsy and speech impairment
TL;DR: Investigation of the speech characteristics of school-aged children with cerebral palsy and speech impairment at various cognitive levels found gross motor problems were not significantly associated with the articulation of consonants or the severity of dysarthria, whereas non-verbal cognitive level was.
Journal ArticleDOI
Assessment and management of the communication difficulties of children with cerebral palsy: a UK survey of SLT practice
TL;DR: The adoption of a standard set of agreed clinical measures would enable benchmarking of service provision, permit the development of large-scale research studies using routine clinical data and facilitate the identification of potential participants for research studies in the UK.
Journal ArticleDOI
Association between objective measurement of the speech intelligibility of young people with dysarthria and listener ratings of ease of understanding
TL;DR: It is demonstrated that listeners can judge how well they have understood dysarthria and cerebral palsy speech, and EOL is associated with listener familiarity, speech task and speech impairment severity.
References
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