Tongue-Palate Contact during Bilabials in Normal Speech

2007 ◽  
Vol 44 (1) ◽  
pp. 87-91 ◽  
Author(s):  
Fiona E. Gibbon ◽  
Alice Lee ◽  
Ivan Yuen
Keyword(s):  
Cleft Palate ◽  
Normative Data ◽  
Clinical Work ◽  
Speech Language Pathologists ◽  
Vowel Context ◽  
Lateral Contact ◽  
English Speaking ◽  
Normal Speech

Objective: Previous research using electropalatography (EPG) identified a compensatory articulation called bilabial-lingual double articulations. These double articulations were produced for bilabials by some speakers with cleft palate and involved closure at the lips occurring simultaneously with complete tongue-palate constriction. However, no normative English EPG data exist to confirm the abnormal status of these double articulations. Design: This study reports normative data for EPG contact during bilabial closure. Acoustic and EPG data were recorded for bilabials in different vowel contexts. Participants: Eight normal English-speaking adults. Measures: One measure identified complete tongue-palate constriction, and a second measure calculated percent contact. Results: There were no instances of complete tongue-palate constriction, though some EPG contact occurred in the lateral regions of the palate. The vowel context significantly affected the amount of contact present, with /i/ having the most and /a/ having the least amount of contact. Conclusion: Complete tongue-palate constriction during bilabials of the type found in bilabial-lingual double articulations is not a feature of normal English speech and can therefore be considered an abnormal articulation pattern. Speech-language pathologists who use EPG in their clinical work should be aware that some lateral contact during bilabial closure is normal.

Perceptual Speech Outcomes After Early Primary Palatal Repair in Ugandan Patients With Cleft Palate

2020 ◽  
pp. 105566562098024
Author(s):  
Kim Bettens ◽  
Laura Bruneel ◽  
Cassandra Alighieri ◽  
Daniel Sseremba ◽  
Duncan Musasizib ◽  
...  
Keyword(s):  
Cleft Palate ◽  
Cleft Lip ◽  
Speech Therapy ◽  
Cleft Lip And Palate ◽  
Control Group ◽  
English Speaking ◽  
And Gender ◽  
Early Primary ◽  
Velopharyngeal Function ◽  
Normal Speech

Objective: To provide speech outcomes of English-speaking Ugandan patients with a cleft palate with or without cleft lip (CP±L). Design: Prospective case–control study. Setting: Referral hospital for patients with cleft lip and palate in Uganda. Participants: Twenty-four English-speaking Ugandan children with a CP±L (15 boys, 9 girls, mean 8.4 years) who received palatal closure prior to 6 months of age and an age- and gender-matched control group of Ugandan children without cleft palate. Interventions: Comparison of speech outcomes of the patient and control group. Main Outcome Measures: Perceptual speech outcomes including articulation, resonance, speech understandability and acceptability, and velopharyngeal composite score (VPC-sum). Information regarding speech therapy, fistula rate, and secondary surgery. Results: Normal speech understandability was observed in 42% of the patients, and 38% were judged with normal speech acceptability. Only 16% showed compensatory articulation. Acceptable resonance was found in 71%, and 75% of the patients were judged perceptually to present with competent velopharyngeal function based on the VPC-sum. Additional speech intervention was recommended in 25% of the patients. Statistically significant differences for all these variables were still observed with the control children ( P < .05). Conclusions: Overall, acceptable speech outcomes were found after early primary palatal closure. Comparable or even better results were found in comparison with international benchmarks, especially regarding the presence of compensatory articulation. Whether this approach is transferable to Western countries is the subject for further research.

HONC Measures in 4- to 6-Year-Old Children

1998 ◽  
Vol 35 (5) ◽  
pp. 408-414 ◽  
Author(s):  
Zan Mra ◽  
Joan E. Sussman ◽  
Julie Fenwick
Keyword(s):  
Cleft Palate ◽  
Normative Data ◽  
Acoustic Signals ◽  
Correction Factors ◽  
State University ◽  
Coupling Index ◽  
Significant Difference ◽  
Vocal Intensity ◽  
Normal Speech ◽  
Nasal Resonance

Objective To collect normative data using Horii's Oral Nasal Coupling Index (HONC) from 4- to 6-year-old children without cleft palate to be used in the evaluation of young children with cleft palate. In addition, to determine whether HONC values in children are similar to those of adults and thus show that the HONC ratio successfully normalizes nasal accelerometric signals across age, gender, and vocal intensity. Design Measurement of accelerometric and acoustic signals from novel nasal and nonnasal utterances, which the children repeated after the experimenter. Measurements also included four sustained [m] productions, which were used to calibrate correction factors used to equate nasal and oral signals during a sustained [m] production. Setting Laboratory at a state university. Participants Ten girls and 10 boys, aged 4 to 6 years, with normal speech, language, and hearing. Results Differences of 13 dB (HONC) were found to separate nasal from nonnasal sentences. No significant difference in HONC score was found across gender for nasal/nonnasal sentences and [m] productions. The correction factors generated during [m] calibration procedures did not differ between girls and boys. Conclusions Horii Oral Nasal Coupling Index differences between nasal and nonnasal utterances appear to be valid and reliable measures in both children and adults for detection of disorders of nasal resonance.

American Speech-Language Pathologists' Training and Legislative Knowledge When Working With Immigrant and Refugee Populations: A Qualitative Study

2019 ◽  
Vol 4 (5) ◽  
pp. 1148-1161
Author(s):  
Camilo Maldonado ◽  
Alejandro Ashe ◽  
Kerri Bubar ◽  
Jessica Chapman
Keyword(s):  
Qualitative Study ◽  
Service Provision ◽  
Limited English Proficiency ◽  
Linguistic Diversity ◽  
Speech Language Pathologists ◽  
Federal Mandates ◽  
Refugee Families ◽  
Provision Of Services ◽  
English Speaking ◽  
Immigrant And Refugee

Background American educational legislation suggests culturally competent speech and language services should be provided in a child's native language, but the number of multilingual speech-language pathologists (SLPs) is negligible. Consequently, many monolingual English-speaking practitioners are being tasked with providing services to these populations. This requires that SLPs are educated about cultural and linguistic diversity as well as the legislation that concerns service provision to non-English or limited English proficiency speakers. Purpose This qualitative study explored the experiences of monolingual, American, English-speaking SLPs and clinical fellows who have worked with immigrant and refugee families within a preschool context. It investigated what training SLPs received to serve this population and what knowledge these SLPs possessed with regard to federal legislation governing the provision of services to culturally and linguistically diverse (CLD) communities. Method Ten American clinicians with experience treating CLD children of refugee and immigrant families in the context of preschool service provision participated in the study. Semistructured interviews were utilized to better understand the type of training clinicians received prior to and during their service delivery for CLD populations. Additionally, questions were asked to explore the degree to which practitioners understood federal mandates for ethical and effective service provision. The data collected from these interviews were coded and analyzed using the principles of grounded theory. Findings The results of this study revealed that there was a general sense of unpreparedness when working with CLD clients. This lack of training also attributed to a deficiency of knowledge surrounding legislation governing service provision to CLD populations.

Holistic Communication Assessment for Young Children With Cleft Palate Using the International Classification of Functioning, Disability and Health:Children and Youth

2020 ◽  
Vol 51 (4) ◽  
pp. 914-938
Author(s):  
Anna Cronin ◽  
Sharynne McLeod ◽  
Sarah Verdon
Keyword(s):  
Young Children ◽  
Cleft Palate ◽  
Case History ◽  
Significant Others ◽  
International Classification ◽  
Assessment Tools ◽  
International Classification Of Functioning ◽  
Speech Language Pathologists ◽  
Holistic Assessment

Purpose Children with a cleft palate (± cleft lip; CP±L) can have difficulties communicating and participating in daily life, yet speech-language pathologists typically focus on speech production during routine assessments. The International Classification of Functioning, Disability and Health: Children and Youth Version (ICF-CY; World Health Organization, 2007 ) provides a framework for holistic assessment. This tutorial describes holistic assessment of children with CP±L illustrated by data collected from a nonclinical sample of seven 2- to 3-year-old children, 13 parents, and 12 significant others (e.g., educators and grandparents). Method Data were collected during visits to participants' homes and early childhood education and care centers. Assessment tools applicable to domains of the ICF-CY were used to collect and analyze data. Child participants' Body Functions including speech, language, and cognitive development were assessed using screening and standardized assessments. Participants' Body Structures were assessed via oral motor examination, case history questionnaires, and observation. Participants' Activities and Participation as well as Environmental and Personal Factors were examined through case history questionnaires, interviews with significant others, parent report measures, and observations. Results Valuable insights can be gained from undertaking holistic speech-language pathology assessments with children with CP±L. Using multiple tools allowed for triangulation of data and privileging different viewpoints, to better understand the children and their contexts. Several children demonstrated speech error patterns outside of what are considered cleft speech characteristics, which underscores the importance of a broader assessment. Conclusion Speech-language pathologists can consider incorporating evaluation of all components and contextual factors of the ICF-CY when assessing and working with young children with CP±L to inform intervention and management practices.

scholarly journals Normative Data for a Tablet-Based Dual-Task Assessment in Healthy Older Adults

2020 ◽  
Author(s):  
Maxime Lussier ◽  
Kathia Saillant ◽  
Tudor Vrinceanu ◽  
Carol Hudon ◽  
Louis Bherer
Keyword(s):  
Older Adults ◽  
Dual Task ◽  
Normative Data ◽  
Healthy Older Adults ◽  
Highly Educated ◽  
Coefficient Of Variability ◽  
French And English ◽  
Task Assessment ◽  
English Speaking ◽  
The Relationship

Abstract Objective The objective of this study is to provide normative data for a tablet-based dual-task assessment in older adults without cognitive deficits. Method In total, 264 participants aged between 60 and 90 years, French and English-speaking, were asked to perform two discrimination tasks, alone and concurrently. The participants had to answer as fast as possible to one or two images appearing in the center of the tablet by pressing to the corresponding buttons. Normative data are provided for reaction time (RT), coefficient of variation, and accuracy. Analyses of variance were performed by trial types (single-pure, single-mixed, dual-mixed), and linear regressions assessed the relationship between performance and sociodemographic characteristics. Results The participants were highly educated and a large proportion of them were women (73.9%). The accuracy on the task was very high across all blocks. RT data revealed both a task-set cost and a dual-task cost between the blocks. Age was associated with slower RT and with higher coefficient of variability. Men were significantly slower on dual-mixed trials, but their coefficient of variability was lower on single-pure trials. Education was not associated with performance. Conclusions This study provides normative data for a tablet-based dual-task assessment in older adults without cognitive impairment, which was lacking. All participants completed the task with good accuracy in less than 15 minutes and thus, the task is transferable to clinical and research settings.

Intelligibility in 3-Year-Olds With Cleft Lip and/or Palate Using the Intelligibility in Context Scale: Findings from the Cleft Collective Cohort Study

2021 ◽  
pp. 105566562098574
Author(s):  
Miriam Seifert ◽  
Amy Davies ◽  
Sam Harding ◽  
Sharynne McLeod ◽  
Yvonne Wren
Keyword(s):  
Cohort Study ◽  
Cleft Palate ◽  
Cleft Lip ◽  
Outcome Measure ◽  
Total Sample ◽  
Questionnaire Data ◽  
Outcomes Measurement ◽  
English Speaking ◽  
Children's Speech ◽  
Comparison Data

Objective: To provide comparison data on the Intelligibility in Context Scale (ICS) for a sample of 3-year-old English-speaking children born with any cleft type. Design: Questionnaire data from the Cleft Collective Cohort Study were used. Descriptive and inferential statistics were carried out to determine difference according to children’s cleft type and syndromic status. Participants: A total of 412 children born with cleft lip and/or palate whose mothers had completed the ICS when their child was 3 years old. Main Outcome Measure(s): Mothers’ rating of their children’s intelligibility using the ICS. Results: The average ICS score for the total sample was 3.75 ( sometimes-usually intelligible; standard deviation [SD] = 0.76, 95% CIs = 3.68-3.83) of a possible score of 5 ( always intelligible). Children’s speech was reported to be most intelligible to their mothers (mean = 4.33, SD = 0.61, 95% CIs = 4.27-4.39) and least intelligible to strangers (mean = 3.36, SD = 1.00, 95% CIs = 3.26-3.45). There was strong evidence ( P < .001) for a difference in intelligibility between children with cleft lip only (n = 104, mean = 4.13, SD = 0.62, 95% CIs = 4.01-4.25) and children with any form of cleft palate (n = 308, mean = 3.63, SD = 0.76, 95% CIs = 3.52-3.71). Children born with cleft palate with or without cleft lip and an identified syndrome were rated as less intelligible (n = 63, mean = 3.28, SD = 0.85, 95% CIs = 3.06-3.49) compared to children who did not have a syndrome (n = 245, mean = 3.72, SD = 0.71, 95% CIs = 3.63-3.81). Conclusions: These results provide preliminary comparative data for clinical services using the outcome measures recommended by the International Consortium for Health Outcomes Measurement.

Language Development in Children With Cleft Palate With or Without Cleft Lip Adopted From Non–English-Speaking Countries

2017 ◽  
Vol 26 (2) ◽  
pp. 342-354 ◽  
Author(s):  
Amy R. Morgan ◽  
Claudia Crilly Bellucci ◽  
Jody Coppersmith ◽  
Sebastian B. Linde ◽  
Arthur Curtis ◽  
...  
Keyword(s):  
Language Development ◽  
Cleft Palate ◽  
Cleft Lip ◽  
English Speaking

Transcription of Vietnamese Adults’ and Children’s Consonants by English-Speaking Speech-Language Pathologists

2019 ◽  
Vol 72 (Suppl. 2) ◽  
pp. 92-107
Author(s):  
Sarah Masso ◽  
Sharynne McLeod ◽  
Anna Cronin ◽  
Ben Phạm
Keyword(s):  
Speech Language Pathologists ◽  
English Speaking
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