Exploring the Relationship Between Speech Motor Control and Phonological Processing in Children Who Stutter and Typically Developed Children

Introduction: Language processing (especially phonology) and speech motor control are disordered in stuttering. However, it is unclear how they are related based on the models of speech processing. The present study aimed to study non-word repetition, rhyme and alliteration judgment, and speech motor control and investigate their relationship in children who stutter (CWS) compared to typically developed children (TDC). Materials and Methods: Twenty-eight CWS (mean age=5.46 years) and 28 peers TDC (mean age=5.52 years) participated in this study. Phonological processing, according to the speech processing model, is divided into phonological input and output. Phonological input, phonological output, and speech motor control were assessed by rhyme and alliteration tasks, accurate phonological production during non-word repetition task, and Robbins-Klee oral speech motor protocol, respectively. The Pearson correlation coefficient, independent t-test, and Cohen’s d were used for data analysis. Results: Both non-word repetition and speech motor skills were significantly different in CWS than TDC (P<0.001). But rhyme and alliteration judgment were similar across groups (P>0.001). Phonological processing and speech motor control were not significantly correlated (P>0.001). Conclusion: Phonological processing (output), a level before articulation, and speech motor control are not correlated, but both are disordered in preschool CWS. Additionally, phonological processing (input) is similar in CWS and TDC. That is, phonological input is not affected by stuttering in CWS.

Development and Validation of a Probe Word List to Assess Speech Motor Skills in Children

Purpose The aim of the study was to develop and validate a probe word list and scoring system to assess speech motor skills in preschool and school-age children with motor speech disorders. Method This article describes the development of a probe word list and scoring system using a modified word complexity measure and principles based on the hierarchical development of speech motor control known as the Motor Speech Hierarchy (MSH). The probe word list development accounted for factors related to word (i.e., motoric) complexity, linguistic variables, and content familiarity. The probe word list and scoring system was administered to 48 preschool and school-age children with moderate-to-severe speech motor delay at clinical centers in Ontario, Canada, and then evaluated for reliability and validity. Results One-way analyses of variance revealed that the motor complexity of the probe words increased significantly for each MSH stage, while no significant differences in the linguistic complexity were found for neighborhood density, mean biphone frequency, or log word frequency. The probe word list and scoring system yielded high reliability on measures of internal consistency and intrarater reliability. Interrater reliability indicated moderate agreement across the MSH stages, with the exception of MSH Stage V, which yielded substantial agreement. The probe word list and scoring system demonstrated high content, construct (unidimensionality, convergent validity, and discriminant validity), and criterion-related (concurrent and predictive) validity. Conclusions The probe word list and scoring system described in the current study provide a standardized method that speech-language pathologists can use in the assessment of speech motor control. It can support clinicians in identifying speech motor difficulties in preschool and school-age children, set appropriate goals, and potentially measure changes in these goals across time and/or after intervention.

Speech features of stuttering children

To understand the nature of stuttering, it is important to clarify the speech characteristics of children who stutter. The level of development of language skills in stuttering children is almost the same as in normal-speaking children. They determine the reactions of individual characteristics to the influence of various situational factors. Research on the speech characteristics of stuttering children shows that they have difficulty using the means of communication in the communicative processes of speech, despite the richness of vocabulary and the ability to compose sentences. Stuttering is one of the most common speech disorders caused by convulsions in the muscles of the speech apparatus, and stuttering should be eliminated immediately when it occurs. Otherwise, it will get worse and worse over time and can do great damage to the child's mental development. Key words: stuttering, speech, motor skills, oral and written speech, articulation, convulsions

Children's abstraction and generalization of English lexical stress patterns

The current study investigated school-aged children's internalization of the distributional patterns of English lexical stress as a function of vocabulary size. Sixty children (5;3 to 8;3) participated in the study. The children were asked to blend two individually presented, equally stressed syllables to produce disyllabic nonwords with different resulting structures in one of two frame sentences. The frame sentences were designed to elicit either a noun or verb interpretation of the nonword. Children's receptive vocabulary was also assessed. The results indicated that children more readily blended syllable pairs that resulted in trochaic-compatible word structures than in iambic-compatible structures. This effect was strongest in young children with large vocabularies. As for stress placement, all children were sensitive to the effect of word structure, but only children with the largest vocabularies were sensitive to the biasing effect of grammatical category (noun = trochee; verb = iamb). The study results are discussed with reference to the observation that speech motor skills develop in tandem with lexical acquisition and the hypothesis that phonological knowledge emerges in part from abstraction across lexical representations.