Speech Production and Oral Motor Skill in an Adult with an Unrepaired Palatal Cleft

1985 ◽  
Vol 50 (3) ◽  
pp. 254-261 ◽  
Author(s):  
Samuel G. Fletcher

The aim of this study was to identify maneuvers and strategies that enabled an adult speaker to produce "pressure" consonants intelligibly despite an open cleft of the palate. Dynamic palatometry indicated that this was achieved in part by increasing linguapalatal contact in stop sound production and narrowing the linguapalatal groove in sibilant sound production. These adaptations apparently enabled the talker to compensate for reduced air supply in a manner similar to that identified previously in responses of subjects with esophageal speech. Oral motor skill was examined in a nonspeech task that involved tongue tip placement at six points along the palate with and without visual feedback. This revealed precise control of the tongue even in the region of the cleft. Less accurate tongue placement skills were found in the central palatal region despite intactness of the palate. This supports the hypothesis that phonetic inventories of human languages are shaped by oral motor capabilities.

1982 ◽  
Vol 47 (2) ◽  
pp. 194-199 ◽  
Author(s):  
Bernd Weinberg ◽  
Yoshiyuki Horii ◽  
Eric Blom ◽  
Mark Singer

Prosthesis airway resistance calculations were completed for five Blom-Singer prostheses and esophageal source airway resistance estimated were made of five laryngectomized patients using the Singer-Blom voice restoration method. Airway resistance of the Blom-Singer prostheses ranged from 46 to 121 cmH 2 O/LPS, while source airways resistance in these subjects ranged from about 155 to 270 cmH 2 O/LPS. These results revealed that the opposition of the voicing sources used in esophageal speech production to airflow through them is substantial and larger than that established for the normal, laryngeal source. Findings are interpreted to highlight major advantages the Singer-Blom (1980) method of speech/voice restoration has over esophageal speech/voice produced on a conventional basis and to reveal specific reasons for the failure of may laryngectomized patients to develop consistent voice and functionally serviceable speech.


1996 ◽  
Vol 39 (3) ◽  
pp. 604-610 ◽  
Author(s):  
Nancy Tye-Murray ◽  
Linda Spencer ◽  
Elizabeth Gilbert Bedia ◽  
George Woodworth

Twenty children who have worn a Cochlear Corporation cochlear implant for an average of 33.6 months participated in a device-on/off experiment. They spoke 14 monosyllabic words three times each after having not worn their cochlear implant speech processors for several hours. They then spoke the same speech sample again with their cochlear implants turned on. The utterances were phonetically transcribed by speech-language pathologists. On average, no difference between speaking conditions on indices of vowel height, vowel place, initial consonant place, initial consonant voicing, or final consonant voicing was found. Comparisons based on a narrow transcription of the speech samples revealed no difference between the two speaking conditions. Children who were more intelligible were no more likely to show a degradation in their speech production in the device-off condition than children who were less intelligible. In the device-on condition, children sometimes nasalized their vowels and inappropriately aspirated their consonants. Their tendency to nasalize vowels and aspirate initial consonants might reflect an attempt to increase proprioceptive feedback, which would provide them with a greater awareness of their speaking behavior.


1976 ◽  
Vol 19 (4) ◽  
pp. 678-689 ◽  
Author(s):  
John M. Christensen ◽  
Bernd Weinberg

The duration of a large number of representative vowels produced by 10 esophageal and nine normal speakers were measured. Overall vowel durations of esophageal speakers were consistently longer than those of normal speakers, indicating that esophageal speakers do not compensate for their striking diminution in air supply for speech by decreasing vowel duration. The differences in the vowel duration characteristics between normal and esophageal speakers were observed to vary systematically as a function of the voicing features of their consonant environments. Specifically, the durations of vowels of esophageal speakers spoken within voiceless consonant environments were consistently longer than those spoken in similar contexts by normal speakers. There were no significant differences between the average durations of vowels spoken by normal and esophageal speakers within voiced consonant environments. The observation that the durations of vowels produced by esophageal speakers differed significantly as a function of the voicing features of their consonant context was interpreted to support the belief that inherent, rule-governed durational features of English are retained following laryngeal amputation.


1978 ◽  
Vol 39 (1) ◽  
pp. 21-28 ◽  
Author(s):  
George Chierici ◽  
Mack L. Parker ◽  
Charles D. Hemphill
Keyword(s):  

2018 ◽  
Vol 49 (4) ◽  
pp. 774-786 ◽  
Author(s):  
Kathryn L. Cabbage ◽  
Kelly Farquharson ◽  
Jenya Iuzzini-Seigel ◽  
Jennifer Zuk ◽  
Tiffany P. Hogan

Purpose Children with dyslexia have speech production deficits in a variety of spoken language contexts. In this article, we discuss the nature of speech production errors in children with dyslexia, including those who have a history of speech sound disorder and those who do not, to familiarize speech-language pathologists with speech production–specific risk factors that may help predict or identify dyslexia in young children. Method In this tutorial, we discuss the role of a phonological deficit in children with dyslexia and how this may manifest as speech production errors, sometimes in conjunction with a speech sound disorder but sometimes not. We also briefly review other factors outside the realm of phonology that may alert the speech-language pathologist to possible dyslexia. Results Speech-language pathologists possess unique knowledge that directly contributes to the identification and remediation of children with dyslexia. We present several clinical recommendations related to speech production deficits in children with dyslexia. We also review what is known about how and when children with speech sound disorder are most at risk for dyslexia. Conclusion Speech-language pathologists have a unique opportunity to assist in the identification of young children who are at risk for dyslexia.


2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Lasse Christiansen ◽  
Malte Nejst Larsen ◽  
Mads Just Madsen ◽  
Michael James Grey ◽  
Jens Bo Nielsen ◽  
...  

Abstract Motor skill acquisition depends on central nervous plasticity. However, behavioural determinants leading to long lasting corticospinal plasticity and motor expertise remain unexplored. Here we investigate behavioural and electrophysiological effects of individually tailored progressive practice during long-term motor skill training. Two groups of participants practiced a visuomotor task requiring precise control of the right digiti minimi for 6 weeks. One group trained with constant task difficulty, while the other group trained with progressively increasing task difficulty, i.e. continuously adjusted to their individual skill level. Compared to constant practice, progressive practice resulted in a two-fold greater performance at an advanced task level and associated increases in corticospinal excitability. Differences were maintained 8 days later, whereas both groups demonstrated equal retention 14 months later. We demonstrate that progressive practice enhances motor skill learning and promotes corticospinal plasticity. These findings underline the importance of continuously challenging patients and athletes to promote neural plasticity, skilled performance, and recovery.


2017 ◽  
Vol 60 (6S) ◽  
pp. 1726-1738 ◽  
Author(s):  
Adam Buchwald ◽  
Bernadine Gagnon ◽  
Michele Miozzo

Purpose This study aimed to test whether an approach to distinguishing errors arising in phonological processing from those arising in motor planning also predicts the extent to which repetition-based training can lead to improved production of difficult sound sequences. Method Four individuals with acquired speech production impairment who produced consonant cluster errors involving deletion were examined using a repetition task. We compared the acoustic details of productions with deletion errors in target consonant clusters to singleton consonants. Changes in accuracy over the course of the study were also compared. Results Two individuals produced deletion errors consistent with a phonological locus of the errors, and 2 individuals produced errors consistent with a motoric locus of the errors. The 2 individuals who made phonologically driven errors showed no change in performance on a repetition training task, whereas the 2 individuals with motoric errors improved in their production of both trained and untrained items. Conclusions The results extend previous findings about a metric for identifying the source of sound production errors in individuals with both apraxia of speech and aphasia. In particular, this work may provide a tool for identifying predominant error types in individuals with complex deficits.


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