scholarly journals Repeated word production is inconsistent in both aphasia and apraxia of speech

Aphasiology ◽  
2020 ◽  
pp. 1-21
Author(s):  
Katarina L. Haley ◽  
Kevin T. Cunningham ◽  
Adam Jacks ◽  
Jessica D. Richardson ◽  
Tyson Harmon ◽  
...  
Keyword(s):  
Word Production ◽  
Apraxia Of Speech ◽  
Repeated Word

Sound production treatment for acquired apraxia of speech: Effects of blocked and random practice on multisyllabic word production

2015 ◽  
Vol 18 (5) ◽  
pp. 450-464 ◽  
Author(s):  
Julie Wambaugh ◽  
Christina Nessler ◽  
Sandra Wright ◽  
Shannon Mauszycki ◽  
Catharine DeLong
Keyword(s):  
Sound Production ◽  
Word Production ◽  
Apraxia Of Speech

A neurophonetic perspective on articulation planning

2020 ◽  
Author(s):  
Wolfram Ziegler
Keyword(s):  
Motor Learning ◽  
Higher Order ◽  
Speech Development ◽  
Word Production ◽  
Apraxia Of Speech ◽  
Clinical Model ◽  
Motor Processes ◽  
Speech Motor Learning ◽  
Speech Motor ◽  
Production Accuracy

This paper gives an overview of a model that predicts articulation ease for German phonological words on the basis of error data from patients with apraxia of speech (AOS). AOS is introduced as a clinical model of higher order motor processes for articulation. Word production accuracy in AOS is considered as a window into the structure of articulation plans as acquired through speech motor learning in childhood. The NLG model of apraxia of speech is explained. Applications in speech development and adult speech are outlined.

Self-Judgments of Word Production Accuracy in Acquired Apraxia of Speech

2016 ◽  
Vol 25 (4S) ◽  
Author(s):  
Julie Wambaugh ◽  
Linda Shuster ◽  
Dallin J. Bailey ◽  
Shannon Mauszycki ◽  
Jacob Kean ◽  
...  
Keyword(s):  
Empirical Data ◽  
False Positives ◽  
Word Production ◽  
The Self ◽  
Clinical Feature ◽  
Apraxia Of Speech ◽  
False Negatives ◽  
Error Awareness ◽  
Sampling Times ◽  
Accuracy And Stability

Purpose The ability to recognize one's own speech errors has long been considered a clinical feature of acquired apraxia of speech (AOS) despite limited empirical data supporting this notion. This study was designed to (a) investigate the ability of speakers with AOS to self-judge the accuracy of their own word productions and (b) examine the test–retest stability of a measure to quantify the self-judgments of speakers with AOS. Method Twenty-four speakers with AOS and aphasia repeated mono- and multisyllabic words. After each word, they indicated whether their production was correct or incorrect. This procedure was repeated 1 week later to examine performance stability. Results Percentage of incorrect word productions was stable for the group across times. Accuracy of judgments ranged from 64% to 100% at Time 1 and from 56% to 100% at Time 2. Inaccurate judgments of error productions (false positives) occurred much more frequently than inaccurate judgments of correct productions (false negatives). Conclusions Error production was remarkably stable in our participants. As a group, the participants failed to detect almost one third of words produced erroneously. However, accuracy and stability of judgments over sampling times varied across participants. Findings suggest that error awareness might be a worthwhile target for treatment in some individuals with AOS.

Segmental and prosodic variability on repeated polysyllabic word production in acquired apraxia of speech plus aphasia

Aphasiology ◽  
2017 ◽  
Vol 32 (5) ◽  
pp. 578-597 ◽  
Author(s):  
Dominique I. Scholl ◽  
Patricia J. McCabe ◽  
Rob Heard ◽  
Kirrie J. Ballard
Keyword(s):  
Word Production ◽  
Apraxia Of Speech ◽  
Polysyllabic Word

Feasibility of Automatic Speech Recognition for Providing Feedback During Tablet-Based Treatment for Apraxia of Speech Plus Aphasia

2019 ◽  
Vol 28 (2S) ◽  
pp. 818-834 ◽  
Author(s):  
Kirrie J. Ballard ◽  
Nicole M. Etter ◽  
Songjia Shen ◽  
Penelope Monroe ◽  
Chek Tien Tan
Keyword(s):  
Speech Recognition ◽  
Automatic Speech Recognition ◽  
Speech Therapy ◽  
Word Production ◽  
Alternative Methods ◽  
Apraxia Of Speech ◽  
Therapy Program ◽  
Practice Trials ◽  
Over Time ◽  
Production Accuracy

Purpose Individuals with neurogenic speech disorders require ongoing therapeutic support to achieve functional communication goals. Alternative methods for service delivery, such as tablet-based speech therapy applications, may help bridge the gap and bring therapeutic interventions to the patient in an engaging way. The purpose of this study was to evaluate an iPad-based speech therapy app that uses automatic speech recognition (ASR) software to provide feedback on speech accuracy to determine the ASR's accuracy against human judgment and whether participants' speech improved with this ASR-based feedback. Method Five participants with apraxia of speech plus aphasia secondary to stroke completed an intensive 4-week at-home therapy program using a novel word training app with built-in ASR. Multiple baselines across participants and behaviors designs were employed, with weekly probes and follow-up at 1 month posttreatment. Four sessions a week of 100 practice trials each were prescribed, with 1 being clinician-run and the remainder done independently. Dependent variables of interest were ASR–human agreement on accuracy during practice trials and human-judged word production accuracy over time in probes. Also, user experience surveys were completed immediately posttreatment. Results ASR–human agreement on accuracy averaged ~80%, which is a common threshold applied for interrater agreement. All participants demonstrated improved word production accuracy over time with the ASR-based feedback and maintenance of gains after 1 month. All participants reported enjoying using the app with support of a speech pathologist. Conclusion For these participants with apraxia of speech plus aphasia due to stroke, satisfactory gains were made in word production accuracy with an app-based therapy program providing ASR-based feedback on accuracy. Findings support further testing of this ASR-based approach as a supplement to clinician-run sessions to assist clients with similar profiles in achieving higher amount and intensity of practice as well as empowering them to manage their own therapy program. Supplemental Material https://doi.org/10.23641/asha.8206628

scholarly journals Linguistic and Articulatory Aspects of Single Word Production in Apraxia of Speech

Cortex ◽  
1977 ◽  
Vol 13 (1) ◽  
pp. 17-29 ◽  
Author(s):  
Jeanette M. Dunlop ◽  
Thomas P. Marquardt
Keyword(s):  
Word Production ◽  
Apraxia Of Speech ◽  
Single Word

Signal Interpretation Considerations When Estimating Subglottal Pressure From Oral Air Pressure

2019 ◽  
Vol 62 (5) ◽  
pp. 1326-1337 ◽  
Author(s):  
Brittany L. Perrine ◽  
Ronald C. Scherer ◽  
Jason A. Whitfield
Keyword(s):  
Standard Condition ◽  
Word Production ◽  
Air Pressure ◽  
Pressure Waveform ◽  
Pressure Measurements ◽  
Air Leak ◽  
Pressure Signal ◽  
Adult Participants ◽  
Syllable Repetition ◽  
Subglottal Pressure

Purpose Oral air pressure measurements during lip occlusion for /pVpV/ syllable strings are used to estimate subglottal pressure during the vowel. Accuracy of this method relies on smoothly produced syllable repetitions. The purpose of this study was to investigate the oral air pressure waveform during the /p/ lip occlusions and propose physiological explanations for nonflat shapes. Method Ten adult participants were trained to produce the “standard condition” and were instructed to produce nonstandard tasks. Results from 8 participants are included. The standard condition required participants to produce /pːiːpːiː.../ syllables smoothly at approximately 1.5 syllables/s. The nonstandard tasks included an air leak between the lips, faster syllable repetition rates, an initial voiced consonant, and 2-syllable word productions. Results Eleven oral air pressure waveform shapes were identified during the lip occlusions, and plausible physiological explanations for each shape are provided based on the tasks in which they occurred. Training the use of the standard condition, the initial voice consonant condition, and the 2-syllable word production increased the likelihood of rectangular oral air pressure waveform shapes. Increasing the rate beyond 1.5 syllables/s improved the probability of producing rectangular oral air pressure signal shapes in some participants. Conclusions Visual and verbal feedback improved the likelihood of producing rectangular oral air pressure signal shapes. The physiological explanations of variations in the oral air pressure waveform shape may provide direction to the clinician or researcher when providing feedback to increase the accuracy of estimating subglottal pressure from oral air pressure.

Perceptual Characteristics of Consonant Production in Apraxia of Speech and Aphasia

2019 ◽  
Vol 28 (4) ◽  
pp. 1411-1431 ◽  
Author(s):  
Lauren Bislick ◽  
William D. Hula
Keyword(s):  
Error Rate ◽  
Error Rates ◽  
Group Differences ◽  
Diagnostic Process ◽  
Apraxia Of Speech ◽  
Contextual Variables ◽  
Error Type ◽  
Type Distribution ◽  
Phonetic Features ◽  
Syllable Position

Purpose This retrospective analysis examined group differences in error rate across 4 contextual variables (clusters vs. singletons, syllable position, number of syllables, and articulatory phonetic features) in adults with apraxia of speech (AOS) and adults with aphasia only. Group differences in the distribution of error type across contextual variables were also examined. Method Ten individuals with acquired AOS and aphasia and 11 individuals with aphasia participated in this study. In the context of a 2-group experimental design, the influence of 4 contextual variables on error rate and error type distribution was examined via repetition of 29 multisyllabic words. Error rates were analyzed using Bayesian methods, whereas distribution of error type was examined via descriptive statistics. Results There were 4 findings of robust differences between the 2 groups. These differences were found for syllable position, number of syllables, manner of articulation, and voicing. Group differences were less robust for clusters versus singletons and place of articulation. Results of error type distribution show a high proportion of distortion and substitution errors in speakers with AOS and a high proportion of substitution and omission errors in speakers with aphasia. Conclusion Findings add to the continued effort to improve the understanding and assessment of AOS and aphasia. Several contextual variables more consistently influenced breakdown in participants with AOS compared to participants with aphasia and should be considered during the diagnostic process. Supplemental Material https://doi.org/10.23641/asha.9701690

Bang for Your Buck: A Single-Case Experimental Design Study of Practice Amount and Distribution in Treatment for Childhood Apraxia of Speech

2019 ◽  
Vol 62 (9) ◽  
pp. 3160-3182 ◽  
Author(s):  
Edwin Maas ◽  
Christina Gildersleeve-Neumann ◽  
Kathy Jakielski ◽  
Nicolette Kovacs ◽  
Ruth Stoeckel ◽  
...  
Keyword(s):  
Single Case ◽  
Evidence Base ◽  
Distributed Practice ◽  
Single Subject ◽  
Single Subject Design ◽  
Apraxia Of Speech ◽  
Childhood Apraxia Of Speech ◽  
Opposite Pattern ◽  
Massed Practice ◽  
Treatment Conditions

Purpose The aim of this study was to examine 2 aspects of treatment intensity in treatment for childhood apraxia of speech (CAS): practice amount and practice distribution. Method Using an alternating-treatments single-subject design with multiple baselines, we compared high versus low amount of practice, and massed versus distributed practice, in 6 children with CAS. Conditions were manipulated in the context of integral stimulation treatment. Changes in perceptual accuracy, scored by blinded analysts, were quantified with effect sizes. Results Four children showed an advantage for high amount of practice, 1 showed an opposite effect, and 1 showed no condition difference. For distribution, 4 children showed a clear advantage for massed over distributed practice post treatment; 1 showed an opposite pattern, and 1 showed no clear difference. Follow-up revealed a similar pattern. All children demonstrated treatment effects (larger gains for treated than untreated items). Conclusions High practice amount and massed practice were associated with more robust speech motor learning in most children with CAS, compared to low amount and distributed practice, respectively. Variation in effects across children warrants further research to determine factors that predict optimal treatment conditions. Finally, this study adds to the evidence base supporting the efficacy of integral stimulation treatment for CAS. Supplemental Material https://doi.org/10.23641/asha.9630599

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