scholarly journals Assessment of Dysphonia in Children with Pompe Disease Using Auditory-Perceptual and Acoustic/Physiologic Methods

2021 ◽  
Vol 10 (16) ◽  
pp. 3617
Author(s):  
Kelly D. Crisp ◽  
Amy T. Neel ◽  
Sathya Amarasekara ◽  
Jill Marcus ◽  
Gretchen Nichting ◽  
...  
Keyword(s):  
Pompe Disease ◽  
Voice Quality ◽  
Motor Speech ◽  
Maximal Volume ◽  
Laryngeal Function ◽  
Vocal Function ◽  
Relative Contribution ◽  
Motor Speech Disorder ◽  
Speech Performance ◽  
Vocal Quality

Bulbar and respiratory weakness occur commonly in children with Pompe disease and frequently lead to dysarthria. However, changes in vocal quality associated with this motor speech disorder are poorly described. The goal of this study was to characterize the vocal function of children with Pompe disease using auditory-perceptual and physiologic/acoustic methods. High-quality voice recordings were collected from 21 children with Pompe disease. The Grade, Roughness, Breathiness, Asthenia, and Strain (GRBAS) scale was used to assess voice quality and ratings were compared to physiologic/acoustic measurements collected during sustained phonation tasks, reading of a standard passage, and repetition of a short phrase at maximal volume. Based on ratings of grade, dysphonia was present in 90% of participants and was most commonly rated as mild or moderate in severity. Duration of sustained phonation tasks was reduced and shimmer was increased in comparison to published reference values for children without dysphonia. Specific measures of loudness were found to have statistically significant relationships with perceptual ratings of grade, breathiness, asthenia, and strain. Our data suggest that dysphonia is common in children with Pompe disease and primarily reflects impairments in respiratory and laryngeal function; however, the primary cause of dysphonia remains unclear. Future studies should seek to quantify the relative contribution of deficits in individual speech subsystems on voice quality and motor speech performance more broadly.

A Novel Protocol Designed to Treat Spastic Dysarthria Secondary to Traumatic Brain Injury: A Case Study

2021 ◽  
pp. 1-11
Author(s):  
Kristine Galek ◽  
Ed M. Bice ◽  
Katie Allen
Keyword(s):  
Motor Learning ◽  
Range Of Motion ◽  
Speech Intelligibility ◽  
Treatment Protocol ◽  
Exercise Science ◽  
Motor Speech ◽  
Motor Speech Disorder ◽  
The Central Nervous System ◽  
Vocal Quality ◽  
Activation Pathways

Introduction Spastic dysarthria is a motor speech disorder produced by bilateral damage to the activation pathways of the central nervous system. Its speech characteristics reflect the effects of hypertonicity and weakness of the bulbar musculature in a way that slows movement and reduces range of motion and force. Perceptually, speech has a high-pitched, strained, hypernasal vocal quality with decreased intelligibility. Purpose The purpose is to present a case illustration describing the use of a novel treatment protocol to improve speech intelligibility in the presence of spastic dysarthria. Method An underlying framework, including principles of exercise, neuroplasticity, and motor learning with adjunctive biofeedback, is described. The protocol consisted of four sessions per week for 4 weeks with daily homework. Results The participant exhibited improvements in intelligibility, patient satisfaction, lingual, and jaw range of motion, nasality, and tongue strength. Conclusion The use of a novel protocol using biofeedback and incorporating principles of exercise science, neuroplasticity, and motor learning for the treatment of spastic dysarthria demonstrated positive outcomes.

scholarly journals Communication Support for People with ALS

2011 ◽  
Vol 2011 ◽  
pp. 1-6 ◽  
Author(s):  
David Beukelman ◽  
Susan Fager ◽  
Amy Nordness
Keyword(s):  
Augmentative And Alternative Communication ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Alternative Communication ◽  
Motor Speech ◽  
Motor Speech Disorder ◽  
Speech Performance ◽  
Communication Needs ◽  
Almost All ◽  
Lateral Sclerosis

Almost all people with amyotrophic lateral sclerosis (ALS) experience a motor speech disorder, such as dysarthria, as the disease progresses. At some point, 80 to of people with ALS are unable to meet their daily communication needs using natural speech. Unfortunately, once intelligibility begins to decrease, speech performance often deteriorates so rapidly that there is little time to implement an appropriate augmentative and alternative communication (AAC) intervention; therefore, appropriate timing of referral for AAC assessment and intervention continues to be a most important clinical decision-making issue. AAC acceptance and use have increased considerably during the past decade. Many people use AAC until within a few weeks of their deaths.

10-Effects of non-invasive brain stimulation on motor speech disorder in Parkinson’s disease

2018 ◽  
Vol 129 (4) ◽  
pp. e9
Author(s):  
L. Brabenec ◽  
J. Mekyska ◽  
Z. Galáž ◽  
P. Klobušiakova ◽  
M. Koštálová ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Brain Stimulation ◽  
Speech Disorder ◽  
Motor Speech ◽  
Non Invasive ◽  
Motor Speech Disorder

scholarly journals Childhood Apraxia of Speech. Developmental Speech Patterns. A Wide Retrospective Study

2020 ◽  
Vol 11 (3sup1) ◽  
pp. 54-68
Author(s):  
Elad Vashdi ◽  
◽  
Amit Avramov ◽  
Špela Falatov ◽  
Huang Yi-Chen ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Exploratory Factor Analysis ◽  
Sound Production ◽  
Speech Disorder ◽  
Apraxia Of Speech ◽  
Childhood Apraxia Of Speech ◽  
Motor Speech ◽  
Entry Level ◽  
Motor Speech Disorder ◽  
Speech Patterns

Patterns of a phenomenon define the entity. If one understands the patterns of the maze, he can find his way there. Patterns of colors on a dress will hold its characters and soul. Understanding the expressive patterns of a developmental syndrome enables treating it with success. It is true for treating Childhood Apraxia of speech (CAS) as well. CAS as motor-speech disorder involves difficulties in sounds production for speech purposes. The difficulties can be demonstrated in patterns that would be specific to CAS. These patterns can distinguish one phenomenon from another. A retrospective research was conducted based on 277 entry level evaluations of children diagnosed with CAS or suspected of CAS who visited a private clinic between 2006 and 2013. The analysis included speech variables alongside background and environmental variables. This article is dealing with speech patterns of children with motor speech disorder. Among the patterns examined are vowels ladder, single syllable ladder, Blowing and SSP (single sound production), Oral motor and SSP, Consonant group ladder and Consonants Exploratory factor analysis. The findings demonstrated the relationship and order of vowels, consonants and single syllables among Hebrew speaking children diagnosed with motor speech disorder. The Consonants Exploratory factor analysis gave validity to the existence of unique consonant groups. Further discussion regarding every result and its implication is included. Understanding the unique patterns of consonants and vowels strength among children with CAS can help clinicians in the decision-making process and goals targeting.

scholarly journals Estimation of Phoneme-Specific HMM Topologies for the Automatic Recognition of Dysarthric Speech

2013 ◽  
Vol 2013 ◽  
pp. 1-15 ◽  
Author(s):  
Santiago-Omar Caballero-Morales
Keyword(s):  
Neurological Diseases ◽  
Gaussian Mixture ◽  
Motor Speech ◽  
Motor Speech Disorder ◽  
Acoustic Modelling ◽  
Speech Database ◽  
Recognition Systems ◽  
Dysarthric Speech ◽  
Different Levels

Dysarthria is a frequently occurring motor speech disorder which can be caused by neurological trauma, cerebral palsy, or degenerative neurological diseases. Because dysarthria affects phonation, articulation, and prosody, spoken communication of dysarthric speakers gets seriously restricted, affecting their quality of life and confidence. Assistive technology has led to the development of speech applications to improve the spoken communication of dysarthric speakers. In this field, this paper presents an approach to improve the accuracy of HMM-based speech recognition systems. Because phonatory dysfunction is a main characteristic of dysarthric speech, the phonemes of a dysarthric speaker are affected at different levels. Thus, the approach consists in finding the most suitable type of HMM topology (Bakis, Ergodic) for each phoneme in the speaker’s phonetic repertoire. The topology is further refined with a suitable number of states and Gaussian mixture components for acoustic modelling. This represents a difference when compared with studies where a single topology is assumed for all phonemes. Finding the suitable parameters (topology and mixtures components) is performed with a Genetic Algorithm (GA). Experiments with a well-known dysarthric speech database showed statistically significant improvements of the proposed approach when compared with the single topology approach, even for speakers with severe dysarthria.

Ultrasonography applied to the description of voice quality settings in adult speakers of Brazilian Portuguese

Revista CEFAC ◽  
2021 ◽  
Vol 23 (6) ◽  
Author(s):  
Tamar Vieira de Jesus ◽  
Aline Neves Pessoa Almeida ◽  
Zuleica Camargo
Keyword(s):  
Data Analysis ◽  
Instructional Material ◽  
Profile Analysis ◽  
Voice Quality ◽  
Brazilian Portuguese ◽  
Ultrasound Images ◽  
Perceptual Judgments ◽  
Analysis Scheme ◽  
Vocal Quality

ABSTRACT Purpose: to relate ultrasound images with auditory-perceptual data on vocal quality settings in adult speakers of Brazilian Portuguese. Methods: the corpus consisted of speech samples (sentences contained in the instructional material of the Vocal Profile Analysis Scheme - VPAS-PB) from seven adult subjects of both genders, recorded simultaneously by acoustic and ultrasonographic means. Data analysis was based on auditory-perceptual judgments of vocal quality and ultrasound images generated by the AAA software. Results: vocal quality settings related to the position of the tongue body and the extension of the tongue and jaw found correspondences to the contours of ultrasound images of the tongue in selected key segments (oral vowels), especially those with greater degrees of manifestation. Conclusion: there were correspondences between vocal quality settings detected in the perceptual sphere and their respective tongue body and jaw ultrasound images.

scholarly journals Analysis of voice quality in patients with late-onset Pompe disease

2016 ◽  
Vol 11 (1) ◽  
Author(s):  
Krzysztof Szklanny ◽  
Ryszard Gubrynowicz ◽  
Katarzyna Iwanicka-Pronicka ◽  
Anna Tylki-Szymańska
Keyword(s):  
Pompe Disease ◽  
Late Onset ◽  
Voice Quality

Speak App: A Development of Mobile Application Guide for Filipino People with Motor Speech Disorder

2018 ◽  
Author(s):  
Marilou N. Jamis ◽  
Emeliza R. Yabut ◽  
Rosauro E. Manuel ◽  
Annaliza E. Catacutan-Bangit
Keyword(s):  
Mobile Application ◽  
Speech Disorder ◽  
Motor Speech ◽  
Motor Speech Disorder ◽  
Filipino People
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