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A systematic review of the relationships amongst older adults’ cognitive and motor speech abilities 老年人认知和运动语言能力之间关系的系统回顾
IF 1.8 3区 医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2025-02-28 DOI: 10.1016/j.jcomdis.2025.106510
Laura Manderson, Anna Krzeczkowska, Anja Kuschmann, Anja Lowit, Louise A. Brown Nicholls
Age-related differences in motor speech performance may be only partially explained by physiological factors. In this systematic review we investigated the extent to which cognition is related to older adults’ motor speech production. PsycInfo, PubMed, Web of Science, and the Cochrane Library were last searched on 1st October 2024. Eligible studies involved healthy older adults, and/or those with mild cognitive impairment (MCI), with an average age of 60 or above. Study quality was formally evaluated and results presented via a narrative synthesis. In total, there were 22 eligible studies identified including 747 older adults. Ten of eighteen studies investigating attention/executive abilities reported significant relationships with motor speech subprocesses in 571 of 661 participants. Relationships between other cognitive abilities and motor speech outcomes were also reported, however, there were significant gaps in the literature and heterogeneity in the measurements used. In addition, only five studies contained the highest quality evidence. Cognition, and potentially executive abilities specifically, may affect speech articulation in healthy aging and in MCI. Further research implementing a range of tasks is required to better understand the trajectory of age-related changes to cognition and motor speech production.
与年龄相关的运动语言表现差异可能只能部分地用生理因素来解释。在这篇系统综述中,我们调查了认知与老年人运动语言产生的关系程度。PsycInfo、PubMed、Web of Science和Cochrane Library最后一次被检索是在2024年10月1日。符合条件的研究涉及平均年龄在60岁或以上的健康老年人和/或轻度认知障碍(MCI)患者。对研究质量进行了正式评估,并通过叙事综合提出了研究结果。总共有22项符合条件的研究,包括747名老年人。在18项调查注意力/执行能力的研究中,有10项研究报告了661名参与者中571人与运动语言子过程的显著关系。其他认知能力和运动语言结果之间的关系也有报道,然而,在文献中存在显著的差距和使用的测量方法的异质性。此外,只有5项研究含有最高质量的证据。认知,特别是潜在的执行能力,可能会影响健康老年人和轻度认知障碍患者的言语表达。为了更好地了解认知和运动语言产生的年龄相关变化的轨迹,需要进一步的研究来实施一系列任务。
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引用次数: 0
A year in stuttering research: A systematic review of global representation and sociodemographic reporting practices in English-language journals in 2020 口吃研究的一年:2020年英语期刊全球代表性和社会人口报告实践的系统回顾
IF 1.8 3区 医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2025-01-31 DOI: 10.1016/j.jcomdis.2025.106500
Ryan A. Millager , Talia Liu , Dillon G. Pruett , Robin M. Jones

Purpose

Demographic data is inconsistently reported and defined in communication sciences and disorders research, yet gender, ethnicity, and socioeconomic status (SES) may be critical considerations for investigations of stuttering. Therefore, the purpose of this study is to evaluate the global scope and sociodemographic reporting practices among stuttering research published in the year 2020.

Methods

Article searches were conducted in February 2023 in PsycINFO, PubMed, and ASHAWire for studies sampling participants with developmental stuttering or cluttering. Further inclusion criteria for systematic review were that articles must: (a) be published in the year 2020, (b) be published in a peer-reviewed journal, and (c) present original empirical research. Participant gender, ethnicity, and SES were extracted via a manualized coding scheme.

Results

The total corpus for review included k = 92 articles, representing a total n = 7,342 participants recruited from 26 different countries. The majority of articles (k = 36) were based in the United States (US), with all other countries contributing between 1 and 5 articles each. Gender (or sex) was reported in 93.5% of included studies, ethnicity in 22.8%, and SES in 41.3%. Reporting practices did not significantly differ between US and non-US countries. Of note, only one article in 2020 recruited participants who clutter, with all others recruiting participants who stutter.

Conclusion

This is the first systematic review of diversity and reporting practices in the global stuttering research literature. Our results revealed a narrow global distribution of research participants, with limited reporting and analyses regarding participant ethnicity or SES. Consequently, we have identified opportunities to improve research participant transparency and to further consider sociocultural variables toward the advancement of global and inclusive stuttering research.
目的在传播科学和障碍研究中,人口学数据的报告和定义不一致,但性别、种族和社会经济地位(SES)可能是口吃调查的关键考虑因素。因此,本研究的目的是评估2020年发表的口吃研究的全球范围和社会人口学报告实践。方法于2023年2月在PsycINFO、PubMed和ASHAWire上检索有发展性口吃或杂乱的研究样本。系统评价的进一步纳入标准是文章必须:(a)在2020年发表,(b)发表在同行评议的期刊上,(c)是原创的实证研究。通过手动编码方案提取参与者的性别、种族和社会经济地位。结果共纳入k = 92篇文献,共计n = 7342名受试者,来自26个不同国家。大多数文章(k = 36)来自美国(US),所有其他国家分别贡献了1到5篇文章。93.5%的纳入研究报告了性别,22.8%的研究报告了种族,41.3%的研究报告了社会经济地位。报告实践在美国和非美国国家之间没有显著差异。值得注意的是,2020年只有一篇文章招募了杂乱无章的参与者,其他所有文章都招募了口吃的参与者。结论:本研究首次系统回顾了全球口吃研究文献的多样性和报告实践。我们的研究结果显示,研究参与者的全球分布范围很窄,关于参与者种族或社会经济地位的报告和分析也很有限。因此,我们已经确定了提高研究参与者透明度的机会,并进一步考虑社会文化变量,以推进全球和包容性口吃研究。
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引用次数: 0
Measuring communicative style in parents of infants with suspected neurodevelopmental disorders: Reliability test and adaptation of the RAACS instrument 测量疑似神经发育障碍婴儿父母的沟通方式:RAACS仪器的信度检验和适应性
IF 1.8 3区 医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2025-01-30 DOI: 10.1016/j.jcomdis.2025.106499
Lena Lindberger , Päivikki Aarne , Gunilla Thunberg , Anna Rensfeldt Flink

Introduction

The Responsive Augmentative and Alternative Communication Style Scale, version 3 (RAACS 3) has been used when assessing communicative style in parents of children with communicative disabilities between 12 and 60 months of age and it has demonstrated validity and reliability. The aim of this study was to investigate the reliability of RAACS when applied to video-recorded communication between parents and their infants (aged four to 12 months) with suspected neurodevelopmental disorders, and, if needed, adapt, and retest the instrument.

Method

Four speech language pathologists performed a three-phase reliability procedure using twenty-six audio-video recordings of interactions between parents and infants. Inter- and intrarater agreement was calculated. In phase I the original instrument RAACS 3 was used, on twenty recordings. In phase II the instrument was adapted to better suit the target group (parents of infants aged four to 12 months) and was called RAACS 4. In phase III RAACS 4 was pilot tested on six new audio-video recordings. This phase also included two joint ratings and a consensus discussion between the raters preceding the rating procedure.

Results

The testing during phase I showed low reliability rates of RAACS 3 independent of statistical test method. The pilot testing that was done during phase III showed that the adapted version, RAACS 4, had higher reliability rates.

Conclusions

RAACS 3 was not reliable for assessment of communicative style in parents of infants. RAACS 4 showed promising results when assessing communicative style of parents of infants with neurodevelopmental delays. Further reliability and validity investigation is needed.
本研究采用响应性增强和替代沟通风格量表第3版(RAACS 3)来评估12 - 60个月大的沟通障碍儿童父母的沟通风格,并证明了其有效性和可靠性。本研究的目的是调查RAACS应用于疑似神经发育障碍的父母和婴儿(4至12个月)之间的视频记录通信时的可靠性,如果需要,调整和重新测试该仪器。方法4名语言病理学家使用26段父母与婴儿互动的录音录像进行了三阶段可靠性测试。计算了内部和内部的协议。在第一阶段,使用了原始仪器RAACS 3,录制了20张唱片。在第二阶段,该仪器进行了调整,以更好地适应目标群体(4至12个月婴儿的父母),并被称为RAACS 4。在第三阶段,RAACS 4在六种新的音像制品上进行了试验。这一阶段还包括两次联合评级和评级程序之前评级员之间的协商一致讨论。结果第一阶段的测试显示RAACS 3独立于统计检验方法的信度较低。在第三阶段进行的试点测试表明,改进型RAACS 4具有更高的可靠性。结论raacs 3量表对婴幼儿父母沟通方式的评价不可靠。RAACS 4在评估神经发育迟缓婴儿父母的沟通方式时显示出令人鼓舞的结果。需要进一步的信度和效度调查。
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引用次数: 0
Longitudinal predictors of reading ability in children with CI learning to read in Swedish 学习瑞典语阅读的CI儿童阅读能力的纵向预测因素。
IF 1.8 3区 医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2025-01-23 DOI: 10.1016/j.jcomdis.2025.106497
Malin Wass , Lena Anmyr , Björn Lyxell , Eva Karltorp , Elisabet Östlund , Ulrika Löfkvist
Purpose: This study investigated long-term predictors of reading development (phonological decoding, word recognition, and reading comprehension) in 24 children with cochlear implants (CIs). Method: The predictor variables were age, sex, nonverbal intelligence, working memory, paired associate learning, receptive vocabulary, phonological skills, grammatical knowledge, age at implantation, speech perception, and reported interest in reading. The children's mean age was approximately 7;8 years at the start of the study and they were then measured at three time points. The first and second assessments took place approximately 13 months apart, and the children were approximately 11;8 years of age at the third time point. Results: Decoding ability at age 11 was associated with early measures of nonverbal cognitive ability, visual-verbal paired associate learning, and grammatical knowledge when 0.05 was used as significance level but none of them remained significant after correcting for multiple comparisons. Several predictor variables from earlier measurements were significantly related to reading comprehension at age 11. The predictors that remained significant after Bonferroni correction were receptive vocabulary and grammatical knowledge. Discussion: The findings from this research suggest that early exposure to hearing and language, in particular vocabulary and grammar, is associated with reading outcomes at age 11.
目的:本研究探讨了24名植入人工耳蜗儿童阅读发展的长期预测因素(语音解码、单词识别和阅读理解)。方法:预测变量为年龄、性别、非语言智力、工作记忆、配对联想学习、接受性词汇、语音技能、语法知识、植入年龄、言语感知、阅读兴趣。在研究开始时,儿童的平均年龄约为7、8岁,然后在三个时间点对他们进行测量。第一次和第二次评估相隔约13个月,在第三个时间点,儿童约为11.8岁。结果:11岁儿童解码能力与非语言认知能力、视觉-语言配对联想学习和语法知识的早期测量结果在0.05为显著性水平时相关,但经多重比较校正后均不显著。早期测量的几个预测变量与11岁时的阅读理解显著相关。在Bonferroni纠正后,接受性词汇和语法知识仍然是显著的预测因子。讨论:这项研究的结果表明,早期接触听力和语言,特别是词汇和语法,与11岁时的阅读成绩有关。
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引用次数: 0
Relationships between executive functions and vocabulary knowledge in Spanish-speaking children with and without developmental language disorder 有与无发展性语言障碍的西班牙语儿童执行功能与词汇知识的关系
IF 1.8 3区 医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2025-01-22 DOI: 10.1016/j.jcomdis.2025.106498
Felipe Torres-Morales , Gary Morgan , Ricardo Rosas
Developmental language disorder (DLD) is often associated with deficits in executive functions (EFs). One common area of language difficulty in DLD is the development of vocabulary knowledge and it has been suggested that EF abilities may be linked to this difficulty. However, an explanation for this relationship remains unclear. The rationale for the current study examined the relationship between EFs and two aspects of vocabulary knowledge, receptive vocabulary size and vocabulary depth, in Spanish-speaking children with and without DLD. Vocabulary skills, the EFs of interference control, response inhibition, verbal and nonverbal working memory, and switching, were assessed in a total of 204 children aged 6–8 years: 105 with DLD and 99 with typical development (TD). Relationships were assessed using multiple regression models and path analysis, including EF as predictors, receptive vocabulary size and vocabulary depth as outcome or mediating variables, and age and non-verbal intelligence as covariates. In children with DLD, the EFs verbal working memory and switching were directly associated with receptive vocabulary size and indirectly with vocabulary depth. This indirect relationship was mediated by receptive vocabulary size. In contrast, no EFs were associated with receptive vocabulary size, and vocabulary depth in the TD group. These results suggest that verbal working memory and cognitive flexibility play a role in the cognitive mechanisms linked to vocabulary development in school children with DLD. Intervention programs aimed at improving vocabulary in this population should include EF activities.
发展性语言障碍(DLD)通常与执行功能缺陷(EFs)有关。DLD中一个常见的语言困难领域是词汇知识的发展,有人认为EF能力可能与这种困难有关。然而,这种关系的解释仍然不清楚。本研究的基本原理是考察有和没有语言障碍的西班牙语儿童的情感表达与词汇知识的两个方面,即接受性词汇量和词汇深度之间的关系。本文对204名6 ~ 8岁儿童的词汇技能、干扰控制、反应抑制、言语和非言语工作记忆、转换能力进行了评估,其中DLD儿童105名,TD儿童99名。使用多元回归模型和路径分析评估关系,包括EF作为预测变量,接受词汇量和词汇深度作为结果或中介变量,年龄和非语言智力作为协变量。DLD儿童的言语工作记忆和转换与接受性词汇量直接相关,与词汇深度间接相关。接受性词汇量介导了这种间接关系。相比之下,在TD组中,ef与接受性词汇量和词汇深度没有关联。这些结果表明,言语工作记忆和认知灵活性在与DLD学龄期儿童词汇发展相关的认知机制中发挥了作用。旨在提高这一人群词汇量的干预计划应该包括EF活动。
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引用次数: 0
Enhancing online speech and language assessment: Item development for the remote adult language experiment (ReAL-E) tool 加强在线语音和语言评估:远程成人语言实验(ReAL-E)工具的项目开发。
IF 1.8 3区 医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2025-01-22 DOI: 10.1016/j.jcomdis.2025.106496
Hope Sparks Lancaster , Ryan Parks , Seth Bashford , Denis Fitzpatrick , Alicia Buttner
Purpose: Recent technological advancements in psychology have yielded multiple unsupervised online tools for measuring cognitive skills. However, these tools do not measure key features of communication abilities in adults, such as productive speech or oral language. To address this gap, we developed the Remote Adult Language Experiment (ReAL-E) using a three-step approach that incorporates domain identification, expert evaluation, and piloting testing.
Method: Step 1 focused on domain and task identification by collaborating with experts and reviewing the literature. Step 2 included two rounds of evaluation by content and lay experts to assess the initial tool design, identify areas for refinement, and solicit feedback for desired features. Step 3 involved piloting the tool in a sample of adults recruited online.
Results: The ReAL-E tool adapted three speech planning and production tasks and four oral and written language tasks into online versions. Feedback from content and lay experts led to significant improvements, including enhanced task instructions, presentation modifications, and the incorporation of features to address potential confounds. Pilot testing demonstrated that adults perform within expected ranges, and five out of seven tasks had good to excellent preliminary reliability.
Conclusion: The development of the ReAL-E tool contributes to the field by offering a scalable, efficient method for assessing a broad range of communication skills in adults, paving the way for future research and clinical applications in developmental communication disorders. Our study underscores the collaborative effort and innovative approach required for creating a digital assessment tool that promises to expand research capabilities and improve diagnostic processes in the discipline.
目的:最近的心理学技术进步已经产生了多种用于测量认知技能的无监督在线工具。然而,这些工具并不能衡量成年人沟通能力的关键特征,比如富有成效的演讲或口头语言。为了解决这一差距,我们开发了远程成人语言实验(ReAL-E),使用了包含领域识别、专家评估和试点测试的三步方法。方法:第一步通过与专家合作和回顾文献,专注于领域和任务识别。步骤2包括由内容专家和外行专家进行的两轮评估,以评估最初的工具设计,确定需要改进的领域,并征求对所需特性的反馈。第三步是在网上招募的成年人样本中试用该工具。结果:ReAL-E工具将3个语音规划和制作任务以及4个口头和书面语言任务改编为在线版本。来自内容专家和外行专家的反馈导致了重大的改进,包括增强的任务说明、表示修改和合并功能以解决潜在的混淆。试点测试表明,成年人的表现在预期范围内,七个任务中有五个具有良好到极好的初步可靠性。结论:ReAL-E工具的开发为该领域提供了一种可扩展的、有效的方法来评估成人的广泛沟通技能,为未来在发育性沟通障碍的研究和临床应用铺平了道路。我们的研究强调了创建数字评估工具所需的协作努力和创新方法,该工具有望扩大研究能力并改善该学科的诊断过程。
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引用次数: 0
How hidden is hidden hearing loss? Self-reported listening problems in charcot Marie tooth disease 隐性听力损失有多隐蔽?charcot Marie牙病患者自我报告的听力问题。
IF 1.8 3区 医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2025-01-01 DOI: 10.1016/j.jcomdis.2024.106487
Marco van de Ven

Introduction

Laboratory studies have revealed hidden hearing loss in patients with Charcot-Marie-Tooth (CMT) disease, the most prevalent inherited neuropathy, which may impact their quality of life. The current study distinguished between CMT type 1, which involves demyelination of the peripheral nerves, and type 2, which concerns dysfunction of peripheral nerves due to axonopathy. The self-reported effects were investigated of CMT1 and CMT2 on listening problems and related social and attentional problems in everyday communicative situations.

Methods

Data were collected from 42 CMT1 patients, 30 CMT2 patients, and 72 matched controls (selected from 135 control-group participants), who completed questionnaires concerning listening in everyday and noisy situations, social problems due to hearing difficulties, and problems regarding auditory sustained attention.

Results

CMT2 patients seemed to suggest only minor listening difficulties. No effects were found for social and attentional problems. In addition, CMT1 patients were found to be associated with more overall listening difficulties in everyday situations, compared to controls. CMT1 patients reported substantial listening difficulties, particularly in noisy and reverberant environments. These problems might be caused by underlying binaural hearing problems combined with reduced processing of temporal and acoustic information, as suggested in the literature. These listening difficulties were associated with social problems, such as social insecurity or even social avoidance, and problems regarding auditory sustained attention.

Conclusions

These findings strongly suggest that CMT1 impacts quality of life concerning social communication. The findings presented in this study will benefit diagnosis and treatment of hearing difficulties and related problems in CMT1 patients.
实验室研究揭示了CMT (Charcot-Marie-Tooth,一种最常见的遗传性神经病变)患者的隐性听力损失,这可能会影响他们的生活质量。目前的研究区分了CMT 1型和2型,前者涉及周围神经脱髓鞘,后者涉及轴突病引起的周围神经功能障碍。研究了CMT1和CMT2在日常交际情境中对听力问题及相关社交和注意问题的影响。方法:收集42例CMT1患者、30例CMT2患者和72例对照者(从135名对照组参与者中选择)的数据,他们填写了关于日常和嘈杂环境下听力、听力困难引起的社交问题和听觉持续注意问题的问卷。结果:CMT2患者似乎只有轻微的听力困难。没有发现对社会和注意力问题有影响。此外,与对照组相比,发现CMT1患者在日常情况下有更多的整体听力困难。CMT1患者报告了严重的听力困难,特别是在嘈杂和混响的环境中。如文献所述,这些问题可能是由潜在的双耳听力问题以及时间和声学信息处理的减少引起的。这些听力障碍与社会问题有关,如社会不安全感,甚至社会回避,以及听觉持续注意力的问题。结论:这些发现强烈提示CMT1影响社会沟通方面的生活质量。本研究结果将有助于CMT1患者听力困难及相关问题的诊断和治疗。
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引用次数: 0
The impact of otitis media on speech production in children: A systematic review 中耳炎对儿童语言产生的影响:一项系统综述。
IF 1.8 3区 医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2025-01-01 DOI: 10.1016/j.jcomdis.2024.106490
Clancy Conlon , Barbra Zupan , Emily Pirie , Charlotte Gupta

Introduction

Otitis Media (OM) is one of the most common infections in young children and can create fluctuating hearing loss. Despite the commonality of this condition, there is a lack of conclusive evidence on its impact on speech production outcomes. Therefore, the aim of this systematic review was to identify the impact of otitis media on speech production in children.

Method

A systematic review of peer-reviewed publications since 2000 was conducted using five data bases (PsycINFO, Medline, CINAHL, Pubmed and SpeechBITE). Studies were included if they reported a previous or current experience of otitis media (OM), assessed and reported on the speech production of children before the age of 12 years and the child's speech productions were assessed in the English language. Titles and abstracts of 332 articles were reviewed, followed by full-text review of 58 studies. Due to variability in study procedures and outcomes, a narrative synthesis was completed.

Results

12 studies met inclusion criteria for this review investigating 1,265 children aged between 12 months and 7 years of age. Eight studies used a prospective design, three studies used a retrospective design, and one study used a case study design. Six studies found no relationship between OM and speech production although five of these studies formed part of a larger study of 639 children. Comparatively five studies identified a link between OM history, chronicity of OM and/or elevated hearing levels and speech production. Specifically, OM was linked to the presence of backing in obstruents.

Conclusions

Overall findings were mixed likely due to the presence of multiple influencing variables such as duration, severity, medical intervention, age, hearing status and socio-economic status. Results of this review are limited as prospective studies only considered cases of OM which are treated and therefore do not represent children who have unidentified and/or untreated OM. Furthermore, many studies did not consistently report on the hearing levels of children and only two studies included cohorts of children from an Indigenous background.
中耳炎(OM)是幼儿最常见的感染之一,可造成波动性听力损失。尽管这种情况具有普遍性,但缺乏关于其对言语产生结果的影响的确凿证据。因此,本系统综述的目的是确定中耳炎对儿童语言产生的影响。方法:采用5个数据库(PsycINFO、Medline、CINAHL、Pubmed和SpeechBITE)对2000年以来同行评议的出版物进行系统综述。如果研究报告以前或现在有中耳炎(OM)的经历,评估和报告12岁前儿童的语言产生,并评估儿童的英语语言产生,则将其纳入研究。回顾了332篇文章的标题和摘要,随后回顾了58篇研究的全文。由于研究过程和结果的可变性,完成了叙事综合。结果:12项研究符合本综述的纳入标准,调查了1265名12个月至7岁的儿童。8项研究采用前瞻性设计,3项研究采用回顾性设计,1项研究采用案例研究设计。六项研究没有发现OM和语言产生之间的关系,尽管其中五项研究是对639名儿童进行的更大研究的一部分。相比之下,五项研究确定了OM病史、OM的慢性性和/或听力水平升高和语言产生之间的联系。具体来说,OM与阻碍中支持的存在有关。结论:由于存在多种影响变量,如持续时间、严重程度、医疗干预、年龄、听力状况和社会经济状况,总体结果可能是混合的。本综述的结果是有限的,因为前瞻性研究只考虑了治疗的OM病例,因此不代表患有不明和/或未经治疗的OM的儿童。此外,许多研究没有一致地报告儿童的听力水平,只有两项研究纳入了土著背景的儿童群体。
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引用次数: 0
Acoustic characteristics of three English semivowels /l, ɹ, w/ and vowels in young children with and without speech sound disorders 三个英语半元音/l、r /、w/和元音在有和无语音障碍幼儿中的声学特征
IF 1.8 3区 医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2025-01-01 DOI: 10.1016/j.jcomdis.2024.106489
Hyunju Chung , Sarah K. Schellinger

Purpose

The aim of the current study is to examine if the relationship among three semivowel sounds (/l, ɹ, w/) and between the semivowel and the following vowel differs by children's overall speech proficiency, and if this relationship affects listeners’ perceptual judgment of the liquid sounds (/l, ɹ/). The acoustic proximity among the three semivowel sounds and the acoustic characteristics of the following vowel sounds were examined by each child speaker's overall speech sound proficiency and their semivowel accuracy.

Methods

A total of 21 monolingual English-speaking children with and without speech sound disorders produced monosyllabic words that include target semivowel sounds in word-initial position in different vowel contexts. Participants were divided into three groups based on overall speech proficiency, as measured by diagnostic status and score on the Goldman-Fristoe Test of Articulation – 3rd Edition. Each semivowel and vowel production was transcribed for accuracy, and F2 and F3 values were extracted at the semivowel midpoints to calculate Euclidean distances (ED) between the three semivowel pairs (/l-w/, /l-ɹ/, and /ɹ-w/). F1 and F2 values extracted at the vowel midpoint were used to examine the characteristics of vowels following the semivowels.

Results

Children with typically developing speech with the highest overall speech proficiency demonstrated the largest ED values between all the three semivowel pairs. Larger ED values were also related to a greater likelihood of semivowels /l/ and /ɹ/ being judged as perceptually acceptable. Acoustic characteristics of the following vowels did not differ across children of varying levels of speech proficiency, but did differ by the preceding semivowel context.

Conclusions

Acoustic distinction of semivowels differs across children with varying levels of speech proficiency and is predictive of judgements of semivowel accuracy. Acoustic characteristics of the vowels were influenced by the preceding semivowel target, indicating the presence of coarticulation across the semivowel-vowel sequences. Findings support intervention approaches that pair semivowel targets to train children to produce acoustic differentiation between semivowels.
目的:本研究的目的是考察三个半元音(/l, r /, w/)之间以及半元音与后元音之间的关系是否因儿童的整体语言熟练程度而不同,以及这种关系是否影响听者对液体音(/l, r /)的感知判断。通过每个儿童说话者的整体语音熟练程度和他们的半元音准确性来检查三个半元音之间的声学接近度和后面元音的声学特征。方法:对21例有和无语音障碍的单语英语儿童在不同的元音语境中产生包含目标半元音的单音节单词。参与者根据总体语言熟练程度分为三组,通过诊断状态和第三版的戈德曼-弗里斯托发音测试得分来衡量。为了提高准确性,对每个半元音和元音产生进行转录,并在半元音中点提取F2和F3值,计算三个半元音对(/l-w/、/l- r /和/ r -w/)之间的欧几里得距离(ED)。在元音中点提取的F1和F2值用于检测半元音之后的元音特征。结果:语言发育典型的儿童在三个半元音对之间表现出最大的ED值,其整体语言熟练程度最高。更大的ED值也与半元音/l/和/ r /被判断为感知上可接受的可能性更大有关。以下元音的声学特征在不同语言熟练程度的儿童中没有差异,但确实因前面的半元音上下文而有所不同。结论:不同语言熟练程度的儿童对半元音的声学区分是不同的,这是对半元音准确性判断的预测。元音的声学特征受到前面的半元音目标的影响,表明在半元音-元音序列之间存在协同发音。研究结果支持对半元音目标进行干预的方法,以训练儿童产生半元音之间的声学区分。
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引用次数: 0
Experiences with healthcare for unilateral vocal fold paralysis: A qualitative study of the patient's perspective 单侧声带麻痹的医疗保健经验:一项病人视角的定性研究。
IF 1.8 3区 医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2025-01-01 DOI: 10.1016/j.jcomdis.2024.106491
Imke Kissel , Iris Meerschman , Peter Tomassen , Evelien D'haeseleer , Kristiane Van Lierde

Objective

Unilateral vocal fold paralysis (UVFP) frequently causes severe dysphonia, which necessitates multidisciplinary treatment. Literature on outcomes of interventions has primarily focused on vocal fold motility or instrumental vocal outcomes, but the perspectives of patients about the treatment process have not yet been investigated. The purpose of the study was therefore to explore patient experiences with healthcare for UVFP.

Methods

Twenty-four adults with UVFP (age range: 39 – 84 years) participated in the study. Semi-structured interviews were conducted, transcribed, and analyzed with the software program NVivo. An inductive thematic approach was used to code and analyze the interviews.

Results

Three themes were identified through the qualitative analyses: (1) the healthcare professional (HCP), (2) experiences with treatment, and (3) patient support. The laryngologist and speech-language pathologist (SLP) were crucial HCPs during treatment, and patients relied heavily on their advice, so they expected them to be knowledgeable about UVFP and empathic towards their patients. Voice therapy was mostly a positive experience due to the collaborative therapeutic relationship with the SLP, even though it did not yield sufficient voice improvements. Medialization surgery was a relief for some participants, while others expected more or felt too vulnerable to undergo surgery. Sources of patient support included personal connections such as relatives and fellow patients, but participants expressed a need for increased support and guidance from the healthcare system.

Conclusion

Overall, participants were satisfied with the care that they had received, but certain barriers and needs within UVFP healthcare were identified. The findings from the current study can help guide the development of initiatives to better support patients and HCPs and improve patient-centered care in UVFP.
目的:单侧声带麻痹(UVFP)经常引起严重的发声障碍,需要多学科治疗。关于干预结果的文献主要集中在声带运动或器乐声乐结果上,但尚未调查患者对治疗过程的看法。因此,本研究的目的是探讨UVFP患者在医疗保健方面的经验。方法:24例成人UVFP患者(年龄39 ~ 84岁)参与研究。采用NVivo软件程序进行半结构化访谈,并进行转录和分析。采用归纳主题方法对访谈进行编码和分析。结果:通过定性分析确定了三个主题:(1)卫生保健专业人员(HCP),(2)治疗经验,(3)患者支持。喉科医生和语言病理学家(SLP)是治疗过程中至关重要的hcp,患者非常依赖他们的建议,因此他们希望他们了解UVFP并对患者感同身受。由于与SLP的合作治疗关系,语音治疗主要是一种积极的体验,即使它没有产生足够的语音改善。对一些参与者来说,媒介化手术是一种解脱,而另一些人则期望更多,或者觉得自己太脆弱,无法接受手术。患者支持的来源包括个人关系,如亲属和其他患者,但与会者表示需要医疗保健系统提供更多支持和指导。结论:总体而言,参与者对他们所接受的护理感到满意,但确定了UVFP医疗保健中的某些障碍和需求。当前研究的结果可以帮助指导倡议的发展,以更好地支持患者和HCPs,并改善以患者为中心的UVFP护理。
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引用次数: 0
期刊
Journal of Communication Disorders
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