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Processes in Post-Traumatic Dysarthria: A Longitudinal Case Study 创伤后构音障碍的过程:纵向个案研究
Pub Date : 2009-06-01 DOI: 10.1179/136132809805335454
Monika M Połczyńska, Y. Tobin
Abstract Post-traumatic dysarthria is a motor speech disorder secondary to paresis or paralysis of the articulatory musculature induced by head trauma. It is a complex disorder which occurs as a result of traumatic brain injury (TBI) and a subsequent coma. The present study investigates the characteristics of the speech of a 23-year-old Polish male subject with TBI, 12 months post-trauma, who was comatose for three weeks. The subject was diagnosed with moderate post-traumatic dysarthria and moderate posttraumatic aphasia. For the purpose of our research, the subject's speech was examined three times in the course of four months. During this period, he was undergoing a holistic rehabilitation program, including speech therapy. A detailed acoustic analysis of the subject's speech was carried out to obtain an accurate database for the investigation of the phonetic and phonological processes occurring in his post-coma speech. The processes were analyzed within the frameworks of the theories of Natural Phonology and Phonology as Human Behavior. The results indicate that, considalthough the dysarthric processes reflect the processes found in first language acquisition, they are both more idiosyncratic and easier to predict. The subject exhibited difficulties with maximum aperture and maximum closure of the vocal tract, most likely due to limited movements of the articulators. Hence, the centralization of vowels and spirantization of consonants were very common processes. Acoustic analysis enabled the discovery of a few processes, not previously reported in the literature. Two of them are: (1) Incomplete Consonant Closure—the articulators approach but do not reach the target, but the consonant intended can still be discriminated, and (2) Consonant Approximation—an incomplete approximation of the articulators appearing in positions where a consonant is expected, visible only on a spectrogram. During the period of four months, the subject's speech notably improved through the use of more communicative processes (i.e., there were more substitutions than omissions). At the same time, however, the number of processes used by the subject was not indicative of the intelligibility of his speech because the total number of processes which occurred in the first study decreased only by 13.7% in the third study. Additionally, positive changes in other aspects of speech, such as phonation, voice strength, fluency and intonation were also observed.
摘要创伤后构音障碍是一种继发于头部外伤引起的关节肌肉麻痹或瘫痪的运动语言障碍。它是由于创伤性脑损伤(TBI)和随后的昏迷而发生的一种复杂的疾病。本研究调查了一名23岁波兰男性创伤后12个月的TBI患者的语言特征,他昏迷了三周。受试者被诊断为中度创伤后构音障碍和中度创伤后失语。为了我们的研究目的,在四个月的时间里,研究对象的演讲被检查了三次。在此期间,他接受了包括语言治疗在内的全面康复计划。对受试者的语音进行了详细的声学分析,以获得准确的数据库,用于调查其昏迷后语音中发生的语音和语音过程。在自然音韵学和作为人类行为的音韵学理论的框架内分析了这些过程。结果表明,尽管语言障碍过程反映了母语习得的过程,但它们都更特殊,更容易预测。受试者表现出声道最大孔径和最大闭合困难,很可能是由于关节运动受限。因此,元音的集中化和辅音的螺旋化是非常常见的过程。声学分析可以发现一些以前没有在文献中报道过的过程。其中两种是:(1)不完全辅音封闭-发音接近但没有达到目标,但仍然可以区分出预期的辅音;(2)辅音近似-发音不完全近似出现在期望辅音的位置,仅在声谱图上可见。在四个月的时间里,通过使用更多的交际过程(即替换多于省略),受试者的演讲明显改善。然而,与此同时,受试者使用的过程数量并不能表明他的言语的可理解性,因为在第一次研究中发生的过程总数在第三次研究中只减少了13.7%。此外,在语音、语音强度、流利度和语调等其他方面也观察到积极的变化。
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引用次数: 4
Crossed Nonaphasia and Its Implications for Brain-Language Relationships in Right-Handed Subjects 交叉非失语症及其对右撇子受试者脑语言关系的影响
Pub Date : 2009-03-01 DOI: 10.1179/jslh.2009.12.1.71
G. Krishnan, S. Tiwari, S. Rao, B. Rajashekar
Abstract Anomalous lateralization of linguistic functions is observed in a small group of right-handed subjects with unilateral brain damage as either crossed aphasia (aphasia after right-hemisphere damage) or crossed nonaphasia (left hemisphere damage without aphasia but with symptoms of right hemisphere damage such as visuospatial deficits). The incidence of crossed nonaphasia is reportedly far less than that of crossed aphasia, where the latter, in turn, is comparatively rare (Alexander & Annett, 1996). In this report, we discuss a subject who presented with “crossed nonaphasia,” a clinical manifestation that often could go unnoticed. An attempt is made to explain the observed clinical manifestations from the perspectives of our current understanding of anomalous organization of cognitive functions in the brain as well as its implications on language representation in right-handed subjects.
摘要在一小群单侧脑损伤的右撇子受试者中观察到语言功能异常偏侧化,表现为交叉失语症(右半球损伤后的失语症)或交叉非失语症(左半球损伤但无失语症,但有右半球损伤的症状,如视觉空间缺陷)。据报道,交叉非失语症的发病率远低于交叉失语症,而后者相对较少(Alexander & Annett, 1996)。在这篇报道中,我们讨论了一位表现为“交叉非失语”的患者,这是一种经常被忽视的临床表现。本文试图从我们目前对大脑认知功能异常组织的理解及其对右撇子受试者语言表征的影响的角度来解释观察到的临床表现。
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引用次数: 0
A Conceptual Framework for Remedial Reading Instruction for Low-Progress Early Readers in Malaysian 马来语低进步早期读者补习阅读教学的概念框架
Pub Date : 2009-03-01 DOI: 10.1179/jslh.2009.12.1.57
Lay Wah Lee, K. Wheldall, Robyn Beaman, Alison Madelaine
Abstract This paper describes a conceptual framework for developing reading instruction in the Malay language for low-progress early readers in Year One who have not responded adequately to the traditional method of reading instruction in schools. Scientific knowledge on reading and reading disabilities is reviewed and forms the basis for informing this conceptual framework. This framework is aligned to the structure of the Malay language and is also based on empirical evidence on word reading among beginning Ma lay readers in Year One. Evidence-based practice in a successful reading program for low-progress readers in English, the MULTILIT Reading Tutor Program, is reviewed to guide instructional practices suggested in this conceptual framework.
摘要:本文描述了一个概念框架,用于发展马来语阅读教学的低进步早期读者,他们对学校传统的阅读教学方法没有充分的反应。本文回顾了有关阅读和阅读障碍的科学知识,并以此为基础为这一概念框架提供信息。这个框架与马来语的结构相一致,也是基于第一年开始的马来语读者的单词阅读的经验证据。本文回顾了一个成功的针对低进步英语读者的阅读项目——MULTILIT阅读导师项目——的循证实践,以指导本概念框架中建议的教学实践。
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引用次数: 3
Communication Functions, Modalities, and Maternal Responses in Children with Severe Speech and Physical Impairment 严重言语和肢体障碍儿童的沟通功能、方式和母亲反应
Pub Date : 2009-03-01 DOI: 10.1179/jslh.2009.12.1.27
P. Balan, M. R.
Abstract The study aimed at exploring the different kinds of functions and modalities used by children with severe speech and physical impairment (SSPI) and cerebral palsy (CP) during communicative interactions with their mothers; and the choice of modalities to indicate different functions. Furthermore, this study attempted to investigate if mothers displayed identifiable responsive styles during these interactions. An extensive coding system was developed to assess the communication functions and modalities used by children with SSPI and CP, and the maternal responsivity for the same. Four 15-minute maternal interaction sessions with their children were video-recorded for 10 subjects within the age range of 2;1 to 3;11 years. Interaction transcribed by the principal investigator was then coded by trained judges for the functions and modalities employed by the children and for the maternal responses for the same. Mean percentage for the coded communication functions, modalities, and maternal responses were calculated. Variability in terms of maternal responses for various communication functions and modalities were qualitatively analyzed. Results are discussed in the context of understanding communication strategies in these children and maternal responses toward the same. Results have implications for maternal responses as a viable area to be focused on during intervention for children with SSPI and CP along with speech and language intervention. Directions for clinical intervention and for future research are discussed in light of the research findings.
摘要本研究旨在探讨重度语言与肢体障碍(SSPI)和脑瘫(CP)患儿在与母亲进行交流互动时所使用的不同功能和方式;以及选择不同的模式来表示不同的功能。此外,本研究试图调查母亲在这些互动中是否表现出可识别的反应风格。开发了一个广泛的编码系统,以评估患有SSPI和CP的儿童使用的沟通功能和方式,以及母亲对此的反应。对10名年龄在2岁、1岁至3岁、11岁的被试进行4次15分钟的母亲与孩子互动录像。由首席研究员转录的互动,然后由训练有素的法官对儿童所使用的功能和方式以及母亲对此的反应进行编码。计算编码通信功能、方式和产妇反应的平均百分比。在各种沟通功能和方式的产妇反应方面的可变性定性分析。研究结果在理解这些儿童的沟通策略和母亲对此的反应的背景下进行了讨论。结果表明,在对SSPI和CP儿童进行干预期间,与言语和语言干预一起,母亲的反应是一个可行的重点领域。结合研究结果,讨论了临床干预的方向和今后的研究方向。
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引用次数: 10
Phonological Competence in Mandarin Chinese-Speaking Children with Cleft Palate 腭裂儿童普通话语音能力的研究
Pub Date : 2009-03-01 DOI: 10.1179/jslh.2009.12.1.13
Hsiu-Ching Lee, C. Madison, Roberta Jackson
Abstract The purpose of the present study was to document the phonological processes used by children with a cleft palate who speak Mandarin Chinese and to compare their speech production to children who do not present with a history of cleft palate. The subjects consisted of 20 children with histories of cleft palate and 20 noncleft children matched for age and gender. All subjects spoke Mandarin Chinese as their first language. The children's whole word productions were analyzed for frequency of occurrence and type of phonological process usage. It was found that children with cleft palate tended to use phonological processes more frequently than their noncleft peers. The similarities and differences in phonological process use are documented and discussed in the context of previous research. This study provides evidence for the need for phonological assessment and management of Mandarin-speaking children with a history of cleft palate.
摘要本研究的目的是记录腭裂儿童使用普通话的语音过程,并将其与没有腭裂病史的儿童进行比较。研究对象包括20名有腭裂病史的儿童和20名年龄和性别相匹配的非腭裂儿童。所有受试者都以普通话为第一语言。分析了儿童的整个单词产生频率和语音过程使用类型。研究发现,腭裂儿童比非腭裂儿童更倾向于使用语音过程。在以往的研究背景下,对语音过程使用的异同进行了记录和讨论。本研究为有腭裂病史的普通话儿童语音评估和管理的必要性提供了证据。
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引用次数: 4
Racial Heritage/Melanin and Otoacoustic Emission Measures of Cochlear Function 种族遗传/黑色素和耳蜗功能的耳声发射测量
Pub Date : 2009-03-01 DOI: 10.1179/jslh.2009.12.1.1
C. Driscoll, J. Kei, S. Arnold, Dominic Doherty, J. Krajewski, G. Mcdonald, Ellen McKeering, Mikaela Tyrrell, B. McPherson
Abstract Researchers have hypothesized that races with high levels of melanin may possess superior cochlear robusticity. This study aimed to examine the relationship between cochlear function and racial heritage, by determining if a significant difference existed in otoacoustic emission (OAE) characteristics and hearing sensitivity between differing groups. OAEs, puretone thresholds, and tympanometric measures were obtained from 18 Caucasians and 19 Africans. Seven albino Caucasians, a group with defective melanin production/distribution, were included for comparative purposes. An analysis of variance with repeated measures was applied to the data, to establish the group interactions of significance. Africans were found to display significantly stronger OAEs than Caucasians. However, the OAEs of albino Caucasians did not significantly differ from those of the other groups. Results did show significantly poorer hearing thresholds for the albino Caucasian group than for the Caucasians. These findings suggest that the robust cochlear function observed in Africans could be due to factors other than enhanced melanin levels.
研究人员假设黑色素水平高的种族可能具有更强的耳蜗健全性。本研究旨在通过确定不同人群在耳声发射(OAE)特征和听力敏感性方面是否存在显著差异,来研究耳蜗功能与种族遗传之间的关系。从18名白种人和19名非洲人中获得了oae、纯酮阈值和鼓室测量值。7名白化高加索人,一组有缺陷的黑色素生产/分配,包括比较目的。对数据进行重复测量的方差分析,以确定组间相互作用的显著性。研究发现,非洲人的oae明显强于白种人。然而,白化高加索人的oae与其他组没有显著差异。结果确实显示白化白种人的听力阈值明显低于白种人。这些发现表明,在非洲人身上观察到的强大的耳蜗功能可能是由于黑色素水平提高以外的因素。
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引用次数: 1
Author Index Volume 11, Numbers 1–4 作者索引第11卷,编号1-4
Pub Date : 2008-12-01 DOI: 10.1179/136132808805335617
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引用次数: 0
An Articulatory Phonology Perspective on Rhotic Articulation Problems: A Descriptive Case Study 从发音音韵学的角度看卷舌发音问题:一个描述性案例研究
Pub Date : 2008-12-01 DOI: 10.1179/136132808805335572
P. van Lieshout, Gwen Merrick, L. Goldstein
Abstract This descriptive case study presents data on a young female speaker (ML) with a history of /r/ sound production problems. Perceptual, acoustic, and kinematic data are provided to illustrate the kind of problems that she is facing in producing this sound, using the Articulatory Phonology model as a theoretical background. Different gestural mechanisms that could explain her kinematic characteristics (and associated acoustic and perceptual features) are evaluated in comparison to published data and new findings from an age-matched control speaker (JE) who performed the same speaking tasks as ML. Results show a well-defined problem in gestural specification for tongue control in /r/ sound productions that can be directly related to changes in acoustics and perception. The analysis demonstrates the feasibility of Articulatory Phonology as a theoretical framework not only for normal speech production, but also to explain potential mechanisms behind changes in articulation in disordered speech.
摘要:这个描述性的案例研究提出了一个年轻的女性说话者(ML)的历史/r/发声问题的数据。使用发音音系模型作为理论背景,提供了知觉、声学和运动数据来说明她在发出这个声音时所面临的问题。不同的手势机制可以解释她的运动特征(以及相关的声学和感知特征),并与发表的数据和年龄匹配的对照说话者(JE)的新发现进行了比较。结果表明,在/r/发音过程中,舌头控制的手势规范存在明确的问题,这可能与声学和感知的变化直接相关。分析表明,发音音韵学不仅可以作为正常语音产生的理论框架,而且可以解释语音障碍中发音变化的潜在机制。
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引用次数: 19
Phonological Analysis of a Case of Progressive Speech Degeneration 1例进行性言语退化的音系分析
Pub Date : 2008-12-01 DOI: 10.1179/136132808805335590
M. Ball, Ben Rutter, C. Code
Abstract A case of progressive speech degeneration in a 63-year-old male is described, and the results of a series of verbal tasks are given. Three of the participant's phonological processes (loss of aspiration in fortis stops, denasalization, and addition of labials to /r/-initial words) are subjected to analysis via two currently important phonological paradigms: constraintbased Optimality Theory and articulation-based Gestural Phonology. The two approaches are contrasted, and Gestural Phonology appears to provide the most elegant account of the data, and the most psycholinguistically valid account for this participant, as it operates at the level of phonetic implementation rather than phonological organization.
摘要本文描述了一位63岁男性进行性言语退化的病例,并给出了一系列言语任务的结果。参与者的三个语音过程(在富通顿音中丢失送音、去鼻音化和在/r/-开头的单词中添加唇音)通过两个当前重要的语音范式进行分析:基于约束的优化理论和基于发音的手势语音。这两种方法进行了对比,手势音系学似乎提供了最优雅的数据解释,也是最有效的心理语言学解释,因为它在语音执行而不是语音组织的层面上运作。
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引用次数: 1
An Idiosyncratic Case of /r/ Disorder: Application of Principles from Systemic Phonology and Systemic Functional Linguistics 一个特殊的/r/紊乱案例:系统音系学和系统功能语言学原理的应用
Pub Date : 2008-12-01 DOI: 10.1179/136132808805335554
N. Müller, M. Ball, Ben Rutter
Abstract In this paper we report on the case of a 9;8-year-old male, who had been treated for a variety of speech problems over several years, but retained an idiosyncratic set of realizations for target English /r/. His target accent was general Southern USA English, which is fully rhotic in all positions in word structure. Speech data were recorded in a variety of tasks, different situations, and with different interlocutors (including reading aloud, producing word lists, and spontaneous talk). We show how principles from Systemic Phonology and Systemic Functional Linguistics, in particular, the notions of polysystemicity, prosodies, system networks, and register, can be used to describe the patterns found. We also offer an explanation of how these patterns may have arisen.
摘要本文报告了一名9岁男孩的病例,他在几年的时间里接受了各种语言问题的治疗,但对目标英语/r/保持了一套特殊的实现。他的目标口音是一般的美国南部英语,在单词结构的所有位置都是完全的卷舌音。在不同的任务、不同的情境和不同的对话者(包括大声朗读、生成单词列表和自发谈话)中记录语音数据。我们展示了系统音系学和系统功能语言学的原理,特别是多系统性、韵律、系统网络和语域的概念,可以用来描述所发现的模式。我们还提供了这些模式是如何产生的解释。
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引用次数: 7
期刊
Asia Pacific journal of speech, language, and hearing
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