42 research outputs found
Acoustic-to-Articulatory Speech Inversion Features for Mispronunciation Detection of /r/ in Child Speech Sound Disorders
Acoustic-to-articulatory speech inversion could enhance automated clinical
mispronunciation detection to provide detailed articulatory feedback
unattainable by formant-based mispronunciation detection algorithms; however,
it is unclear the extent to which a speech inversion system trained on adult
speech performs in the context of (1) child and (2) clinical speech. In the
absence of an articulatory dataset in children with rhotic speech sound
disorders, we show that classifiers trained on tract variables from
acoustic-to-articulatory speech inversion meet or exceed the performance of
state-of-the-art features when predicting clinician judgment of rhoticity.
Index Terms: rhotic, speech sound disorder, mispronunciation detectionComment: *denotes equal contribution. To appear in Proceedings of the Annual
Conference of the International Speech Communication Association, INTERSPEECH
202
Research Priorities for Childhood Apraxia of Speech: A Long View
This article introduces the Journal of Speech, Language, and Hearing Research Special Issue: Selected Papers From the 2022 Apraxia Kids Research Symposium. The field of childhood apraxia of speech (CAS) has developed significantly in the past 15 years, with key improvements in understanding of basic biology including genetics, neuroscience, and computational modelling; development of diagnostic tools and methods; diversity of evidence-based interventions with increasingly rigorous experimental designs; and understanding of impacts beyond impairment-level measures. Papers in this special issue not only review and synthesize the some of the substantial progress to date but also present novel findings addressing critical research gaps and adding to the overall body of knowledge. A second aim of this prologue is to report the current research needs in CAS, which arose from symposium discussions involving researchers, clinicians, and Apraxia Kids community members (including parents of children with CAS). Four primary areas of need emerged from discussions at the symposium. These were: (a) What questions should we ask? (b) Who should be in the research? (c) How do we conduct the research? and (d) How do we move from research to practice? Across themes, symposium attendees emphasized the need for CAS research to better account for the diversity of people with CAS and improve the timeliness of implementation of high-level evidence-based practice across the lifespan. It is our goal that the articles and prologue discussion in this special issue provide an appreciation of advancements in CAS research and an updated view of the most pressing needs for future research
Auditory perception and ultrasound biofeedback treatment outcomes for children with residual/ɹ/distortions: A randomized controlled trial.
Purpose This study evaluated whether outcomes from treatment, which includes ultrasound visual feedback (UVF), would be more or less effective when combined with auditory perception training for children with residual /ɹ/ errors. Method Children ages 8–16 years with /ɹ/ distortions participated in speech therapy that included real-time UVF of the tongue. Thirty-eight participants were randomized to speech therapy conditions that included a primary focus on articulation using UVF or a condition that included auditory perceptual training plus UVF (incorporating category goodness judgments and self-monitoring). Generalization of /ɹ/ production accuracy to untrained words was assessed before and after 14 hr of therapy. Additionally, the role of auditory perceptual acuity was explored using a synthetic /ɹ/–/w/ continuum. Results There was no difference between the treatment groups in rate of improvement of /ɹ/ accuracy (increase of 34% for each group; p = .95, ηp2 = .00). However, pretreatment auditory acuity was associated with treatment progress in both groups, with finer perceptual acuity corresponding to greater progress (p = .015, ηp2 = .182). Conclusion Similar gains in speech sound accuracy can be made with treatment that includes UVF with or without auditory perceptual training. Fine-grained perceptual acuity may be a prognostic indicator with treatment
Longitudinal observations of typical English voicing acquisition in a 2-year-old child: Stability of the contrast and considerations for clinical assessment
<div><p></p><p>Early assessment of phonetic and phonological development requires knowledge of typical versus atypical speech patterns, as well as the range of individual developmental trajectories. The nature of data reporting in previous literature on typical voicing acquisition left aspects of the developmental process unclear and limited clinical applicability. This work extends a previous four-month group study to present data for one child over 12 months. Words containing initial /b p d t/ were elicited from a monolingual English-speaking 2-year-old child biweekly for 25 sessions. Voice onset time (VOT) was measured for each stop. For each consonant and recording session, we measured range as well as accuracy, overshoot and discreteness calculated for means and individual tokens. The results underscore the value of token-by-token analyses. They further reveal that typical development may involve an extended period of fluctuating voicing patterns, suggesting that the voiced/voiceless contrast may take months or years to stabilise.</p></div
Computer-assisted challenge point intervention for residual speech errors.
Purpose: This preliminary case series investigated the effects of biofeedback intervention for residual rhotic errors delivered within a modified challenge point framework. In the challenge point framework, practice difficulty is adaptively adjusted with the goal of enhancing generalization learning. This study more specifically evaluated the feasibility of a computer-mediated implementation of challenge point treatment for rhotic errors using a custom open-source software, the Challenge Point Program.
Method: Participants were five native English speakers, ages 7;3–15;5 (years; months), who had established but not generalized correct rhotic production in previous treatment; overall treatment duration was flexible. Treatment incorporated either electropalatographic or visual-acoustic biofeedback and was structured by challenge point principles implemented using the Challenge Point Program software.
Results: Participants were highly variable in the magnitude of generalization gains attained. However, the median overall effect size was 4.24, suggesting that participants’ response in treatment tended to exceed the minimum value considered clinically significant.
Conclusion: These findings provide preliminary evidence that computer-mediated implementation of the challenge point framework can be effective in producing generalization in some participants
C-RESULTS Single Case Randomization Arm
Although prior studies on biofeedback interventions have shown positive treatment outcomes for many children with speech sound disorder, research comparing different biofeedback types is lacking. This study examines within-treatment response to ultrasound and visual-acoustic biofeedback treatment, as well as generalization to untrained words, for residual errors affecting the American English rhotic /ɹ/. All participants received both treatments. Individual factors related to overall treatment response are also explored.
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