Children with cerebral palsy often have speech, language and communication difficulties that affect their access to social and educational activities. Speech and language therapy to improve the intelligibility of the speech of children with cerebral palsy has long been advocated, but there is a dearth of research investigating therapy…

PURPOSE: To determine empirically which of three frequently observed rules in children with phonological disorders contributes most to difficulties in speaker intelligibility. METHOD: To evaluate the relative effects on intelligibility of deletion of final consonants (DFC), stopping of fricatives and affricates (SFA), and fronting of velars (FV),…

Background: Dysarthria is a common post-stroke presentation. Its management falls within the remit of the speech and language therapy profession. Little controlled evaluation of the effects of intervention for dysarthria in stroke has been reported. Aims: The study aimed to determine the effects of a period of behavioural communication…

This study investigated the acquisition of word initial s clusters of 3-5 year old Dutch children with phonological disorders. Within these clusters, sl was produced correctly most often, whereas sn and sx were the more difficult clusters. In cluster reductions, s+obstruent and sl clusters reduction patterns followed the Sonority Sequencing…

This response to Kamhi (EC 625 122) who suggested some children distinguish between speech therapy activities and meaningful communication, argues that, since discrepancies between a clinician's and a client's view of clinical interactions may complicate intervention, the clinician should make his viewpoint explicit. Three theories of intervention…

Individuals with cleft palate, even those with adequate velopharyngeal function, are at high risk for disordered lingual articulation. This article attempts to summarize current knowledge of abnormal tongue-palate contact patterns derived from electropalatographic (EPG) data in speakers with cleft palate. These data, which have been reported in 23…

Stuttering characteristics, assessment, and treatment principles present challenges to assessment and treatment that can be addressed with virtual reality (VR) technology. This article describes how VR can be used to assist clinicians in meeting some of these challenges with adults who stutter. A review of current VR research at the Stuttering…

Primary Objective. To extend the capabilities of current electropalatography (EPG) systems by developing a pressure-sensing EPG system. An initial trial of a prototype pressure-sensing palate will be presented. Research Design. The processes involved in designing the pressure sensors are outlined, with Hall effect transistors being selected. These…

Presents systematic analysis of the major treatment approaches used for selective mutism. Based on nonparametric statistical tests of effect sizes, major findings include the following: treatment of selective mutism is more effective than no treatment; behaviorally oriented treatment approaches are more effective than no treatment; and no…

Intraoral air pressure was recorded during the production of consonant cognate pairs by 8 esophageal speakers (mean age 67 years) under 2 experimental conditions: after the insufflation of air and without air insufflation. Results revealed that peak intraoral air pressure magnitudes were significantly greater following the insufflation of air than…

This paper reports on a project using a series of single subjects to investigate the effectiveness of using electropalatography (EPG) in treating ten children with persisting speech difficulties of no known organic aetiology. The aims of the project were two-fold, firstly to assess whether the subjects selected benefited from this treatment, and…

Background: High levels of early language difficulties raise practical issues about the efficient and effective means of meeting children's needs. Persistent language difficulties place significant financial pressures on health and education services. This has led to large investment in intervention in the early years; yet, little is known about…

This study investigated changes in the speech patterns of young adult male subjects when stuttering was modified by deliberately prolonging speech. Three subjects showed clinically significant stuttering reductions when using prolonged speech to reduce their stuttering. Resulting speech was perceptually stutter free. Acoustic and…

A child with a speech sound disorder may understand words and phrases and use them to talk. However, if a child's speech sounds different from his peers who are the same age, gender or ethnic group, or if he/she frequently avoids talking because he/she is hard to understand, this child may have a speech sound disorder. In this article, the author…

Background: A prosthetic approach to velopharyngeal dysfunction (VPD) is not new. However, a collaborative interdisciplinary team approach by a speech-and-language therapist, dental specialist and maxillofacial technician, including accurate fitting using nasendoscopy, has provided an opportunity to define the clinical care pathway, and audit the…