Background: Evidence-based speech therapy involves the integration of (1) the scientific evidence for therapy with (2) the perspectives of clinicians concerning therapy and (3) the perspectives of patients about therapy. The cleft literature has already paid attention to the first two cornerstones of evidence-based speech therapy. Much less is…

Purpose: The speech of some children does not follow a typical normalization trajectory, and they develop speech sound disorders (SSD). This study investigated predictive correlates of speech sound normalization in children who were at risk of SSD. Method: A prospective population cohort study of 845 Cantonese-speaking preschoolers was conducted…

Purpose: This tutorial contrasts a familiar and frequently used speech sound disorder (SSD) intervention approach, conventional minimal pair, with newer but less familiar and less frequently used variants that may be more effective: (a) maximal opposition and (b) multiple oppositions. Method: This tutorial provides a general description of each…

Purpose: The purpose of this article is to provide trial-by-trial practice performance data in relation to learning (outcome probe data) as collected from 18 treatment sessions provided to children with severe speech sound disorders. The data illustrate the practice-learning paradox: Specific, perfect practice performance is not required for…

Background: There has been little robust evaluation of the outcome of speech and language therapy (SLT) intervention for post-stroke dysarthria. Non-speech oro-motor exercises (NSOMExs) are a common component of dysarthria intervention. A feasibility study was designed and executed, with participants randomized into two groups, in one of which…

Background: The number of reliable and valid instruments to measure the effects of therapy in apraxia of speech (AoS) is limited. Aims: To evaluate the newly developed Modified Diadochokinesis Test (MDT), which is a task to assess the effects of rate and rhythm therapies for AoS in a multiple baseline across behaviours design. Methods: The…

Replicated evidence of satisfactory 1- and 2-year post-treatment outcomes has been reported for the "Comprehensive Stuttering Program" (CSP). However, little is known about longer term outcomes of the CSP. Yearly follow-up measures were obtained from 18 participants for 5 consecutive years. At 5-year follow-up, participants were maintaining…

Purpose: In this study, the author examined the following questions: What proportion of adult persons who stutter (PWS) choose fluency and what proportion choose to be free from a need to be fluent in managing their stuttering? What demographic and stuttering-related variables influence their choice, and how consistent are they in their choice?…

Background: Ultrasound has shown promise as visual feedback in remediation of /[turned r]/.Aims: To compare treatment for [turned r] with and without ultrasound.Methods & Procedures: A Canadian English-speaking adolescent participated in a case study with a no treatment baseline, alternating treatment blocks with and without ultrasound and a…

Jaw movement patterns were examined longitudinally in a 3-year-old male with childhood apraxia of speech (CAS) and compared with a typically developing control group. The child with CAS was followed for 8 months, until he began accurately and consistently producing the bilabial phonemes /p/, /b/, and /m/. A movement tracking system was used to…

Two studies illustrate the utility of listener ratings of speech naturalness for measuring and modifying speech naturalness during stuttering therapy. The program involved five adolescent stutterers receiving an intensive treatment incorporating a prolonged speech procedure. Results showed that speech naturalness ratings could be modified toward a…

Background: Awareness of individual phonemes in words is a late-acquired level of phonological awareness that usually develops in the early school years. It is generally agreed to have a close relationship with early literacy development, but its role in speech change is less well understood. Speech and language therapy for children with speech…

A seven-step procedure was developed to improve the intelligibility of children with significant motor problems (such as cerebral palsy). The procedure employs delayed auditory feedback to help the children control their rate of speaking to make it commensurate with their motor abilities. The procedure was pilot-tested with six children. Results…

Discusses phoneticians analyzation and correction of his own speech defects following a stroke. (MM)

The author reviews ways in which stutterers manage their interaction in terms of speech practices, management strategies (such as avoiding troublesome situations, rehearsing social activities), and conversational practices (including managing conversation topics and using starters to initiate utterances). The value of such "folk remedies" in…