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Prosodic Strategies
Comparing local vs. global strategies for treating Childhood Motor Speech Disorders
Lab Members: Kate Connaghan, Rupal Patel
Prosodic modulation strategies are commonly used to improve intelligibility in motor
speech disorders (dysarthria and apraxia of speech). These strategies may be
implemented globally, across the entire utterance (e.g., slowed rate, increased loudness)
or locally, with a focus on specific words or phrases (e.g. emphatic stress). A common
goal of these strategies is to increase vowel space area (VSA) as reduced VSA due to vowel
centralization has been documented in a number of populations with dysarthria and VSA is
positively correlated with intelligibility. To date however, little is known about the impact
of such strategies when used by children with motor speech impairment.
Using an audio-visual elicitation technique, this project investigates the impact of prosodic modulation on vowel acoustic
and perceptual intelligibility in this population. These findings will inform both our understanding
of the underlying nature of childhood motor speech disorders, as well as our understanding of the
role of prosodic modulation in their treatment. Preliminary research conducted in our lab suggests that
children with motor speech programming deficits improve vowel intelligibility when implementing some
prosodic modulation strategies. This research is on-going, with data collection continuing with children
with dysarthria secondary to motor disorders such as Down syndrome, cerebral palsy, traumatic brain injury
and with children with apraxia of speech (CAS).
To participate in this study, here is our
flyer
Related Publications:
Connaghan, K.P. & Patel, R. (in press). Impact of prosodic strategies on vowel
intelligibility in childhood motor speech impairment. Journal of Medical Speech Language Pathology.
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