Abstract

The current study explored the possibility that the consonantal landmarks served as predictors of dysarthric speech produced by English-speaking adults with cerebral palsy (CP). Additionally, the relationship between the perceptual severity of dysarthric speech and the consonantal landmarks was explored. The analyses included 210 sentences from the TORGO database produced by seven English-speaking CP speakers with dysarthria and seven typically developing controls matched in age and gender. The results indicated that the clinical group produced more total landmark features than did the control group. A binominal regression analysis revealed that the improper control of laryngeal vibration and the inability to tactically control the energy in a voiced segment would lead to the higher likelihood of dysarthric speech. A multinominal regression analysis revealed that producing too many +v and −v landmark features would lead to higher perceptual severity levels among the CP speakers. Together with literature, the current study proposed that the landmark-based acoustic analysis could quantify the differences in consonantal productions between dysarthric and non-dysarthric speech and reflect the underlying speech motor deficits of the population in concern.

Highlights

  • Research on population-based studies around the world has reported that the prevalence estimates of individuals with cerebral palsy (CP) range from 2 to 3.9 per 1000 live births or children [1,2,3,4,5,6,7,8]

  • The analysis revealed that there was an average of 7.61 landmarks (SD = 4.46) in each of the sentences produced by the CP speakers while there was an average of 5.719 landmarks (SD = 1.493) in each of the sentences produced by the typically developing (TD) speakers

  • By using the landmark-based acoustic analysis, the current study investigated the quality of the consonantal productions from English-speaking CP adults with dysarthria

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Summary

Introduction

Research on population-based studies around the world has reported that the prevalence estimates of individuals with cerebral palsy (CP) range from 2 to 3.9 per 1000 live births or children [1,2,3,4,5,6,7,8]. Results from the endeavor revealed that, among other critical factors, the quality of consonantal productions plays a significant role in the speech intelligibility of children and adults with CP [18,19,20,21,22,23,24,25,26]. Among the studies exploring the interplay between the consonantal productions and speech intelligibility of CP speakers with dysarthria, only a handful of studies have targeted English-speaking adults. Results from those studies uniformly demonstrated that the quality of fricative productions significantly contributes to speech intelligibility. Studies encompassing a wider range of consonants in English showed that other consonantal categories exerted large influence on speech intelligibility. Fricatives and affricates were associated with the highest error rates among dysarthric CP speakers

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